Recovering Shoulder Function After Surgery: What to Expect

Right shoulder surgery (comminuted fracture)

I underwent surgery on my right shoulder for a fracture on October 18, 2018, and I still cannot lift my right arm.
I would like to know if it is common to have difficulty lifting the arm after shoulder surgery, or if there is a chance of regaining mobility through rehabilitation.
Additionally, do the plates and screws that were used for fixation need to be removed later?

Steven, 40~49 year old female. Ask Date: 2018/12/11

Dr. Chen Yongxue reply Orthopedics

Hello, comminuted fractures of the shoulder often lead to subsequent joint stiffness issues.
In addition to the selection of a sturdy plate for secure fixation, postoperative rehabilitation is also very important.

Reply Date: 2018/12/11

More Info

Recovering shoulder function after surgery can be a complex and gradual process, especially following significant injuries such as fractures that require surgical intervention. In your case, having undergone surgery on October 18, 2018, and still experiencing limitations in raising your right arm is understandably concerning. However, it is important to recognize that surgical outcomes can vary widely based on several factors, including the nature of the injury, the surgical technique employed, and the rehabilitation process that follows.

First and foremost, it is crucial to understand that surgery does not guarantee a full return to pre-injury function. The shoulder is a highly mobile joint, and its recovery often depends on the extent of the injury and the effectiveness of rehabilitation. In many cases, patients can regain significant function through a structured rehabilitation program that focuses on restoring range of motion, strength, and stability. Physical therapy is essential in this process, as it helps to strengthen the muscles around the shoulder, improve flexibility, and enhance overall function.

If you are unable to raise your arm, it may be due to several factors, including muscle weakness, stiffness, or even pain that limits your ability to move. Muscle atrophy can occur after surgery, especially if the arm has been immobilized for an extended period. This atrophy can lead to weakness, making it difficult to perform movements that were once easy. Additionally, scar tissue formation can lead to stiffness in the shoulder joint, further complicating recovery.

Regarding the presence of plates and screws, these are often left in place unless they cause discomfort or complications. In many cases, they can remain in the body without issue. However, if you experience persistent pain or if the hardware is causing problems, your surgeon may recommend removal. This decision is typically made based on individual circumstances and should be discussed with your orthopedic surgeon.

It is also important to note that recovery timelines can vary. Some patients may see improvements within months, while others may take longer to regain full function. Consistency in rehabilitation exercises, as well as following your physical therapist's guidance, is key to improving your shoulder function. If you have not already, consider discussing your concerns with your healthcare provider or physical therapist. They can assess your current condition and adjust your rehabilitation program as needed to help you achieve your goals.

In summary, while it is not uncommon to experience limitations in shoulder movement after surgery, there is potential for improvement through dedicated rehabilitation. It is essential to remain proactive in your recovery, communicate openly with your healthcare team, and adhere to your rehabilitation plan. With time, effort, and the right support, many patients can regain significant function in their shoulders after surgery.

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