Complication literally means to become complicated. Complication in medical terminology means the addition of a new problem to an existing disease or condition during treatment. This is different from malpractice, that is, wrong treatment. Complications may occur for a number of other reasons, even if the treatment is performed correctly.
Dislocation is the disruption of joint integrity. Deformity and loss of joint motion occur in the dislocated joint. Pain is inevitable. Depending on the way the dislocation occurs, nerve-related problems may also occur due to pressure on the nerves (numbness, numbness, etc.). It is one of the emergencies of orthopedics. Regardless of whether it is a small or large joint, the dislocated joint should be reduced as soon as possible.
Dislocation is also one of the most abused issues. Unfortunately, people who treat all kinds of joint pain as dislocations still go there to find cure.
What are the Complications of Dislocations?
Compartment syndrome: It is a very serious complication. and requires emergency surgery. It is accompanied by swelling, pain and numbness in the lower part of the dislocated joint. It is a common condition, especially in elbow fracture and dislocations. It may cause situations that may lead to amputation of the extremity.
Neurological (nerve-related) injuries: It can range from temporary paresthesia (numbness) to permanent nerve damage. Problems related to the nerve or nerves running next to the dislocated joint will be observed. For example, in hip dislocation, the ankle cannot be lifted up due to the sciatic nerve.
Vascular injuries: Coexistence with nerve injuries is common due to the neighborhood. Important findings include lack of pulses below the damaged vessel and cold and pale extremities. The presence of extensive bruising around the joint and a constant drop in blood pressure should suggest vascular damage.
Joint instability: It is seen in cases where the ligament balance is disrupted or in fracture-dislocations. It causes recurrent dislocations. Surgery may be required, especially as a result of constant strain on the shoulder and ankle.
Limitation of joint movement: Intra-articular fracture. It can be seen in concomitant dislocations, in cases where reduction is made late, in cases where there is damage to the structures around the joint during reduction or dislocation, and as a result of long-term immobilization.
Arthrosis (destruction of the joint surface). ): Depending on the degree of joint cartilage destruction during dislocation or reduction, arthrosis may occur over time.
Heterotopic ossification (myositis ossificans): It is more common in the hip and elbow joints. It can be called bone formation within soft tissue. It can cause severe joint movement limitation. It is more common in cases with head trauma and burns.
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