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Shoulder dislocation is a rather painful injury, in which the spherical head of the shoulder joint leaves the joint bag located in the shoulder girdle. In the event of a shift of the shoulder joint, it must be fixed by applying a strong bandage of adhesive tape or medical tape, which will reduce pain, provide support and accelerate the healing of stretched ligaments and tendons. In addition to ligation of the dislocated shoulder joint, it can also be used to prevent such injuries - that is why athletes often bandage their shoulders.
Types of Shoulder Dressings
To date, there are several types of dressings that provide shoulder fixation. They are referred to as modern fixators by the type of sling dressings, orthopedic dressings or calipers, as well as time-tested dressings, for example, spiky or kerchief. This dressing can be applied at home. A bandage on the shoulder joint video from the Internet will serve as a guide and instruction.
Some of them perform the functions of emergency fixation, when the victim has nothing at hand but tissue. Others are made of high-tech materials that have a compression and orthopedic effect.
This type of dressing is used as an emergency fixation immediately after the injury (bruise, shock or dislocation) of the shoulder joint. To make such a bandage, you need to stretch the scarf on the upper third of the shoulder. Then, the shoulder joint is wrapped with two of its edges, capturing with a knot on the upper part of the shoulder. The third edge of the scarf is brought to the neck and slightly tightened. In the event that a second scarf is not at hand, it is necessary to fix the central end of the fabric with a belt or rope. If the victim has a second scarf, then instead of the rope impose it precisely, tying the ends on the front of the sternum. Thus, applying a bandage to the shoulder joint with two scarves will form a sword belt, which will be held under the second end of the first scarf under the second, while surrounding the shoulder girdle.
Choosing the right size bandage for fixing the shoulder
Before you start bandaging the shoulder, you need to purchase an elastic bandage. Before you buy it, you need to decide on the functional purpose. The product contains elastic threads. Bandage models differ in their number and weaving, therefore they have different stretchability and bandaging ability. If a dislocation with sprain is diagnosed, then a bandage with a slight degree of elasticity should be applied. Use a medium or short stretch bandage (40-100%). This will make it possible to tightly tighten the shoulder joint to ensure stability, to limit movements as much as possible.
When injuring muscle tissue, not complicated by dislocation, fracture or other injuries, the shoulder needs to be bandaged flexibly to maintain the motor function of the joint, but to reduce pressure on it. To do this, use a bandage with a large number of elastic fibers, providing flexible fixation, having the ability to stretch well. Such products are extended 3 times. To properly bandage the shoulder and fix the joint capsule, take a bandage of the right size. Usually use a product with a length of 4 m and a width of 14 cm.
Shoulder dislocation may occur during sports or hard work. This is a very painful injury in which the spherical head of the shoulder joint leaves the joint bag. If this happens, there is a need to fix the shoulder itself. To do this, impose a bandage from a medical tape. Such a bandage for dislocation of the shoulder helps to reduce pain, it provides support for stretched ligaments and tendons.
How to bandage an injured shoulder
When a shoulder joint is injured, doctors know how to bandage the shoulder to immobilize the joint and create relief to the joint. Bandage the shoulder joint with a spiky bandage, the application scheme of which involves bandaging one layer of material to another. The name comes from the appearance of the latch, because it resembles a spikelet. You can bandage the shoulder in two directions: from bottom to top and vice versa.
Performing an ascending spike bandage on the shoulder joint
Before bandaging the shoulder, the patient needs to explain what kind of manipulation this is and how to behave properly when performing bandaging. First, the patient is prepared for manipulation. For this:
- they put him on a chair facing the doctor,
- take off the clothes from the torso, since you need to apply a bandage on your naked body,
- if necessary, put a rag roller on the armpit of the patient.
Important! During the manipulation, the patient should relax, so that the muscles are not tense, sit calmly and not move his hand.
Rising "spikelet" is performed as follows.
- Initially, the bandage wraps around the area under the injured joint, after which it is fixed there, the armpits are removed from the zone from the front to the shoulder, and then to the back.
- On the surface of the back, the bandage is held to a healthy shoulder, passes into the armpit, and then is removed through the chest to the sore joint.
- The damaged joint is wrapped and again moving towards a healthy joint.
- The next round is applied so that the subsequent strip of bandage half covers the previous one. The result is a dressing in the form of an ear.
- The technique of performing an ascending dressing involves performing 3 revolutions around the shoulder. So the connection will be securely fixed and will not cause discomfort in the patient.
There are several ways to fix the bandage on the joint. If the completeness of the bandage provides for the presence of a clip, then fastening is carried out with its help. If there is no fastener, you can fix the bandage with a standard pin.
How to carry out bandaging of the shoulder with a descending spiky bandage
Performing a top-down bandage, make the following movements:
- Wrap two turns of bandage around the torso in the chest area at the armpit level.
- Tie it and fix it on a healthy joint.
- Then they move along the front wall of the chest to the sore joint, bend around it and go to the back (forward and upward direction).
- Then they hook up a healthy compound and alternate so on.
- Bandage is necessary until the bandage becomes a spikelet.
Correct collarbone dressing
How to fix the shoulder joint if the collarbone is broken depends on the complexity of the injury. In case of violation of the integrity of the clavicle, a plaster bandage is applied or bandaged with the Deso method. How exactly to fix the shoulder. the doctor decides taking into account the patient's condition. When performing the Deso Bandage:
- They bend the patient’s arm from the side of the injury in the elbow at an angle of 45 *.
- The brush is placed on a healthy forearm.
- Then wrap the bandage in a circular motion and fix the broken collarbone to the body.
This bandage is used for children under 3 years old. It makes it possible to fix bone fragments, contributes to their rapid fusion. Older children use gypsum. If it is not possible to professionally dress the victim, then you can fix the bones with a bandage-scarf. Then the patient is sent to the nearest medical facility.
Further treatment and a positive outcome of the disease depend on correctly performed joint immobilization. Therefore, a dressing should be given to a health worker who has experience in performing this manipulation. If the injury occurred on the street, then you need to immobilize the limb with improvised means and go to the hospital, where they will provide qualified medical care.
First you need to make sure that there is a dislocation of the shoulder. The most reliable option is to get advice from a specialist. Typically, such an injury occurs in the following cases:
- intensive sports
- landing when falling on an outstretched arm.
This type of injury is characterized by the following symptoms:
- the inability to move your shoulder
- sharp pain
- displacement of the shoulder joint.
Any suspicion of a shoulder dislocation requires specialist advice. Before applying a bandage to the shoulder in case of dislocation, the traumatologist will definitely give an x-ray examination. This must be done to exclude a possible fracture. The doctor will also pick up a painkiller to alleviate the patient's condition.
A traumatologist should be contacted without fail. Only a qualified specialist knows what to do with a dislocation of the shoulder joint. First of all, it should be corrected. The spherical head must be returned to the joint bag of the shoulder girdle. In order to carry out a closed joint reposition, it is necessary to carefully stretch and rotate the forearm. This is important to do to put the head of the joint in place.
You can reduce severe pain with an injection of pain medication. The direction and fixation of the shoulder joint during dislocation should not be done by a person who does not have a special education or the necessary experience. This can only aggravate the situation and lead to even greater damage. Do not put a bandage on an unadjusted joint.
After repositioning, it is recommended to attach ice wrapped in cloth to the injured shoulder. This will reduce the painful manifestations and will make it possible to reduce the likelihood of an inflammatory process. The compress should be kept for about a quarter of an hour. The patient will feel significant relief after such a manipulation.
When the first aid is provided to the victim, they usually have a bandage in place with a bandage. For this procedure, you will need not only a wide bandage, but also a pin. There are also special bandages for such purposes.
Applying a bandage for dislocation of the shoulder joint requires knowledge of certain rules:
- The injured patient should sit facing the specialist.
- The cotton roller should be wrapped with gauze and put an armpit.
- The victim must bend the forearm at right angles and press it against the chest.
- With the help of a bandage, two fixing turns on the chest must be made.
- The bandage must be lowered under the elbow along the back surface of the damaged joint, it must go around the elbow joint and pass through the armpit of the opposite half of the body.
- Further the bandage should pass from the armpit along the back to the forearm of the injured limb.
- Then, making a bandage with dislocation of the shoulder, the bandage is carried out from above on the front surface of the dislocated joint, around the forearm.
- The bandage must be carried through the back to the armpit of a healthy part of the body.
- Repeat such movements several times to fully secure the shoulder joint.
- It is necessary to complete the dressing by performing two fixing turns in the chest area, damaged arm and back.
- Fix the end of the bandage with a special pin.
The right hand is always bandaged from left to right, and the left hand is vice versa. In those cases when the Deso bandage for shoulder dislocations is applied for a long period, it is stitched through several layers.
There is also a bandage for dislocation of the shoulder joint. Its purpose is to:
- stable fixation of the shoulder joint,
- limiting shoulder mobility,
- protect your hands from damage,
- preventing joint displacement,
- providing depreciation when driving.
Treating a dislocated shoulder takes approximately one to three months. It depends on how bad the injury was. If you timely adjust your shoulder and apply a bandage, this will help accelerate its recovery. Once a week, the old bandage should be replaced with a new one. For the full rehabilitation of the injured shoulder, physiotherapeutic procedures will also be needed. During the recovery period, it is recommended to perform a special set of exercises that the doctor will prescribe for exercise therapy.