Sport injuries often severely effect the shoulder structures. They strain the muscle tissue and causes damage to the shoulder as a whole. Early assessment of the sport injuries are useful for a healthy shoulder. The various sport injuries affecting shoulder are described below:
The shoulder joint is likely the most unstable as well as mobile joint in the body. Therefore, dislocations mainly occur in this part of the joint. Minor trauma, fall from a height, or accident may cause shoulder to dislocate. Immediate treatment is necessary for shoulder dislocation. These dislocations may recur again after a period of time. The continuous occurrence of dislocations cause excessive stretching of shoulder joint along with more instability. This forces the sports person to be away from their field for a long time and causes poor performance. Key hole surgery provides less complicated and less painful treatment for dislocation. Also the recovery is fast that the person may return to work in earliest time.
- Acromioclavicular Joint Injuries:
Acromioclavicular joint(ACJ) is a hard small lump found at the upper portion of the shoulder. For athletes concerned with throwing and overhead, this part of joint is very important. Tackling and repeated falls on the shoulder often causes an injured ACJ. As a result a more painful shoulder lump is obtained. Conservative treatments such as physiotherapy and injections only lower the pain but does not remove overall symptoms. Hence a surgery become necessary. Arthroscopic key hole surgery is mainly used for complete removal of joint. This procedure has the advantages of fast recovery and less post-surgery pain. In some cases, traditional open surgery may be used but they tend to divide useful ligaments resulting in weakened shoulder.
- Impingement Syndrome (Subacromial Impingement):
The other name for impingement syndrome is Bursitis. Activities involving excessive overhead arm use often causes shoulder problem such as impingement syndrome. In older athletes, bony spurs are likely developed. The rotator cuff tendons situated in upper part of shoulder gets trap inside these bony spurs. Physiotherapy and injections can be used to provide temporary relief. However, excessive use of steroid injections should be avoided as they may damage the complete shoulder. The key hole surgery mainly uses an arthroscope to clean up the subacromial bursa. They also remove the bony spur from the body. This method is known as Arthroscopic Subacromial Decompression.
- Rotator Cuff Tears:
The movement and stability of the shoulder is mainly under the control of rotator cuff. Any significant damage or injury to this part causes severe pain and weakness. Early repair is essential to limit the growth of the cuff tear. Prior to treatment, ultrasound scanning is done to detect the severity of the condition. Both open surgery and key hole surgery can be used to repair tear. The success rate is, however, almost equal in both the techniques.
- SLAP Lesions:
SLAP(Superior Labral Antero-Posterior) is a most common type of shoulder injury. This condition forces the biceps anchor in the shoulder to separate from its bone attachment. This injury mainly occurs in people involved with heavy lifting, tackling and overhead sports. Significant pain is felt deep inside the shoulder. In some people, this pain with a burning sensation goes down the upper arm Arthroscopic knee surgery is the recommended treatment to analyze the inner section of shoulder using arthroscope.
- Biceps Injuries:
The bicep muscle at the elbow end is a weak point and hence ruptures with a mild injury. This condition appears in the form of a small lump in the front side of arm. The symptoms include popping sound and pain on the front and top of the shoulder. Key hole surgery is mainly opted to treat this condition.
- Labral Tears:
The socket of the shoulder joint is surrounded by a cushion like substance called labrum. The various causes of labral tears include direct blow to shoulder, fall from height and overhead throw. MR Arthrograms is basically used to diagnose labral tears and hence decide the needful treatment. Key hole operation is usually preferred. Larger form of labral tears are known as Bankart tears.
- Thrower’s Shoulder:
Repeated overthrowing often leads to stretched shoulders. Also tightness is experienced in the back of the shoulder. As a result, the abnormal gliding appears over the shoulder joint. The labrum and rotator cuff gets catched leading to abnormal labrum wear and rotator cuff tears. Specialized instruments are required to diagnose and treat such condition.
- Shoulder Fractures:
Shoulder fractures are common among athletes or other sport persons. It is almost difficult to treat shoulder fractures than fractures in any other part. Early detection helps to fix difficult fractures using safer surgical instruments and newer techniques.
- Frozen Shoulder:
True frozen shoulder is rarely seen condition in athletes. The frozen of stiff shoulders mainly come as a result of minor accidents or injuries. The treatment procedure initially aims to treat stiffness and the underlying injury is treated on secondary basis. The duration for recovery depends upon the type of treatment procedure.
- Shoulder Arthritis:
Overuse of shoulder joint much likely leads to shoulder arthritis. Shoulder arthritis is a condition where lubricant is reduced. This gives painful and stiffed joint. Gentle pain can be relieved using painkiller. In addition to painkillers, simple exercises should be used to keep shoulder active and muscles toned. However, for severe pain, joint replacement surgery is essential. Traditional replacement method has been replaced with resurfacing shoulder replacement technique. It carries some advantages over traditional method such as less invasive method with best results. Discharge from hospital is after 1-2 days post-operation. Light shoulder movement is seen in the day after surgery. Early recovery is usually expected.