#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]

[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.

[diveintomydream]

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

[slivincptsd]

Doesn’t it?

[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!

[obscurestrauma]

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

[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*”

[mydissociativediaries]

1/15/2023: Escapism

Second entry for 1/15/2023.

Forms of escapism that I indulge in (and need to stop indulging in):

Losing myself in fictional worlds and making up my own stories about them (that one is obvious)

Thinking about "happy" things that just put me in a weird fake-happy mood where I'm not really happy at all

Forcing myself to think about shitty memories or recent events--doesn't sound like escapism, but I'm forcing my brain to think about one thing and ignoring the reality of the situation

Trying to imagine relaxing settings, which might be why meditation stopped working and even started giving me nightmares

Distracting myself with online stuff

Imagining myself in fake scenarios

Daydreaming

I need to stop doing all these. I think that some escapism is healthy, but I take it to toxic levels.

Thanks for reading,

🌫️

[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.