Patho-anatomy
Shoulder being the most mobile joint in the body carries the inherent design to dislocate.It is the most common joint to dislocate.
Shoulder has dynamic and static stabiliser to prevent dislocation. When a shoulder dislocates there is damage to the anterior labrum(static stabiliser).
Dislocation of the shoulder usually almost always recurs. Each episode of dislocation brings with it additional damage to the cartilage of the socket (Glenoid) and the ball (head of the humerus). This damage is not reversible
Clinical presentation
Shoulder instability may present as repeated dislocation where in, patient has to go to a hospital to relocate the shoulder?often under sedation. Some times patients are able to relocate their shoulder themselves. Shoulder dislocation is a recurrent phenomenon. Commonly after the first dislocation there is a risk of 60%-80% recurrence. If the shoulder dislocates again there is more than 90% chance that it will re-dislocate
What is the treatment
It is prudent to get treated early to avoid long-term problems. Repeated shoulder dislocations can lead to nerve injury, which may not heal completely. Repeated peeling off cartilage will eventually lead to early arthritis which can be disabling and compromise daily essential activities.
Previously recurrent shoulder dislocation was treated with open surgery with long scar & mixed results.
In modern era our klinik is geared to do Arthroscopic repair by name of Bankart repair. The keyhole surgery leaves three small scars. Patients go home the next day of surgery and usually resume light work in few days. Patients must avoid driving for 2 months after surgery. By three months most patients have achieved their full range of movement & strength.
Shoulder being the most mobile joint in the body carries the inherent design to dislocate.It is the most common joint to dislocate.
Shoulder has dynamic and static stabiliser to prevent dislocation. When a shoulder dislocates there is damage to the anterior labrum(static stabiliser).
Dislocation of the shoulder usually almost always recurs. Each episode of dislocation brings with it additional damage to the cartilage of the socket (Glenoid) and the ball (head of the humerus). This damage is not reversible
Clinical presentation
Shoulder instability may present as repeated dislocation where in, patient has to go to a hospital to relocate the shoulder?often under sedation. Some times patients are able to relocate their shoulder themselves. Shoulder dislocation is a recurrent phenomenon. Commonly after the first dislocation there is a risk of 60%-80% recurrence. If the shoulder dislocates again there is more than 90% chance that it will re-dislocate
What is the treatment
It is prudent to get treated early to avoid long-term problems. Repeated shoulder dislocations can lead to nerve injury, which may not heal completely. Repeated peeling off cartilage will eventually lead to early arthritis which can be disabling and compromise daily essential activities.
Previously recurrent shoulder dislocation was treated with open surgery with long scar & mixed results.
In modern era our klinik is geared to do Arthroscopic repair by name of Bankart repair. The keyhole surgery leaves three small scars. Patients go home the next day of surgery and usually resume light work in few days. Patients must avoid driving for 2 months after surgery. By three months most patients have achieved their full range of movement & strength.
