What is the incidence of shoulder pathology in a traumatology clinic?
Pain in the shoulder is the second reason for attention in our traumatology consultations after the knee. In the young population, basically due to contact sports and throwing sports, there has been an instability in this joint often or tendinopathies due to overuse of the same. In the adult population, with time, what is produced is a joint deterioration also of the tendinous structures that will basically lead to a night pain and an inability to develop the activities of daily life.
How do young athletes affect instability, dislocation and other pathologies?
Fundamentally decreasing your sports performance. This type of patient will have an apprehension maneuver, that is, clinically he will have the sensation that at a certain moment in a gesture his shoulder will come out, he will have an episode of instability, which will sometimes force him to go to an emergency service and also will be a fatigue and a pain that sometimes even make you quit your sport.
In the adult population, how do shoulder injuries affect the day to day?
Well with the two reasons that come to our query. One is the pain, the nocturnal pain that prevents them from falling asleep at night, especially if they sleep on the affected side, and the other is the functional impotence, the functional impotence of the limb to perform usual daily activities such as working over the height of the shoulders, or for example fastening the seat belt in the car, or in the case of women fastening the bra from behind. This functional impotence, this pain, is because the tendinous structures that make the articulation work perfectly are affected and these structures if they are injured should be repaired because if there is not going to be a joint deterioration in this joint and later, surely, a arthrosis
What are the most important advances in the diagnosis and treatment of shoulder injuries?
I would highlight two, the MRI and the arthroscopic surgery. Magnetic resonance in the diagnostic field has been a very important advance that gives us both quantitative and qualitative information of what is injured and the possibilities we have of repairing it.. On the other hand, arthroscopic surgery allows us to repair these lesions using semi-invasive techniques and very small incisions.. I would also highlight, and I would not like to forget, the compatible biomaterials that have allowed us to repair fractures in the shoulder or in the case of prostheses, replacing it with the best conditions, as has happened in other joints such as the hip or knee.