Editor's note: This year is the year of medical business construction of Zhangjiajie People's Hospital, in order to further enhance the connotation of medical services, facilitate the masses to see a doctor, and promote the reform of urban and rural medical integration in Zhangjiajie City, since April, Zhangjiajie People's Hospital will unite with the red network Zhangjiajie Station and other media to carry out a series of reports focusing on discipline development, technological innovation, medical reform, and humanistic stories.
Red Net Moment Zhangjiajie April 15 (Reporter Zhang Hong Correspondent Wang Yan) Football, basketball, badminton, swimming fitness, sprains, muscle injuries, widows, ligament tears... As national fitness has become a "new fashion", there are more and more "athletes" and "athletes".
However, in exercise, a little inattention, all kinds of pain will follow.
Li Mou, a 41-year-old sports enthusiast, felt a pain in his right shoulder joint a year ago, "I thought I had frozen shoulder and it wasn't a big problem, so I went to several hospitals for conservative treatment." Li said that after many treatments, his shoulder pain was not only not alleviated, but also became more and more serious, and over time, the entire right upper limb could not be lifted up, and his movement was restricted, which seriously affected his work and life, making him miserable.
After being introduced by a friend, Li found Liu Liang, deputy chief physician of the First Department of Orthopedics ward of Zhangjiajie People's Hospital (Shadi). After learning more about Li's condition, Liu Liang underwent a physical examination and MRI (magnetic resonance imaging) examination, and finally diagnosed it as "right shoulder joint rotator cuff tear", and recommended that the patient be hospitalized for surgery. Subsequently, after Liu Liang improved the preoperative examination and formulated the surgical plan, the main surgeon performed the "shoulder arthroscopic rotator cuff repair" for Li. Li actively underwent rehabilitation training after surgery, the joint pain was significantly reduced, and after five months, the right shoulder joint activity was basically normal.
The shoulder joint is the most mobile joint in the human body and the most unstable joint in the human body. Liu Liang said that at present, many patients think that shoulder pain is frozen shoulder, take some medicine or take a break, the result is more obvious pain. In fact, the pain in these patients is likely not caused by frozen shoulder, but by rotator cuff injury. Frozen shoulder and rotator cuff injury treatment is completely different, frozen shoulder is the abbreviation of periarthritis of the shoulder joint, also known as frozen shoulder, fifty shoulders, mainly inflammation around the shoulder joint caused by limited joint activity, the course of the disease is longer, generally 6-24 months, patients should take the initiative to carry out functional exercises, increase the range of motion of the shoulder joint, avoid adhesions again, most of the frozen shoulder will heal themselves, after the pain disappears, the shoulder joint activity has different degrees of restriction. The rotator cuff injury is mainly based on the superior muscle around the shoulder tendon injury or even tear caused by pain, if the treatment is not correct, the injury and tear will become more and more serious, shoulder pain gradually aggravated, so most of the rotator cuff injuries need surgery.
So how to prevent sports-induced rotator cuff injuries? Liu Liang suggested that we should develop a good sense of shoulder joint protection and avoid collisions, falls, excessive weight bearing and other situations. When engaging in or liking swimming, weightlifting, shooting sports and other sports that require repeated extreme abduction of the shoulder joint, it is necessary to pay attention to daily and pre-exercise active preparation activities and exercises, while ensuring correct exercise, power posture and skills, and doing a good job of self-protection. The most important thing is that if there is shoulder pain, please go to a specialist hospital for examination and treatment.
Since 2014, under the team led by Liu Liang, Zhangjiajie People's Hospital sports medicine has developed rapidly, and the current routine "arthroscopic shoulder and knee minimally invasive surgery" has formed a certain characteristic of the treatment of sports injuries, especially joint injuries, taking the lead in the city to carry out arthroscopic minimally invasive surgery technology to treat various sports injuries, and the business development of the department has gradually filled a number of technical gaps in Zhangjiajie. Among them, the city's first case of "cruciate ligament reconstruction", "rotator cuff injury repair", "patellar recurrent dislocation repair", "gluteal contracture release" and "arthroscopic resection of popliteal cyst" were independently completed by the sports medicine team led by Liu Liang. At present, the department completes about 200 arthroscopic surgeries every year, including "knee cruciate ligament reconstruction", "meniscal injury suture repair", as well as recurrent patella dislocation, rotator cuff injury, shoulder joint recurrent dislocation, acromial impingement, joint cleansing of degenerative knee lesions and other surgeries. At the same time, the department also has a professional nursing and rehabilitation team to escort the rapid recovery of patients after surgery, put patient safety and postoperative effects in the first place, provide patients with high-quality services, and become the dominant discipline of the hospital with leading technology and good reputation.