What should be paid attention to during the removal of the steel plate for acromioclavicular joint d

Depending on your situation, the steel plate is required to be obtained, as the steel plate in the body for a long time can cause ionization.

Guidance: Generally, about a year after surgery, the steel plate can be removed!

1. The sequelae are mainly the impact on joint function, which is mainly manifested as limited activity and pain.

2. The first problem now is to carry out functional exercises step by step, and under the correct guidance of doctors.

3. Western medicine is not too particular about diet, but it is better to eat more calcium and phosphorus during the recovery period.

4. Of course, it is necessary to start the correct functional exercise as soon as possible.

5. As for the problem of the second operation, it should be determined in combination with the X-ray and the patient's recovery, and it is generally better after 8 months with ligament injury. It is always best to consult with the surgeon in detail, as he is most familiar with your situation.

Generally, it can be taken for more than half a year, and the distal clavicle fracture with acromioclavicular joint dislocation can be taken for more than half a year, and the time can be shorter without fracture.

Re-examination ** Fracture healing can go, the general surgery fee is about 1000, and the other costs are 3000-4000 in the mainland of anesthesia hospitalization, and the coastal will be high.

In fact, there is no need for surgery at all, and the bone can be reduced as soon as it is straightened.

"shoulder" refers to acromion, at the lateral end of the scapula;

"Clavicle" refers to the lateral end of the clavicle, which is the acromial end.

The combination of the two constitutes the "acromioclavicular joint".

For a healthy shoulder joint, you can feel the other shoulder blade from behind, and the shoulder joint is internally and externally rotated, and the adduction and external booth are externally rotated. Most of the multi-dimensional activities have to bear most of the extra power, without obstacles, and the flexibility is very high.

Spinal problems aside, just look at dislocation).

Today it is said to be "acromioclavicular joint dislocation", commonly known as: "shoulder loss", "shoulder dislocation".

The acromioclavicular joint is composed of the acromial articular surface of the scapula and the acromial articular surface of the clavicle, which is composed of 8 small articular surfaces to form a mechanically balanced structure.

In some joints, there are fibrocartilage disks, and the articular surface is mostly vertical, and the joint capsule is weak, and the surrounding tendons (ligaments) maintain the stability of the shoulder.

Kicking a ball while playing a ball accidentally falling, an acute sudden clavicle fracture on the shoulder, or a dislocation of the acromioclavicular joint.

The shoulder is violently impacted, the shoulder hits the ground, and when the acromion is hit, the acromial scapula falls sharply downward, and the surrounding ligaments are torn and dislocated.

The force is transmitted to the acromioclavicular joint, and joint dislocation occurs, so it seems that the acromioclavicular joint dislocation caused by it is very common.

The bones are misaligned, the tendons are out of the groove, and the "shoulder is lost" is the so-called bone misalignment, and the tendons around the shoulder joint (acromioclavicular ligament, coracoclavicular ligament) are torn, the shoulder structure is destroyed, and the soft tissue is damaged, which will cause pain.

Self-discipline of shoulder joint movement: During the movement of the shoulder joint, the glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and scapula-chest wall joint move in synergy, and the movement of the shoulder joint is jointly completed.

Dislocations are often accompanied by severe pain; Mild misalignment is limited in movement, stuck and unable to move, feeling the shoulder protruding, and not being in its position, unable to do complete movements.

Many patients do not care much about the instability of the shoulder joint, thinking that as long as they pay more attention to avoid some bad posture or avoid certain activities in the short term, they can slowly recover on their own, but in fact, it is easy to reverse shoulder dislocation in the later stage.

Once misaligned, the manual recovery needs to align all the articular surfaces in order to restore the original mechanical structure, as long as one face is not accurate, it may cause limited joint movement, and muscle atrophy will be caused by poor flow of qi and blood.

In the traditional concept, the more articular surfaces, the more difficult it is to align the bones, and an operation is placed in front of the patient, so that the patient cannot refuse.

With a lot of superb clinical experience, using skillful skills and theoretical knowledge, you can return your shoulders with homeopathy.

For the problem of acute misalignment, it can usually be reduced in one stroke with orthopedic manipulation, which directly hits the root cause of the problem.

Exercise after surgery.

Stage 1** Exercise (within 3 weeks after surgery): Passive movement of the shoulder joint. 3 days after surgery, the active movement of the fingers, palms, wrists and elbows of the injured limb and the passive flexion and extension exercises of the elbow joint were performed.

Shoulder range of motion exercises began 1 week after surgery. The patient uses the unaffected hand to support the forearm of the affected side and make clockwise and counterclockwise circular movements; The doctor holds the upper arm and forearm of the affected limb with both hands and performs passive lifting, passive external rotation and passive abduction, adduction, and internal rotation exercises to the extent of pain, and then slowly returns to the resting position. Shoulder joint strength exercises were started 2 weeks after surgery.

Flex the elbow of the affected limb at 90°, support the affected hand with the unaffected hand, and bend the shoulder forward with the hand to exercise the anterior flexor muscles of the shoulder joint; Push your elbow outward and do abduction movements to exercise the abductor muscles; Forcefully pull back your elbows to exercise your extensor muscles; Do a shrug on both sides at the same time to exercise the shoulder lift muscles; Perform the adduction scapula movement on both sides at the same time to exercise the adduction scapula muscles; Internal rotation of the affected shoulder to exercise internal rotation muscles; External rotation of the affected shoulder is done to exercise the external rotator muscles.

Stage 2** Exercise (4 to 6 weeks postoperatively): Mainly active activities of the shoulder joint. Continue to stretch the shoulder in all directions, perform pulley pulling exercises for the affected limb, and climb the wall to increase the range of motion of the shoulder joint.

Perform isotonic contraction exercises for scapulae, biceps, and triceps. Gradually increase the amount and duration of exercise. Encourage the patient to use the affected hand to complete activities of daily living within their means.

It can be combined with local appropriate physiotherapy, massage, and traditional Chinese medicine fumigation of the affected shoulder.

In the 7th week after surgery, increase the range of motion and muscle strength exercises, increase the range of shoulder stretching exercises, increase the amount and duration of exercise, participate in sports, and carry out various activities, but pay attention to self-protection to avoid causing uncomfortable symptoms.

After acromioclavicular joint separation ligament rupture, it is necessary to pay attention not to overwork, do not exert too much force, do not lift heavy objects, and need to carry out sports training, homework training and other functional exercises under the guidance of professional teachers and Gu Liankang-Fu.

1. The pain at the end of the fracture is generally more obvious in rainy weather. This discomfort will gradually subside after 8 months after surgery, but it may vary depending on the individual's physical condition.

2. If the clavicle fracture is not comminuted, the internal fixation plate can be removed about 8 months after surgery, and whether the steel plate is removed or not has no effect on lifting the arm. However, before the fracture is healed, try to avoid the movement of the shoulder joint to prevent the steel plate from breaking or the broken end of the fracture from being misaligned.

3. Generally, my patient will instruct him to start moving the shoulder joint on the affected side about 6 weeks after surgery to prevent shoulder adhesions. However, it is necessary to pay attention to the degree of activity when moving.

4. There is no specific action, as long as you find a way to move the shoulder joint and normal.

Acromioclavicular joint dislocation does not require a steel plate.

There are three types of acromioclavicular joint dislocations: Types: There are a few ligaments at the acromioclavicular joint, tearing of the capsule fibers, the joint is stable, the pain is mild, and the x-ray** is normal, but there may be periosteal calcification at the lateral end of the clavicle in the later stage.

Type: Acromioclavicular capsule and acromioclavicular ligament are torn, the coracoclavicular ligament is not damaged, the outer end of the clavicle is cocked, and it is in a state of subluxation, and there is a floating sensation when pressed, and there can be forward and backward movement. X-rays show that the lateral end of the clavicle is higher than the acromion.

Type: The acromioclavicular ligament and coracoclavicular ligament are torn at the same time, causing significant dislocation of the acromioclavicular joint.

Among them, if the clavicle hook plate is placed in the middle type surgery, if the surgery is stable after reduction, surgery is not required, such as redislocation surgery, the clavicle hook plate is placed. does not require surgery.

X-ray examination can clearly show the upward displacement of the outer end of the clavicle, subluxation of the acromioclavicular joint, its upward displacement is light and the swelling is not obvious, and the diagnosis is more difficult.

Acromioclavicular joint dislocation is not uncommon, there may be local pain, swelling, and tenderness, it is difficult to abduct or lift the injured limb, forward flexion and extension movements are also limited, local pain is exacerbated, a depression can be felt at the acromioclavicular joint during examination, and the acromioclavicular joint can be felt to loosen. Immobilization is more difficult after manual reduction, resulting in a higher surgical rate.