Ahmad Siraj Sidra, Dhage Pooja, Deshmukh Mitushi, Jaiswal Pratik R
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Sep 23;15(9):e45816. doi: 10.7759/cureus.45816. eCollection 2023 Sep.
A Hill-Sachs lesion is a bony defect in the head of the humerus due to recurrent dislocation, which results in friction between the humeral head and the glenoid fossa. This recurrent incident of dislocation that occurs in the anterior direction eventually leads to a Bankart lesion (a defect in the glenoid rim). A 21-year-old male, a recreational football player, reported recurrent shoulder dislocation, complaining of pain and difficulty doing certain activities. He had hypermobility of the shoulder joint during joint play assessment. Proprioception is the sense of the position and movement of one's own body. Exercises that improve proprioception can help improve shoulder stability and reduce the risk of shoulder injuries. Proprioception has shown significant positive results in shoulder dislocations. A physiotherapy protocol was designed that included strengthening of shoulder and scapular musculatures, proprioceptive exercises, and plyometric exercises for developing agility. All these exercises were given with taping for the shoulder joint. Taping helps stabilize the shoulder and normalizes muscle function. With the help of physiotherapy, patients can avoid invasive procedures for restoring stability in non-traumatic recurrent shoulder dislocations.
希尔-萨克斯损伤是由于反复脱位导致的肱骨头骨质缺损，这会引起肱骨头与关节盂之间的摩擦。这种向前方发生的反复脱位最终会导致肩胛下肌盂唇损伤（关节盂边缘的缺损）。一名21岁的男性，是一名业余足球运动员，报告有反复的肩关节脱位，抱怨疼痛以及进行某些活动困难。在关节活动评估中，他的肩关节活动过度。本体感觉是对自身身体位置和运动的感知。改善本体感觉的锻炼有助于提高肩部稳定性并降低肩部受伤的风险。本体感觉在肩关节脱位方面已显示出显著的积极效果。设计了一种物理治疗方案，包括加强肩部和肩胛肌肉、本体感觉锻炼以及用于提高敏捷性的增强式锻炼。所有这些锻炼都配合肩关节贴扎进行。贴扎有助于稳定肩部并使肌肉功能正常化。借助物理治疗，患者可以避免在非创伤性反复肩关节脱位中采用恢复稳定性的侵入性手术。
