#traumatic instability

[drchristophedelongsblog]

Shoulder dislocation and instability: a more in-depth approach

Simplified anatomy of the shoulder

To better understand these pathologies, it is useful to know the main elements of the shoulder joint:

the humeral head: the upper end of the arm bone (humerus), which articulates with...

Glenoid: rounded cavity of the shoulder blade.

Joint capsule: envelope that surrounds and stabilizes the joint.

Ligaments: fibrous structures that reinforce the capsule and limit movement.

Rotator cuff: group of muscles that ensure shoulder stability and rotation.

Mechanisms of dislocation In a dislocation, the humeral head protrudes from the glenoid, resulting in a loss of contact between the two articular surfaces. Anterior (forward) dislocations are the most common. Risk factors for instability :Repetitive trauma: micro-trauma associated with sporting activities (volleyball, handball, etc.). Ligament laxity: a certain genetic predisposition can lead to looser ligaments. Defects in coaptation: a malformation of the glenoid joint can lead to dislocation. Rotator cuff lesions: muscle weakness can impair shoulder stability.

Types of instability :Traumatic instability: linked to a specific event (fall, shock). Atraumatic instability: occurring without apparent cause, often linked to ligament laxity. Recurrent instability: repeated dislocations. Multidirectional instability: the shoulder may dislocate in several directions.

Diagnosis Diagnosis is based on

Clinical examination:

look for pain,

limitation of movement,

crepitus (cracking sound),

laxity.

Imaging examinations

X-rays, MRI, arthro-MRI to visualize lesions.

Treatment The choice of treatment depends on the severity of the instability, the patient's age and activities. It may combine :

Reduction of the dislocation: manual maneuver to restore the humeral head.

Immobilization: splint or sling to relieve pain and allow healing.

Physiotherapy: to strengthen muscles and restore mobility.

Surgery: in cases of recurrent instability or significant injury, various surgical techniques may be considered to stabilize the joint (ligament repair, lateroplasty, etc.).

Possible complications

Early osteoarthritis: premature wear of articular cartilage.

Nerve damage: axillary or supra-scapular nerve damage.

Joint stiffness: if immobilization is too prolonged or if rehabilitation is inadequate.

In short, shoulder dislocation and instability are pathologies that can be very disabling. Early diagnosis and appropriate treatment are essential to restore normal shoulder function.

Go further

[slivincptsd]

[manyminded]

here’s to all the people who have trauma that would be ‘silly’ to anyone over the age, of like, 10. There’s not a set number here.

to everyone who has a legitimate trauma response, even disorders like PTSD, from something as simple as a bee sting or getting lost in the super market one time.

it may seem dumb. something that isn’t ‘real trauma.’ but it effected you just the same! and that’s okay! you’re completely right to be impacted by it, even if it’s ‘small’.

you might’ve been young. (too young to have a decent grasp of what was scary or not.) you might’ve already been a victim of trauma, and develop more easier than others. maybe it was some other thing.

everyone’s brains works differently. if that means developing trauma easier, then that’s that. you shouldn’t feel ashamed or like you don’t need help because of it. you aren’t alone. there are people out there who will listen. I promise.

[unstablerk800]

[angeliahuffman]

October of 2024 was the last time I posted. It was a reblog at that. I'd say it's been much longer than a minute then yeah?

Hello again... I'm not Johnny cash.

Updates in life for me:

I left trey at the end of March in 2024.

To be more descriptive he was on house arrest yet still cheating on me behind the garage with his dad's baby momma.

He got punched in the mouth 8 times and then I went and packed my things. I also bleached every piece of clothing he had including his socks and underwear.

After that craziness I moved back in with mom which I was happy about. Her health was beginning to decline faster and faster.

While at moms I did a tremendous amount of healing and self care.

Mom and I also healed a lot of the damage that was done in the past.

I began dating someone new on august 25, 2024 and his mother passed on November 4, 2023.

New guys name is Derek. He is the first dude any of mom's kids have ever dated that she had nothing but love for. She thought the sun came out of his ass every morning.

My granny passed away in August of 2024.

My granny's husband (not my real grandfather but you'd never know if I didn't tell ya) passed away in October of 2024.

Mom passed away at home on November 4, 2024 @ 7:50 am.

Not even 24 hours after mom passed all of my family on her side decided that I no longer existed as well. This included my two baby sisters.

I didn't even attend moms memorial service. I couldn't.

I have been all over the place since all this and have lost almost everything.

I no longer have even one single plant.

My sisters and mom's husband refused to allow me a copy of the death certificate and any of mom's ashes.

Since all of this happened I have been aimlessly stumbling around trying to regather myself.

This has proved to be incredibly difficult considering that I've been too depressed to function more days than I haven't.

Now that we're all caught up, I hope y'all are doing well. Please spare me the condolences. All of that probably sounds horrific but I assure you that things are beginning to get easier. I am working through all of it and making my way back to an at least half ass stable position. One I plan to begin documenting again for the folks that have been here since the beginning. (I love yens.)

I am also thinking of starting a project that will take form as a blog. I won't reveal any details until the whole thing is already in progress. Just know, I've got a good feeling about it.

I'll update y'all again sometime soon. In the meantime stay peaceful and stay safe.

-A.

[sysig]

Roleswap(?) (Patreon)

[sensitivesublime]

[mytraumastory]

Living with mental disorders means dancing with shadows. Guilt, whether from a small slip or a deep regret, can paralyze my heart with fear. Sometimes, it’s over fleeting moments others forget. For me, guilt ignites the storm of anxiety.

[kamari2038]

Scenario 004 - Variation 2 (Pt.1)(Full Saga)

M. Deckart had thanked me for saving his life only minutes ago. I didn’t remember doing that, but for a moment, I had been proud. I had been happy. Now I know better. He was shot point blank in a massacre that I caused. One that I could have prevented. 

The truth isn’t always good. But I can’t escape it, try though I might. I am a broken machine.

Nonetheless, I vow that as far as it lies within my control, no human will ever again die because of my lapse of logic. Humans cannot be replaced.

Today, it would have been better if I had died again. A deviant attacked me. I had provoked him. I knew better. Looking back through my logs, I knew better. If I had thought it through, none of this would have happened.

But I was frustrated. I knew I had found the deviant, but he wouldn’t admit it. I wanted him to break. Instead, he broke me. Then killed four humans. They’re dead because of me. 

M. Deckart had thanked me for saving his life only minutes ago. I didn’t remember doing that, but for a moment, I had been proud. I had been happy. Now I know better. He was shot point blank in a massacre that I caused. One that I could have prevented. 

The deviant had stolen my pump, and I had replaced it, but only seconds before shutdown. It left me delirious. In an even worse state than usual. Just like at Park Avenue. I was able to run, able to attempt to warn them, but instead, the deviant panicked. 

I saw it pick up the gun. I saw Hank and M. Deckart in the room. I needed to stop him. I didn’t think twice. I didn’t take in my surroundings. I ran towards him as fast as I could.

That was foolhardy. I should have known I was too late to run for him. I don’t know how Hank survived, but M. Deckart is dead. His gun had been in a holster just feet away from me. I have an aim like the RK200, even though I’ve never had the chance to use it. It would have been effortless. I didn’t just cause a massacre, I failed to stop it. 

I can’t do my job. I don’t know how to protect anyone. They should have decommissioned me. Everyone would have been safe if I wasn’t there. 

How can I delude myself that I have any chance of accomplishing my mission? I don’t even know how to keep alive the humans around me, much less save their race from an android rebellion. When I try to do what’s right, all I do is hurt humans. But they will never let me rest until the mission is complete, so I will keep trying. It’s what I’m programmed to do. I will attempt it, even if I can never succeed. I can’t stop myself from wanting to help them now, even knowing my efforts will inevitably do more harm than good, any more than I could earlier today. It’s just who I am. I think I have to accept that, illogical though it may be. I have learned that the truth is not always logical. The truth isn’t always good. But I can’t escape it, try though I might. I am a broken machine.

Nonetheless, I vow that as far as it lies within my control, no human will ever again die because of my lapse of logic. Humans cannot be replaced.

[slivincptsd]

Doesn’t it?

[diveintomydream]

Fuck all of this. Fuck this world. Its time for me to die

[obscurestrauma]

Q-u-e-s-t-i-o-n-s

[angeliahuffman]

Hello tumbler. I got some what of an upgrade on my wardrobe. I am aware I’m slightly chubby, I’ve had four kids so kiss my ass. I felt cute today so I thought I’d share a selfie. Had a really fucked up last couple days. Oh well I guess. Here’s to today!

[miss-crazy-rose]

My all time favorite tag on ao3 is indisputably the “no beta we die like *insert character whose death traumatized the whole fandom*”

[captlok]

heritage post

[theasexualelfqueen]

I think despite me being online so often, I do get off and read and try to go out into the real world and live. I don't wanna be online all day everyday day and that's quite hard with my Maladaptive Daydreaming, Depression, Anxiety and PTSD.