Article: A REVIEW ON SHOULDER DISLOCATION: SUSHRUTA’S VIEW

Article Category: Review articles

DOI: 10.7897/2277-4343.110235

Pages: 81-86

Author: Vikas Bharmauria *, Manu Verma

Abstract: Ansa Sandhimukta (Shoulder Dislocation) is the most common dislocation of a major joint of the body, accounting for up to 45 % of dislocations. It is usually found in young age (21-30 years) in males and in old age (61-80 years) in females. Recurrent shoulder dislocation and axillary neurovascular injuries are the common complications of shoulder dislocation and are mostly found in adolescence. The usual causes of shoulder dislocation include falls, contact sports, collisions, electric shock, etc. Ayurvedic treatises, especially Sushruta Samhita has described Ansa sandhimukta very well in the chapters of “bhagna”. The present article is focused on the description of Ansa sandhimukta in a systematic manner on the basis of the references given by Acharya Sushruta. The various etiological factors, mechanisms, clinical features, classification and treatment of Ansa sandhimukta have been explored with possible modern interpretation. Ansa sandhi is closely related to various marma sites (vital spots), therefore, complications of Ansa sandhimukta have also been explored. Although, with the advanced technologies, the principles of shoulder dislocation have taken a tremendous leap, but the concepts mentioned in Ayurveda stand valid even today.

Keyword: Ansa Sandhimukta, Shoulder Dislocation, Sushruta Samhita, contact sports, bhagna, marma