Shoulder Dislocation

shoulder dislocation anatomy01

What is recurrent Shoulder Dislocation/Instability?

A shoulder dislocates when the humerus separates from the scapula at the glenohumeral joint. The shoulder joint has the greatest range of motion in the body and as a result is a susceptible to dislocation and subluxation (incomplete/partial dislocation).

About 50% of major joint dislocations seen in emergency departments are of the shoulder. In recurrent dislocation, the shoulder dislocates repeatedly, during throwing, any outward movement of the arm or sometimes even during sleep.

Can Shoulder Instability be treated without surgery?

Recurrent Shoulder Instability can be treated without surgery if you modify your lifestyle to avoid actions which tend to dislocate the shoulder joint. This means avoiding sports, heavy lifting, overhead reaching and all activities which call your shoulder into action.

What are symptoms of a recurrent dislocation?

In recurrent dislocation, the shoulder dislocates by any outward or throwing action of the arm, which sometimes has to be relocated or sometimes the individual can also relocate himself. Between the episodes the patient is relatively pain free.

What is the treatment for Recurrent Dislocation Shoulder?

As mentioned above surgery is the usual discourse and treatment of choice if the patient chooses not to modify lifestyle and wants to return to active lifestyle and playing sports. The two most common procedure performed today are latarjet procedure and bankart repair.
Latarjet is performed when there is some bone loss from the humeral or glenoid side or if the capsule is lax on clinical examination by Gagey sign. In case you have had multiple dislocations over several years, results of latarjet re superior. Please email shoulderclinique@gmail.comThis email address is being protected from spambots. You need JavaScript enabled to view it.  to ask for publications about results of each procedure.  

Can I go back to playing sports after the surgery for shoulder instability?

Yes, you can. The shoulder heals completely and returns to 100% after proper treatment and rehabilitation. Most patients go back to their regular lives; sports persons return to playing the same pre-injury level of sports.

What is hill Sachs and Glenoid bone defect?

Due to the instability of the shoulder joint, bone defects are created in the humerus head and the glenoid bone, which makes the shoulder joint unstable.

What is labrum tear and bankart lesion?

Anterior Shoulder dislocation frequently results in a tear of the antero-inferior labrum, which is called bankart lesion.