Therapy of ankle joint dislocation

• 1. Conservative therapy of ankle joint dislocation:

What therapy is used for an ankle joint dislocation?

As with many injuries, the Shoulder joint dislocation a conservative or operational Procedure possible. The decision depends on the severity of the Shoulder joint dislocation, the complaints and the level of activity of the patient.

1. Conservative therapy of ankle joint dislocation:

At Rockwood I or. Tossy I injuries is always treated conservatively, since the capsule / ligament apparatus has not been torn.

In therapy, the Shoulder joint dislocation the need-based, short-term, pain-relieving and anti-inflammatory use of non-steroidal anti-inflammatory drugs (NSAIDse.g. Diclofenac or Ibuprofen) in combination with a local, also pain reliever Ice treatment (Cryotherapy) of the shoulder joint.

In the case of severe pain when moving, the shoulder joint can also be immobilized in a shoulder arm bandage (e.g. Gilchrist bandage) for a few days.

The therapy recommendation for Rockwood II or. Tossy II injuries is controversial. While some use the conservative approach as described above, possibly with a somewhat longer immobilization in the shoulder arm bandage (1-2 weeks) and subsequent physiotherapy (physiotherapy), with reference to the good functional therapy results, others recommend the operation of the Shoulder joint dislocationbecause they believe that the remaining malalignment leads to the development of osteoarthritis of the shoulder joint.
In our opinion, a decision should be made with the patient on a case-by-case basis after weighing the pros and cons. Neither one nor the other approach would be fundamentally wrong.

Operative therapy

There is agreement about the indication for an operation of an ankle joint dislocation from Rockwood III or Tossy III injuries above all. with younger, active patients or patients who frequently have to work overhead in their job. In these cases, a conservative approach would lead to functional limitations of the shoulder.

In order not to risk surgical complications, conservative therapy is definitely recommended for older patients.

There are some surgical procedures that are used for an ankle joint dislocation. They differ in the type of shoulder joint stabilization. All of them have their advantages and disadvantages.

The reconstruction of the capsule / ligament apparatus is optional. The trend is to allow the torn structures to heal themselves. In the opinion of many, disadvantages for the stability of the shoulder joint should not be expected.
Others prefer the suture of the capsule / ligament apparatus.

1. Fastening suture: A slowly dissolving, stable thread (e.g. PDS cord) is led around under the coracoid and fastened to the end of the collarbone by setting up the shoulder joint.
   Advantage: No metal implantation. Good shoulder mobility.
   Disadvantage / danger: loss of reduction (renewed climbing of the collarbone). Nerve injury (musculocutaneous nerve).
2. Hook plate: The bent end of a metal plate is pushed under the acromion and its straight section is screwed onto the lateral end of the collarbone, setting up the shoulder joint.
   Advantage: stability
   Disadvantage / danger: restriction of movement of the shoulder. Possibly. Impingement syndrome. Metal removal necessary after 6 weeks.
3. Tension strap: The joint stabilization is achieved by one or two Kirschner wires, which are inserted through the joint partners of the acromion and collarbone and around which a wire loop is lashed eight turns.
   Advantage: stable. Nerve injury unlikely.
   Disadvantage / danger: metal breakage. Metal migration. Restriction of movement.
4. Screw connection: The established shoulder joint is stabilized by a screw from the lateral end of the clavicle into the coracoid.
   Advantage: stability
   Disadvantage / danger: screw loosening. Broken screw. Restriction of movement. Broken collarbone possible.

Read more on this topic at: Ankle joint dislocation operation

Appointment with a shoulder specialist

I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

Follow-up treatment / perspective / prognosis

The shoulder movement exercises begin in the days following the operation Shoulder joint dislocation under physiotherapy guidance. Movements above the horizontal should be for 4-6 weeks be omitted.

Rockwood I and Tossy I injuries usually heal without consequences.

Also the prognosis for conservatively cared for Rockwood II and Tossy II injuries is good. If the shoulder girdle is heavily used at work (Overhead work) or exercise can become a painful later Shoulder joint arthrosis form.

The forecast for all surgically treated ankle joint dislocations are also good, but depend on the achieved shoulder joint stability, the loss of reduction and the stress on the shoulder girdle in everyday life. Physiotherapy exercise treatments should be carried out until full shoulder joint mobility has been achieved. Remaining shoulder joint instabilities can lead to a loss of function and chronic shoulder discomfort.

However, an ACG explosion is also surgically treated a risk factor for an ACG arthrosis

Complications of an ankle joint dislocation

• Loss of reduction: After the intraoperative adjustment of the shoulder joint, the result can often not be fully maintained during the follow-up treatment. Depending on the surgical procedure of the Shoulder joint dislocation the lateral end of the collarbone can move back up a bit.
• Infection / wound healing disorder: The soft tissue covering over the collarbone is very thin. The risk of post-operative infection is not insignificant.
• Metal loosening: Metal loosening or even metal fractures also occur with the shoulder joint explosion. Strong static and dynamic forces act on the collarbone.
• Cosmetically disruptive scarring: Especially in young people and skin incisions made parallel to the collarbone, excessive, cosmetically disturbing scarring can occur due to the pectoral muscle (Keloid) come. This is why the saber cut is recommended for young people, as it is not exposed to such tensile forces due to its vertical course. The disadvantage can be a poor overview during the operation.
• Vascular and nerve injuries: General risk with every operation, but also depending on the surgical procedure. Bleeding as well as sensory and movement disorders of the arm are possible.