Service Introduction

Arthroscopic Surgery for Recurrent Shoulder Dislocations

Ofogh Surgical Center

Treatment of Recurrent Shoulder Joint Dislocation

Treatment of Recurrent Shoulder Joint Dislocation

Treatment of Recurrent Shoulder and Scapular Joint Dislocation with Surgery

The shoulder is one of the body parts that has the most movement and the least stability among the joints of the body. This condition makes the shoulder very susceptible to scapular dislocation or subluxation. Unfortunately, in many patients, recurrent shoulder dislocation or subluxation is often observed after the first shoulder dislocation. Thus, patients who have repeated scapular and shoulder dislocation or subluxation are called unstable shoulders or unstable shoulders.

Table of Contents

1 Symptoms

2 Causes

2.0.1 Causes of Recurrent Dislocations

3 Treatment

4 Complications of Surgery

5 Success Rates of Surgery

6 Best Treatment

7 Recovery and Rehabilitation

Common symptoms of chronic shoulder instability (shoulder dislocation symptoms) include:

Pain that results from an injury to the shoulder

Recurrent shoulder dislocations

Recurrent episodes of the shoulder coming out of its proper position

A persistent feeling of looseness in the shoulder, a feeling of moving in and out of the joint, or a feeling of the shoulder hanging down

Types of shoulder instability are diagnosed based on the patient's symptoms and specific physical examinations. There are specific tests that can be used to obtain more information and plan treatment for the patient and prevent recurrent shoulder dislocations. These tests include:

Radiology

MRI

CT scan

Cause

The shoulder may dislocate after a serious injury, such as a fall or overextending the arm, or due to a direct blow to the shoulder, or it may occur without serious injury (unexplained shoulder dislocation) in patients who have inherent joint laxity (joint laxity). In some patients, such as weightlifting athletes, repetitive weightlifting with force can stretch the anterior shoulder capsule, which can cause the shoulder to dislocate or subluxate (dislocate due to minor trauma).

Reasons for Recurrent Dislocation

The shoulder joint is potentially unstable because the head of the humerus (the ball of the humerus) is wider than the glenoid cavity (the socket) on the outside of the scapula. As a result, the stability of the shoulder joint depends on the soft tissues surrounding it, such as the labrum, capsule, and ligaments.

When the shoulder is dislocated anteriorly due to an injury, the ball of the shoulder (the head of the bone) is forced out of the socket (the socket). This causes problems for the labrum, capsule, and ligaments in the front of the arm. This is called a Bankart injury. Sometimes, when the shoulder is dislocated, the ball of the humerus (the head of the bone) rests on the front edge of the socket (the socket), causing the ball to slide back out of its proper place. This is called a heel-sac injury.

In some patients, a Bankart shoulder dislocation does not heal completely, leaving the joint unstable and prone to re-dislocation with relatively minor injuries (minor injuries) or even without any significant injury. It is now known that the younger the patient is (under 25 years of age) at the time of the first shoulder dislocation, the greater the risk of re-dislocation. In this case, the probability of re-dislocation of the shoulder after the first dislocation can be 70 to 90 percent in people under the age of 25. In this way, with each dislocation of the shoulder, the capsule located in front of the shoulder is stretched and thinned, making it very easy to dislocate it again.

On the other hand, in patients with an inherent problem with joint flexibility, the joint becomes loose and loose, and thus the person will easily dislocate the shoulder with minor injuries or by performing activities such as throwing an object or putting on clothes.

Treatment

When the shoulder is dislocated for the first time, it is necessary to set the shoulder and return it to its correct position (in this case, the shoulder is manipulated without the need for open surgery). This may require the use of anesthetics or some sedatives. Once the shoulder is in the correct position, the person's arm is immobilized and fixed using a splint for a period of 3 to 6 weeks. In very young patients (under 25 years of age) and athletes, surgery may be required immediately after the first dislocation to prevent the shoulder from dislocating again, as this is a very high risk of re-dislocation.

Treatment methods for recurrent shoulder dislocation depend on the patient's activity level and the level of disability caused by periods of immobilization and immobilization of the shoulder. In this case, the following methods can be used to treat the patient:

Non-surgical treatment

In this case, the doctor will determine a treatment plan for you to reduce your symptoms. This treatment plan takes several months and does not require surgery. Non-surgical treatment methods for recurrent shoulder dislocation are as follows:

Activity modification: You should make certain changes to your lifestyle and avoid activities that aggravate your symptoms.

Nonsteroidal anti-inflammatory drugs: Medications such as aspirin and ibuprofen can help reduce pain and inflammation.

Physical therapy: Strengthening the shoulder muscles and effectively controlling them can increase shoulder stability and stability.