Eshealthtips.com – Shoulder instability surgery is often performed at a large medical center, which has dedicated teams and specially designed facilities for shoulder surgery. Shoulder instability surgery is a highly technical procedure, and every step plays an important role in the outcome. The surgical team makes a cosmetic incision in the skin crease at the front of the shoulder. A surgeon then uses sutures to reattach the torn ligaments and labrum. After the shoulder heals, the sutures “tighten” the shoulder.
Post-operative Care Tips
Post-operative care includes physical therapy and ice-water cooling sleeves to minimize pain. A physical therapist is often assigned to the patient, and will guide them through their exercise regimen. Physical therapy is also important to strengthen and regain motion in the shoulder. Shoulder stability surgery patients can expect to be in a sling for up to four to six weeks. Once they have recovered enough from surgery, they can start participating in sports.
Shoulder instability surgery has several risks, but it is usually well-managed. The surgeon may have to wash out a surgical wound before moving on to the next step. Another possible complication is nerve or blood vessel injury, which requires further surgery. If the condition does not respond to the aforementioned treatments, the patient may need to undergo further surgery. If the instability persists, physiotherapy may be required to improve the patient’s function.
Shoulder instability surgery should be a last resort after non-surgical options have failed. However, the risk of recurrent instability is less than that of not having surgery at all. The risk is increased in young patients who play impact sports. However, post-operative patients should be aware of the possibility of post-traumatic arthritis, which can take decades to develop. It is not known how long after a shoulder instability surgery, a patient can develop post-traumatic arthritis.
Has Decreased Function For Several Weeks
After the surgery, the patient should expect to be less functional for a few weeks. Lifting, pushing, pulling, and other daily activities will put stress on the shoulder. It may be difficult to work at home during this time. The patient should make arrangements for home care assistance. The surgeon will also answer any questions that the patient may have. The doctor should provide an accurate estimate of the timeframe needed for recovery. It is important to plan ahead if a patient will need to take time off from work.
Shoulder instability surgery involves a surgical procedure to remove the diseased joint. This procedure requires an anesthetic and may involve a keyhole camera to examine the joint. If conservative methods fail, a surgeon may recommend arthroscopic surgery. Arthroscopy is ideal for patients with mild dislocations and little damage. This type of surgery requires minimal recovery time and minimal scarring. In some cases, physical therapy is the primary therapy for patients with chronic shoulder instability.
Shoulder instability can occur due to many factors. A sprained shoulder may be the result of a fracture, a bone spur, or another anatomic abnormality. Shoulder instability is a serious condition that should be addressed as soon as possible. Shoulder instability is caused by injuries to the labrum, which protects the shoulder joint. A detachment of the labrum may cause instability and lead to a painful and permanent result.
Surgical Treatment can Reduce the Risk of Dislocation
Postoperative MRI findings showed that surgical treatment can reduce the risk of dislocation, but does not restore full glenohumeral translation during functional range of motion. This residual microinstability may lead to persistent pain, a reduced ability to return to activity, and emergence of dislocation arthropathy. More research is needed to determine the reasons for and treatment of residual microinstability.
Most MDI patients respond to physical therapy. The rehabilitation process focuses on strengthening the muscles surrounding the joint, especially the rotator cuff. Strengthening these muscles can restore dynamic stability to the shoulder. Most patients will need to follow a rehabilitation program for about 6 months. However, these exercises are not recommended for all patients with MDI. In addition to physical therapy, the rehabilitation process can also help patients become active in their sport.
Dumont, Guillaume D., Robert D. Russell, and William J. Robertson. “Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment.” Current reviews in musculoskeletal medicine 4.4 (2011): 200-207.