Seperated Shoulder

[quote="Moto-Me":68f665t5]So i seperated my shoulder (grade 2) and i have been wandering if the EVS brace is the only thing that could hold this thing into place for gym sessions and of course riding.. It doesn't hurt all that much when i'm active but man.. stand 4 hours or so without moving it too much and thast when it hurts..

Just wanting some opinions from people who have seperated their shoulder.. whats the best brace for it.. i havn't had surgury, so it still likes to move around and scare people haha

Happened about 2 years ago..

MM[/quote:68f665t5]

Mine is a "severe grade 3". I have the EVS brace but never wore it. I'm kind of tough tough!
With just a grade 2, you shouldn't have too much "moving around". I was riding 6 months after mine with no surgery and it's never bothered me...but like I said, I'm pretty tough!

Did you rehab the shoulder injury? I separated mine as well, (grade 2) I started to rehab my shoulder with rubber bands a week later, then when the joint was strong enough, I would strengthen it with push ups, and some light weights. I tried to ride 4 weeks after the injury, that was too soon. But 8 weeks later it was good for some motos.

I think how long the joint was out of socket makes a huge difference. Mine was popped back in seconds after coming out.

I could be wrong...but with a separated shoulder, your shoulder doesn't actually "come out".

[quote:18dhvxs5]Is a shoulder separation the same as a shoulder dislocation?
No! These two injuries are commonly confused, but they are very different conditions. As described above, the shoulder joint is located at the junction of three different bones: the clavicle, the scapula, and the humerus. In a shoulder separation, the junction of the clavicle and scapula is disrupted. In a shoulder dislocation, the humerus (arm bone) is displaced from the socket. Not only are the injuries different in anatomic terms, but the implications for treatment, recovery, and complications are also different. [/quote:18dhvxs5]

[quote:18dhvxs5]Type I Shoulder Separation:
A type I shoulder separation is an injury to the capsule that surrounds the AC joint. The bones are not out of position and the primary symptom is pain.

Type II Shoulder Separation:
A type II shoulder separation involves an injury to the AC joint capsule as well as one of the important ligaments that stabilizes the clavicle. This ligament, the coracoclavicular ligament, is partially torn. Patients with a type II separated shoulder may have a small bump over the injury.

Type III Shoulder Separation:
A type III shoulder separation involves the same type of injury as a type II separated shoulder, but the injury is more significant. These patients usually have a large bump over the injured AC joint.

Type IV Shoulder Separation:
A type IV shoulder separation is an unusual injury where the clavicle is pushed behind the AC joint.

Type V Shoulder Separation:
A type V shoulder separation is an exaggerated type III injury. In this type of separated shoulder, the muscle above the AC joint is punctured by the end of the clavicle causing a significant bump over the injury.

Type VI Shoulder Separation:
A type VI shoulder separation is also exceedingly rare. In this type of injury the clavicle is pushed downwards, and becomes lodged below the corocoid (part of the scapula) [/quote:18dhvxs5]

http://orthopedics.about.com/cs/shoulde ... ration.htm

[quote="Moto-Me":ey7duzn5]So i seperated my shoulder (grade 2) and i have been wandering if the EVS brace is the only thing that could hold this thing into place for gym sessions and of course riding.. It doesn't hurt all that much when i'm active but man.. stand 4 hours or so without moving it too much and thast when it hurts..

Just wanting some opinions from people who have seperated their shoulder.. whats the best brace for it.. i havn't had surgury, so it still likes to move around and scare people haha

Happened about 2 years ago..

MM[/quote:ey7duzn5]

I don't think a brace is going to help with this. Good rehab is the answer, followed by continued maintenance exercises. As huck said, it doesn't "come out." And if the ligament has healed well, it really shouldn't be giving you any problems.

Makes me think there was some other injury than the AC ligament.....

MR

I have "loose" joints so I may be a bit different than most because my tendons and ligaments don't have to stretch as far for my shoulder to dislocate. I have dislocated my right shoulder a total of 4 times. The first time was by far the most painful, probably because I tore my rotator cuff a bit when it happened. That took me a good 4 months before I could lift heavy things and never again felt full strength. The second time I did it was the easiest, it must not have been a bad dislocation. It hurt really bad when it happened but a couple days later I was riding with a mild amount of pain and a significant amount of weakness. The last time I did it at the KROC this past October was probably the worst. I tore my labrum, the cartilage that holds the ball of your arm into the socket. I had to get an arthrogram MRI, which is when they inject the joint with die, (with the long ass 4inch needle).

Typically this injury would require surgery, but since I figured out how to dislocate my shoulder with my muscles(which has become a habit) the doctor told me the first time I do that after the surgery it will destroy what she fixes. So I am not a good candidate for the surgery. I have been doing some rehab to it and it feels pretty good while I am riding, I have to favor it quite a bit. The weirdest thing though is when I do windmills, right before my arm goes vertical the ball slightly pops out of the joint and when I go past vert it drops back in along with a cool clicking noise. However it is pain free. Another cool thing which I know I shouldn't do, when I went for my 6 week check up the doc pushed my on my arm and dropped the ball back behind the joint, then went the other way and brought it in front of it!

I didn't answer your question, though. I haven't tried any sort of brace for it. But I know what your talking about with trying to keep it in place!

[quote="Moto-Me":2pzzn37i]

Well i lift all the time, i've been through 8 weeks of rehab years ago, i ride all the time, i work on my feet and with my hands all day, so i'm using it all the time, and it only hurts once in a while, so i'm doing more therapy day to day than a therapist would have me do in the evenings... It does in fact "come out" if i rotate my arm, you see the bone or ligament push up about an inch and you see a nice little lump, you should see people cringing at the gym! but thats just how it looks when you don't have surgury on it. My doctor said he has college football players with those lumps on both shoulders! I was just thinking the EVS brace might stabalize it when i'm active, lifting and riding. Make any more sense?

[/quote:2pzzn37i]

Your information is INCORRECT. I have the "bump" and it's there all the time. It's not actually anything pushing up, it's the fact that your shoulder has dropped. The ligaments hold the shoulder up, when you tear them/separate them it drops.

Nothing ever "comes out". You had to have a dislocated shoulder or other "issues". A separated shoulder does not "come out".

When I am working out, I cannot do wide grip pull ups with my palms facing away from me. My left shoulder will click and hurt quite a bit, almost as if it was going to come out of the joint again. However I can turn my palms in towards me and do pull ups with no pain at all. I am just sharing my personal experience.

That bump is actually the end of your clavicle (collar bone). When you move the soft tissue a certain way, it is exposed...

[img:1g9wmpzw]http://z.about.com/d/orthopedics/1/8/U/1/shoulderanatomy.jpg[/img:1g9wm…]

[img:1g9wmpzw]https://www.eorthopod.com/images/ContentImages/shoulder/shoulder_acromi…]

Not sure if it applies here, but a lot of separated shoulders are assumed to be only that, but you can also compress and injure the labrum-the inner layers where your arm goes into the socket. That happens a lot in moto and you don't hear as much about it.

They limit your movement a lot in the beginning, then loosen up and pop once in a while and settle back.

RC did that at GH which kept him out of the MXoN in 2006. Stewart told me he had one too, and they happen more than we realize and guys are not talking about them.

I've had shoulder problems ever since I started riding. It started with the shoulder popping in and out of socket during crashes. Before long though, tendons/ligaments started getting looser and allowing my arms to pop out more easily and frequently. I had a bad dislocation in the first turn at ponca city, that spider fractured the head of my humerous and was out of socket for a good 30 minutes. I've had the neopreane? evs brace for about 4 years now. I only wear it when I'm recovering from a subluxation for a couple weeks while riding. It works really well. It has enough support to keep the shoulder stable yet doesn't hinder any movement. I used to wear it around school and the house when I was recovering from the broken humerous. After 30 minutes you don't even notice it.

TFS is absolutley correct.

I had major shouler surgery last September. I originally separated and dislocated mys shoulder at the same time. In the matter of 3 years I had 9 different full dislocation. In that time I completely ripped off the labrum. Labrum surgery in my opinion is worse than rotator cuff because the shoulder needs to be immoblile for 3-4 weeks and physical therpay was hell. he tightend the shoulder up. You basically have to loosen it through physical therapy and it is painful. I had Dr Boublik from Steadman-Hawkins do the surgery. He is the Denver Broncos team doctor.

When people have mulitple dislocation a torn labrum is the culprit. This is a big deal. I was out of mountain biking and motocross for 5 months. It takes awhile to heal. That why I don't believe shit when they say some these pro's had a dislocation and was back riding in 2 weeks. Sooner or later they will need surgery and be out 4 months. The larum doesn't magically heal, once its ripped off the gleniod your screwed.

Erik

[quote="Moto-Me":37w3m7wl][quote="huck":37w3m7wl][quote="Moto-Me":37w3m7wl]

Well i lift all the time, i've been through 8 weeks of rehab years ago, i ride all the time, i work on my feet and with my hands all day, so i'm using it all the time, and it only hurts once in a while, so i'm doing more therapy day to day than a therapist would have me do in the evenings... It does in fact "come out" if i rotate my arm, you see the bone or ligament push up about an inch and you see a nice little lump, you should see people cringing at the gym! but thats just how it looks when you don't have surgury on it. My doctor said he has college football players with those lumps on both shoulders! I was just thinking the EVS brace might stabalize it when i'm active, lifting and riding. Make any more sense?

[/quote:37w3m7wl]

Your information is INCORRECT. I have the "bump" and it's there all the time. It's not actually anything pushing up, it's the fact that your shoulder has dropped. The ligaments hold the shoulder up, when you tear them/separate them it drops.

Nothing ever "comes out". You had to have a dislocated shoulder or other "issues". A separated shoulder does not "come out".[/quote:37w3m7wl]

Maybe i'm just explaining it wrong. Wether or not it is actually coming in or out i don't know. But i do know for a FACT that i get a 1" - 1 1/2" lump when i move my arm a certain way. That has to be some sort of ligament or bone or something, which i was explaining as it "coming out". So - I thought, or wanted to know an opinion on if the EVS or any other brace would hold this "lump" in. I do have a grade 2 seperation of the shoulder. They said the only way to "hold that lump down" would be to drill a hole in it and put a surgical hd gumband in it to hold it in place.. sounds crazy but..

i think that is explained a little better..

MM[/quote:37w3m7wl]

The pics above show the anatomy well. The "bump" of the clavicle when you position it just right is nothing more than a bump. Functionally, there is absolutely no reason to surgically correct it. If it has pain and crepitation, it's very likely from another source of pathology.

What a crowd of specialists we have on here today...

MR

[quote="Erik":20f5yj9i]TFS is absolutley correct.

The larum doesn't magically heal, once its ripped off the gleniod your screwed.

Erik[/quote:20f5yj9i]

got that right, I miss riding. Bone on bone leaves much to be desired. At least my rotator cuff is still in tip-top shape. " title="Laughing">

[img:20f5yj9i]http://i4.photobucket.com/albums/y124/wildbill486/img001.jpg[/img:20f5y…]

Here's my Grade 3. I opted for no surgery and did the rehab. My swimsuit modeling career is pretty much over though. I was back on the bike in 3 weeks. It's been about a year now. Still looks the same and moves around a little bit. Surprisingly, I can't say that it really 'hurts' though. I think pissing blood for a couple days freaked me out the most.
[img:iaooihym]http://www.playermotion.com/Grade3.jpg[/img:iaooihym]