Dislocation



Dislocation

What Is Dislocation?
A dislocation is an injury or disability caused when the normal position of a joint or other part of the body is disturbed. A dislocation occurs when a bone slips out of a joint — a place where two or more of your bones come together — in which the ends of your bones are forced from their normal positions.
Dislocation is most common in the shoulders and fingers. Other sites for dislocations include the knees elbows, hip, ankle.

Dislocation
Symptoms of a Dislocation
A dislocated joint may be:

When to see a doctor
It can be difficult to tell a broken bone from a dislocated bone. If you or your child appears to have either type of injury, get medical help right away. If possible, ice the joint and keep it immobile while you're waiting for medical treatment.

Causes
Dislocations typically result when a joint experiences an unexpected or unbalanced impact.

Risk factors
Risk factors for a joint dislocation include:

Complications
Complications of a joint dislocation may include:

Tests and diagnosis
Besides physically examining your injury, your doctor may order the following:

Dislocation

It may be difficult to determine whether your bone is broken or a dislocation has occurred. You should go to an health centre as quickly as possible.
Your doctor will examine the affected area. He will be checking circulation to the area, deformity, and whether the skin is broken. If your doctor believes that you have a broken bone or a dislocation, he will order an X-ray. On occasion, special imaging such as an MRI may be required. These imaging tools will enable your doctor to see exactly what’s going on in the joint or bone involved.

Treatments and drugs
Treatment of the dislocation depends on the site and severity of your injury and may include:
Manipulation - During this process, your doctor may try some gentle maneuvers to help your bones back into position. Depending on the amount of pain and swelling, you may need a local anesthetic or even a general anesthetic before manipulation of your bones.
Immobilization- After your bones are back in their right positions, your doctor may immobilize your joint with a splint, sling or cast for several weeks. This will prevent the joint from moving and allow the area to fully heal. How long you wear the splint or sling depends on the joint involved and the extent of damage to nerves, blood vessels and supporting tissues.
Surgery - You may need surgery if your doctor can't move your dislocated bones back into their correct positions or if the nearby blood vessels, nerves or ligaments have been damaged. Surgery may also be necessary if you have had recurring dislocations, especially of your shoulder.
To prevent redislocation, it may be necessary to reconstruct the joint and repair any damaged structures. On occasion, a joint has to be replaced, such as a hip replacement.
Medication - Most of your pain should go away after the joint returns to its proper place. However, your doctor may prescribe a pain reliever or a muscle relaxant if you’re still feeling pain.
Rehabilitation - After your splint or sling is removed, you'll begin a gradual rehabilitation program designed to restore your joint's range of motion and strength. Remember, it’s important to go slowly so you don’t reinjure yourself before the recovery is complete.

Lifestyle and home remedies
Every dislocation has its own unique healing time. Most people experience a full recovery in several weeks. For some joints, such as hips, full recovery may take several months or years and may require additional surgeries.
If your dislocation received prompt treatment, chances are that it won’t worsen into a permanent injury. However, it’s important to remember that the area will be weak and is more likely to dislocate in the future.
The healing time will also be longer if blood vessels or nerves were damaged in the dislocation. On occasion, the blood vessels that supply the bones are permanently damaged.
If the dislocation is severe or isn’t treated in time, there may be permanent problems such as persistent pain or the cell death of parts of bone around the joint.
Try these steps to help ease discomfort and encourage healing after being treated for a dislocation injury:

Prevention
To help prevent a dislocation:

Dislocation

To prevent children from possible dislocations, consider practicing the following: