If the ligament in the shoulder area is broken, it will cause great harm to the patient. This kind of ligament rupture is more common among some athletes, such as football players, basketball players, etc. Some other physical labor groups may also suffer from this situation when working. When the shoulder ligament is broken, some symptoms will appear. Let us learn about this aspect. How to diagnose shoulder ligament rupture 1. Ligament contusion: Generally, it is because the movements during activities are beyond the range of joint movement. The degree of ligament injury is not serious, and redness and swelling will appear. 2. Ligament sprain: It refers to damage to the joints of the limbs or soft tissues of the body (such as muscles, tendons, ligaments, blood vessels, etc.), without fractures, dislocations, skin and flesh damage, etc. The main clinical manifestations are pain and swelling at the injured site and limited joint movement, which often occur in the waist, ankle, knee, shoulder, wrist, elbow and hip. 3. Ligament strain: In vertebrates, ligaments are cords of connective tissue that connect bones to each other and run closely parallel to elastic fibers. After a ligament is strained, there is local swelling, pain, tenderness, and subcutaneous bleeding with visible cyanotic areas. 1. Partial rupture: There is no blood accumulation in the joint. The X-ray in the valgus position shows that the medial joint space is not large. Local closure and elastic bandage pressure dressing can be performed. Early quadriceps exercise can be performed or the ankle long leg plaster brace can be used to fix the knee in varus and slightly flexed position for 3-4 weeks. After the plaster is completely dry, quadriceps exercise and walking can be started. 2. Complete rupture: In principle, surgical treatment should be performed. If the ligament is ruptured, it can be sutured directly; if the bone attachment is torn, it can be fixed with wire penetration or directly sutured to the periosteum and soft tissue. If there is avulsed bone fragment, fix it with wire or screws. If combined with meniscus damage, it should be removed. Patients with combined anterior cruciate ligament injury should be repaired first. Postoperative plaster fixation for 4-6 weeks. 3. Old injuries: Actively adhere to quadriceps training Exercise to increase joint stability. If the joints remain unstable after active exercise, surgical repair can be performed. The medial collateral ligament is replaced by the fascia lata or the semitendinosus and gracilis tendons. Injuries to the lateral collateral ligament are rare and rarely require surgery.4. Knee cruciate ligament injury: For patients with anterior cruciate ligament and tibial spine avulsion fracture, the injury can be repositioned by hyperextension of the knee and posterior pushing of the tibia, and then fixed with a long leg plaster for 4-6 weeks. For those who cannot be reduced, surgical repair should be performed promptly. The fracture fragments are fixed with wire. For simple ligament rupture, fix it with plaster. For old injuries, conservative treatment is the main approach. If the joint is still unstable after exercise, surgical repair may also be considered. The posterior cruciate ligament does not need to be repaired. |
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