RETHINKING OF THE METHOD OF CONSERVATIVE TREATMENT OF PRIMARY TRAUMATIC SHOULDER DISLOCATION

Abstract

Тhe authors of the article studied the evolution of views on the treatment of primary traumatic shoulder dislocation. In two research groups, including 103 patients, an attempt was made to eliminate the shortcomings of the generally accepted method of conservative treatment of this pathology: after atraumatic dislocation reduction, immobilization was performed in a mass-produced sling, and from the first day after the injury, an individually selected course of physical therapy for the immobilized limb was started, in accordance with age and physical development. The proposed approach to treatment was a reinterpretation of all stages of the existing method of conservative treatment of primary traumatic shoulder dislocation and allowed to improve the subjective feelings of patients on the VASH scale, as well as indicators of objective evaluation of function on the Rowe scale. In the conditions of a trauma center in a large district of a multi-million city, screening ultrasound of the shoulder joint is promising for all patients who have suffered a primary traumatic dislocation of the shoulder immediately after the dislocation is set and three weeks after the injury. This study allows us to conduct additional diagnostics and identify a group of patients with specific injuries to the anatomical structures of the shoulder joint, which in the future may initiate the development of post-traumatic instability. The functional method of immobilization of the upper limb after reduction of traumatic primary shoulder dislocation effective and simple to implement, easy for the patient and allows the doctor to monitor the results obtained at each stage of treatment.