1.​ What type of tissue is your injury? (Bone, ligament, tendon, muscle) This would be a
ligament tissue.
2.​ Describe the anatomy of the injured structure. What are its attachment sites?
What is the function of this structure?The dislocation of the shoulder occur
because of the glenohumeral joint(which is the ball-and-socket joint, which
allows all the ranges of motion).
3.​ What types of movements/activities/sports require this joint/structure to be
healthy? Some movements that are required are flexion, addiction,
abduction, hyper-extension, internal rotation and external rotation.
4.​ What are the most common mechanisms for this injury? How might it become
injured (trauma vs. overuse)The joint can be moved out of the glenoid cavity
and this can be due to a traumatic force, and cause usually be caused
because of excessive abduction and external rotation.
5.​ What options do patients have? (Is surgery required or is non-surgical treatment
an option? Can it heal on its own?)This is where we see the it depends idea.
The article states how young athletes who are involved in throwing and or
collisions in their sport are recommended for surgery. Over time if the
athlete is not going through with the surgery they are at risk of dislocating
their shoulder. There are some cases where patients get their shoulder
back into place without surgery but are recommended physical therapy
afterwords.In the article it states that the people whom do receive the
physical therapy are expected to have the 90% recovery.
6.​ Prognosis: How long can patients expect it to take to fully recover? Will they ever
be the same again?During rehabilitation it can take anywhere around 6
weeks. The article shares how they are able to separate the program into
three components. In this rehabilitation sessions patients are expected to
complete four different test. Patients are expected to have a 90% recovery.
7.​ What does the evidence report for success rates and complication/re-injury rates
for current treatment options? In both of the articles, patients are shown to
have more of a successful rate rather than having a re-injury but the
chances are still there. The successful rate would be about 90% and yet
there is still the re-injury rate of. 10%, this can be shown with patients who
did have the surgery.
8.​ Common outcome measures: Find one patient reported outcome measure
(PROM) from the literature that is used to assess recovery for this
injury/condition. PROM that is shown in both articles state the injury can be
recovered in the 6 weeks up to 12 week period with about 4 different test
done to see the improvement through time. With the percentage rate being
at 90% would be high due to the training programs and manual therapy.
●​ Reflect on your findings. Do we as healthcare providers do a good job or can we
do better? Provide your own interpretation.
●​ As healthcare providers I believe that the 90% rate of shoulder dislocation
comes out to be at a higher percentage than the 10% of shoulder
dislocations resulting in failure. The provider's job is doing a good job.
Different patients come with different shoulder, dislocations, and or injuries
of ligament tears, many of which leave the office with a better recovery rate
than expected, and it could be due to the training programs, modalities,
and or electrical stimulation that is used. However, over time I believe that
the healthcare providers are doing a great job and in every situation we can
always do better but seeing that there is a 90% outcome of healthy
shoulder dislocation just shows that this can be still done better but the
recovery rate is already at a high outcome.
Sources:
1.​ https://pmc.ncbi.nlm.nih.gov/articles/PMC5498094/
2.​ https://jpro.springeropen.com/articles/10.1186/s41687-020-00283-w#:~:text=The%20pati
ent%20found%20the%20DASH,was%20persistent%20post%2Dsurgical%20pain.
3.​ https://nyulangone.org/conditions/shoulder-dislocation/treatments/surgery-for-shoulder-di
slocation#:~:text=If%20the%20soft%20tissues%20that,stay%20and%20speeds%20reco
very%20time.