The labrum is a rim of fibrocartilaginous tissue around the glenoid fossa that enlarges the socket cavity and provides stability to the head of the humerus. The labrum also connects the capsular-ligamentous structures of the shoulder joint. Labral tears can occur due to repetitive motion of the shoulder or acute trauma. In athletes with repeated anterior subluxations of the shoulder, tears of the anterosuperior labrum may occur, leading to progressive instability.
Lip laceration: first aid
Pre-processing is carried out in the following sequence:
- Stop bleeding - cold is applied to the lip, followed by hemostatic agents to reduce bleeding. It is recommended to treat the wound with hydrogen peroxide to prevent inflammation.
- Reassure the person and record the time of the wound formation - if there is a large loss of blood, hemorrhagic and painful shock can occur, so talk to the victim and maintain communication with him before coming to the hospital.
- Reducing pain in the wound - the patient can be given any painkiller (Analgin, Nurofen), which will reduce pain symptoms and improve the general condition.
How to properly freeze a wound on the lip
In the absence of breathing and a threadlike pulse, it is necessary to carry out a series of resuscitation measures aimed at maintaining vital processes in the body. Artificial respiration is performed through the nose, as the wound site may become infected. Indirect cardiac massage allows you to avoid clinical death, but if performed incorrectly, complications can arise.
If the patient is unconscious, place him on his side so that if the wound bleeds, blood does not enter the stomach through the mouth. Severe painful shock can cause vomiting, so lying on your side minimizes the likelihood of vomit entering the respiratory system.
Symptoms
Symptoms of a labral tear resemble those of other shoulder injuries. Symptoms include:
- Shoulder pain is usually associated with raising the arm
- Clicking, crunching, or shoulder locking
- Sometimes pain at night or pain when doing daily activities
- Feeling of instability in the shoulder
- Decreased range of motion in the shoulder
- Decreased muscle strength
Patients with a labrum injury may describe their pain as intermittently interfering with normal shoulder function during certain activities. On examination, they may have discomfort with forced external rotation of 90 degrees, and the pain does not increase with further abduction. Often, a labral tear is manifested by a crunching or clicking sound during forced external rotation. The patient may also experience discomfort with forced horizontal shoulder adduction.
Lacerated wound of the lip: main stages of treatment
Wounds on the lips caused by a blow or other minor mechanical injury can be treated at home using special wound-healing creams and ointments. If the parting of the edges exceeds 1 cm, it will be necessary to apply sutures, which are performed by a doctor under sterile conditions.
Drug therapy
The healing time of a wound on the lip depends on the degree of its damage and the specifics of the body’s regeneration. On average, the entire process takes 2-3 weeks. To speed up healing and facilitate the entire process, the following groups of drugs are used:
Causes
Injuries to the tissues of the rim (labrum) surrounding the shoulder rosette can occur either as a result of acute trauma or as a consequence of repetitive movements of the shoulder. For example, damage to the labrum can occur in the following cases:
- Falling on an outstretched arm
- Direct hit to the shoulder
- A sudden pull with the hand, for example, when trying to lift a heavy object
- Excessive overhead movement of the arm
Labral tears can also occur in throwers or weightlifters and result from excessive repetitive stress on the shoulder. In weightlifters, labral tears can also occur as a result of overuse during exercises such as barbell, bench, or standing presses. Posterior rotator cuff weakness can contribute to labral tears. Labral tears can occur as a result of acute injuries such as a fall on an outstretched arm, but also occur in athletes where there is intense shoulder movement (eg, golfers).
Lip laceration: recommendations
The wound should be protected with a bandage, under which a tampon or bandage with ointment should be placed. Do dressings 2-3 times a day. Before applying a new layer of cream, the old one is removed by washing with hydrogen peroxide.
If the wound is infected and has become swollen and swollen, rinsing with furatsilin will help. If hardening occurs and pain increases, you will need to consult a specialist again, who will select suitable antibiotics that can stop the inflammatory process.
Chlorhexidine and miramistin can be applied to the inside of the wound, helping to prevent inflammation from spreading into the oral cavity. The use of drugs, their choice and duration of use directly depend on the degree of damage. Treatment at home is prescribed by a doctor, after which constant monitoring of the healing process is necessary.
If there are complex wounds on the face, hemorrhagic shock may require blood transfusions and the administration of solutions to replenish the volume of circulating fluid. In this case, before the procedure, a number of resuscitation measures are carried out to maintain the body in good condition.
What to do if wounds appear on the lip and hurt: treatment features
Wounds
A sore on the lip is a painful injury to the delicate skin on the outside or inside. May be caused by mechanical damage or infection. If the injury does not heal for a long time, you should consult a doctor.
Medication
You can alleviate the painful condition with medications:
- Metrogil Denta.
- Zovirax.
- Acyclovir.
- Miramistin.
- Oxolinic ointment.
- Zinc ointment.
- Clotrimazole.
- Tetracycline.
- Fukartzin.
The affected areas should be treated with ointment or cream regularly, which will speed up the healing process, reduce the risk of inflammatory complications, and eliminate unpleasant symptoms such as burning, itching, dryness, pain, and tightness of the skin.
Folk remedies
You can supplement the treatment and accelerate the regenerative abilities of the thin coverings on the lips using effective traditional healing methods, after consulting with your doctor.
Some components of native drugs have contraindications for use.
To fix the problem, use the following recipes:
- Juice squeezed from garlic or plantain helps speed up the healing of small cracks.
- Wounds in the corners of the mouth can be lubricated with earwax, which has healing properties.
- Fish oil is an effective medicine that prolongs damage.
- You can smear cracks and wounds in the mouth area with rosehip, flax or avocado oils.
- The oral cavity can be lubricated or rinsed with decoctions of chamomile, sage, string, and celandine. Herbs have an anti-inflammatory effect and accelerate tightening.
- You can chew wax with propolis, clearing your mouth of food debris and bacteria and speeding up the healing process of the mucous membrane.
- To treat stomatitis, baking soda diluted in water is often used - 1 tsp of the product per 1 glass of warm water.
- Apple cider vinegar has an inhibitory effect on bacteria and microbes.
To achieve a good result, drug and traditional therapy are combined.
What to do if an open wound on the lip does not heal for a long time
If the damaged surface does not heal within two weeks, you should visit a doctor. There is a risk of developing purulent complications and tissue death. In some cases, treatment does not help. The damage does not have smooth edges and constantly bleeds - symptoms of malignant transformation of the wound.
Cancer develops under the influence of sunlight, abuse of tanning beds, and constant lip biting. Smoking can provoke cell degeneration. The main alarming sign of an oncological process is enlarged lymph nodes in the neck.
It is recommended to immediately visit the clinic and undergo a full examination.
Surgical intervention
Lip wounds with radiating edges require sutures. A local anesthetic is injected into the wound site and the edges are then sutured. The suture is treated with an antiseptic, and then a sterile bandage is applied.
Stitching a wound on the lip
The suture site is checked daily for inflammation. If the healing process is successful, the sutures are removed on the 10th day. Large complex wounds and multiple stitches may require additional assistance from a plastic surgeon.
After suturing, the patient is prescribed medications such as:
After the sutures are removed, the wound is treated with an antiseptic without a sterile dressing. To prevent the development of inflammation in the mouth, rinsing with herbal decoctions, furatsilin and treatment with hydrogen peroxide are recommended.
Stitching outside a medical facility is prohibited. Even with experience, there is a high probability of infection, since it is impossible to achieve infertility at home, which is possible in the operating room.
Why does lip inflammation develop?
There are many reasons for the occurrence of cheilitis. Different reasons cause different types of lip inflammation. However, there are some common catalysts, for example, deficiency of vitamins, iron, calcium, excessive use of various medications (for example, antibiotics), constant exposure to drafts or living in a city with very low air temperatures in winter, strong and regular ultraviolet radiation, poor immunity.
The causative agents of allergic cheilitis are, of course, allergic reactions to cosmetics or food, infectious - various diseases (viruses, fungi), glandular - dermatological diseases, meteorological - frequent chapped lips and being outside without hygienic lipstick, and candidal - stomatitis and simply poor care behind the oral cavity.
Exfoliative cheilitis occurs in those who often bite off pieces of skin from their lips or simply constantly lick them (observed only in women). These actions can be triggered by frequent anxiety and stress. Manganotti cheilitis occurs only in adult men and is provoked by various injuries to the oral cavity, stomach diseases, frequent and long exposure to the sun or in a solarium, as well as clear signs of aging, which are caused by the fact that the mucous membrane is now regenerating more slowly. Hypovitaminosis occurs due to a lack of vitamins B2, B2 and other B vitamins.
Treating a torn lip at home
Treatment of a wound on the lip, if it is small, can be done at home. The following provisions apply for this:
If redness of the wound, swelling of the skin around it and an increase in temperature appear, you should immediately consult a doctor. Such symptoms indicate the addition of an infection that provokes the development of an inflammatory process.
To reduce wound trauma, it is recommended to refrain from eating solid foods that require careful chewing and jaw movement. You can use a blender to puree your food to make it easier to swallow. It is best to eat through a smoothie straw to prevent food from getting into the wound.
Leftover food can cause tooth decay, so you should rinse your mouth after every meal and protect the wound from the inside with a disinfectant.
In the absence of comprehensive treatment, after 2-3 days the wound begins to fester and the body temperature rises. The patient's condition deteriorates sharply and requires immediate medical attention. Refusal of medical care and suturing leads to irregular and uneven fusion of the ends of the wound, which provokes the appearance of a lip. The bite is disrupted and sensitivity is reduced. As a result, the skin becomes thinner and prone to flaking and dryness.
Diagnostics
If you have shoulder pain, your doctor will first take a medical history. Often the patient remembers a specific traumatic episode followed by the onset of symptoms. The doctor will perform functional tests to determine range of motion, shoulder stability, and pain symptoms. If there is suspicion of damage to bone tissue, radiography may be prescribed. Due to the fact that radiography does not visualize the soft tissue of the articular cavity, MRI or CT is prescribed to diagnose its rupture. Both methods of examination use contrast, which makes it possible to diagnose even minor damage to the integrity of the articular labrum. In some cases, diagnostic arthroscopy is required. The tears may be located above or below the center of the glenoid cavity.
SLAP injury (tear of the labrum, front to back, with damage to the biceps tendon).
A tear below the middle of the glenoid cavity, with simultaneous damage to the inferior ligament of the shoulder, is called a Bankart injury.
Labral tears are often accompanied by other shoulder injuries such as shoulder dislocation (subluxation or dislocation).
