1
00:00:07,133 --> 00:00:10,453
Speaker 1: You're listening to the Saturday Morning with Jack Team podcast

2
00:00:10,573 --> 00:00:13,333
Speaker 1: from newstalks'd be quarter.

3
00:00:13,093 --> 00:00:15,373
Speaker 2: To eleven on news talks, He'd be yes. Test cricket

4
00:00:15,373 --> 00:00:18,453
Speaker 2: fans would have delighted in the drama of the Final

5
00:00:18,533 --> 00:00:23,573
Speaker 2: Test between England and India. In the last session, English

6
00:00:23,573 --> 00:00:26,853
Speaker 2: cricketer Chris Wokes walked to the crease with a dislocated

7
00:00:26,933 --> 00:00:30,493
Speaker 2: shoulder in a sling. He came out to bat. Fortunately

8
00:00:30,493 --> 00:00:32,613
Speaker 2: he didn't really have to actually do any batting. Well

9
00:00:32,653 --> 00:00:35,133
Speaker 2: unfortunately for his team that lost the game. But it

10
00:00:35,173 --> 00:00:37,333
Speaker 2: was a moment of drama, a moment of courage, a

11
00:00:37,373 --> 00:00:40,253
Speaker 2: moment best avoided if possible. And doctor Brian Betty is

12
00:00:40,293 --> 00:00:41,933
Speaker 2: here with his advice on doing just that.

13
00:00:42,373 --> 00:00:45,853
Speaker 3: Calder Brian, Oh, kiro Jack, nice to be Here're nice

14
00:00:45,853 --> 00:00:46,333
Speaker 3: to be chatting.

15
00:00:46,373 --> 00:00:48,813
Speaker 2: So what is the shoulder disication? That start with the basics?

16
00:00:49,573 --> 00:00:52,093
Speaker 3: Yeah, yeah, So look, look, the shoulder is the most

17
00:00:52,133 --> 00:00:54,893
Speaker 3: mobile joint in the body and it's called a ball

18
00:00:54,973 --> 00:00:57,373
Speaker 3: in socket. So the top of the upper arm has

19
00:00:57,373 --> 00:01:00,173
Speaker 3: got a ball on it and it fits into a socket. However,

20
00:01:00,213 --> 00:01:03,533
Speaker 3: the socket isn't quite deep enough and it has to

21
00:01:03,573 --> 00:01:07,933
Speaker 3: be supported by tendons and muscles, so Occasionally the ball

22
00:01:07,973 --> 00:01:10,213
Speaker 3: can come completely out of the socket, and we call

23
00:01:10,293 --> 00:01:14,733
Speaker 3: that a dislocation. Now commonly it dislocates forward, so the

24
00:01:14,733 --> 00:01:19,533
Speaker 3: ball comes out forward. Occasionally it dislocates back back, and

25
00:01:19,573 --> 00:01:23,093
Speaker 3: we call that posterior. But it's it's a very very

26
00:01:23,133 --> 00:01:24,653
Speaker 3: significant injury if it occurs.

27
00:01:24,853 --> 00:01:28,573
Speaker 2: Yeah, it's really nasty and often often the problem is

28
00:01:28,573 --> 00:01:30,493
Speaker 2: that once you've had it, you kind of more susceptible

29
00:01:30,533 --> 00:01:33,613
Speaker 2: to having it again, right yeah, yeah.

30
00:01:33,733 --> 00:01:35,773
Speaker 3: So yeah, so so if it happens once, it happens again.

31
00:01:35,973 --> 00:01:36,773
Speaker 3: Often that's the case.

32
00:01:37,413 --> 00:01:40,413
Speaker 2: So my brother has dissicated shoulder, oh I don't know,

33
00:01:40,453 --> 00:01:42,333
Speaker 2: three or four times, quite a few times and needed

34
00:01:42,373 --> 00:01:44,293
Speaker 2: surgery and stuff. But I remember he did it the

35
00:01:44,373 --> 00:01:48,293
Speaker 2: first time playing rugby, and then the second time he

36
00:01:48,573 --> 00:01:51,133
Speaker 2: was going for a run and he got swooped by

37
00:01:51,173 --> 00:01:54,613
Speaker 2: a magpie and he and he thrust his hand in

38
00:01:54,613 --> 00:01:58,373
Speaker 2: the ear as you do kind of reflex, and justicuted

39
00:01:58,413 --> 00:02:00,773
Speaker 2: his shoulder. It was an absolute fiasco. Yeah.

40
00:02:00,853 --> 00:02:01,013
Speaker 1: Yeah.

41
00:02:01,053 --> 00:02:05,453
Speaker 2: Anyway, so aside from being swooped by a magpie, how

42
00:02:05,453 --> 00:02:05,973
Speaker 2: do they happen?

43
00:02:05,973 --> 00:02:06,333
Speaker 1: What are the same?

44
00:02:07,373 --> 00:02:10,413
Speaker 3: Well, look, generally it's an accident or trauma that causes

45
00:02:10,413 --> 00:02:12,653
Speaker 3: a dislocation, So it's some sort of force on the

46
00:02:12,653 --> 00:02:15,413
Speaker 3: shoulder that allows the socket the ball to pop out

47
00:02:15,413 --> 00:02:18,013
Speaker 3: of the socket. Now, now examples of that are, you know,

48
00:02:18,093 --> 00:02:20,093
Speaker 3: falling from a ladder and you grab onto the ladder

49
00:02:20,093 --> 00:02:22,373
Speaker 3: and hold and wrenches the shoulder, it pops it out.

50
00:02:22,813 --> 00:02:25,293
Speaker 3: Sport is really really common. So as we saw with

51
00:02:25,533 --> 00:02:29,013
Speaker 3: Chris Wokes and your brother's example with rugby, often a

52
00:02:29,053 --> 00:02:32,293
Speaker 3: collision in sport or falling onto an outstretched arm will

53
00:02:32,333 --> 00:02:34,693
Speaker 3: pop it out. And I suspect that's what happened with

54
00:02:34,813 --> 00:02:39,373
Speaker 3: with Chris in his game car accidents. Obviously, direct trauma

55
00:02:39,413 --> 00:02:42,213
Speaker 3: is the other thing that can actually cause it. The

56
00:02:42,453 --> 00:02:45,013
Speaker 3: other thing you tapped into is some people have very

57
00:02:45,133 --> 00:02:48,613
Speaker 3: very flexible shoulders and they can actually dislocate with the

58
00:02:48,733 --> 00:02:52,333
Speaker 3: simplest thing, so rolling over in bed or stretching up

59
00:02:52,333 --> 00:02:55,973
Speaker 3: to put out the washing that the shoulder can pop out.

60
00:02:56,373 --> 00:02:58,613
Speaker 3: And I suspect what happened with your brother is because

61
00:02:58,613 --> 00:03:01,493
Speaker 3: he'd had a couple of dislocations, the tendons and muscles

62
00:03:01,533 --> 00:03:04,013
Speaker 3: are a bit weak and that magpie sweep and he

63
00:03:04,053 --> 00:03:06,533
Speaker 3: puts up his arm, bang out pops the shoulder. In

64
00:03:06,573 --> 00:03:09,373
Speaker 3: those situations, Yeah, you do need surgery to try and

65
00:03:09,813 --> 00:03:10,493
Speaker 3: try and fix it.

66
00:03:10,973 --> 00:03:14,373
Speaker 2: We muscles. I think that'll be the weak muscles, my brother. Yeah, situation. Yeah,

67
00:03:14,573 --> 00:03:15,613
Speaker 2: so what do we do about it?

68
00:03:16,733 --> 00:03:18,933
Speaker 3: Yeah? Look, I mean if it happens, look, it tends

69
00:03:18,933 --> 00:03:22,813
Speaker 3: to be incredibly painful. You're not able to move the shoulder. Occasionally,

70
00:03:22,813 --> 00:03:24,773
Speaker 3: there's numbness down the arms. So and if you look

71
00:03:24,813 --> 00:03:27,293
Speaker 3: at the shoulder you can see that on one side

72
00:03:27,333 --> 00:03:29,733
Speaker 3: there will be a bulge where it's popped out or

73
00:03:29,773 --> 00:03:32,733
Speaker 3: a depression where it's it's gone backwards. So look, if

74
00:03:32,733 --> 00:03:35,053
Speaker 3: this happens, you need to see a doctor straight away,

75
00:03:35,133 --> 00:03:37,813
Speaker 3: either at an urgent care clinic at your GP or

76
00:03:37,853 --> 00:03:41,213
Speaker 3: at a hospital. Will generally organize an X ray to

77
00:03:41,253 --> 00:03:44,213
Speaker 3: make sure there's no fracture or anything. Then you'll you'll

78
00:03:44,213 --> 00:03:48,493
Speaker 3: generally get some sedation so you relax, and then we'll

79
00:03:48,533 --> 00:03:50,813
Speaker 3: just give the shoulder of an attraction to try and

80
00:03:50,853 --> 00:03:54,013
Speaker 3: pop it back in. Now, generally, once that happens, you

81
00:03:54,053 --> 00:03:55,813
Speaker 3: need to be in the sling for one to two weeks.

82
00:03:55,813 --> 00:03:57,693
Speaker 3: And that's actually what happened with Chris Wokes when he

83
00:03:57,733 --> 00:04:00,973
Speaker 3: came out to do to bat at Number eleven. He

84
00:04:01,053 --> 00:04:03,333
Speaker 3: had his shoulder and a sling. So so that just

85
00:04:03,333 --> 00:04:06,613
Speaker 3: just stops it moving around. You're avoid listing from out

86
00:04:06,653 --> 00:04:08,613
Speaker 3: six weeks and it can take up to three to

87
00:04:08,653 --> 00:04:11,533
Speaker 3: four months to be fully fully back back back normally

88
00:04:11,653 --> 00:04:13,613
Speaker 3: using your shoulder, and you often need quite a bit

89
00:04:13,653 --> 00:04:16,293
Speaker 3: of physio to strengthen shoulder and make it work again.

90
00:04:16,453 --> 00:04:20,053
Speaker 2: Okay, Yeah, it's tricky a and and you know, like

91
00:04:20,093 --> 00:04:22,693
Speaker 2: I say, you can sort of feel quite susceptible there

92
00:04:22,813 --> 00:04:25,013
Speaker 2: for ae while afterwards you can tear the cartilage and

93
00:04:25,013 --> 00:04:28,133
Speaker 2: all that kind of thing. But yeah, it looks really nasty,

94
00:04:28,213 --> 00:04:30,453
Speaker 2: so very much, best aboard and thank you so much, Brian.

95
00:04:30,893 --> 00:04:33,453
Speaker 2: Doctor Brian Betty is our doctor with us this morning.

96
00:04:34,213 --> 00:04:37,333
Speaker 1: For more from Saturday Morning with Jack Tame, listen live

97
00:04:37,413 --> 00:04:40,573
Speaker 1: to News Talks' b from nine Am, saturday or follow

98
00:04:40,613 --> 00:04:42,213
Speaker 1: the podcast On iHeartRadio