Concerns After Shoulder Labrum Repair: Signs of Loose Stitches?

Shoulder joint surgery issues?

Hello, doctor.
I underwent shoulder labrum repair surgery last month, but two days ago, I impulsively did a few push-ups.
I felt that the tightness in my shoulder, which felt like it was being pulled, seemed to have loosened.
Is it possible that the internal sutures could have loosened because of this? If so, how should I check for that?

Lin Xiansheng, 20~29 year old female. Ask Date: 2021/01/04

Dr. Zhan Xian reply Orthopedics

Mr.
Lin, please follow the postoperative instructions provided by your attending physician.
If you continue to experience discomfort, please return to your original attending physician's clinic for an examination.

Reply Date: 2021/01/04

More Info

After undergoing shoulder labrum repair surgery, it's understandable to have concerns about the integrity of your stitches, especially after engaging in physical activity like push-ups. The shoulder labrum is a critical structure that stabilizes the shoulder joint, and any disruption to the repair can lead to complications.

Firstly, it's important to recognize that the stitches used in labrum repair surgeries are typically designed to be strong and durable. However, the healing process can vary from person to person, and certain activities, particularly those that involve lifting or straining the shoulder, can potentially jeopardize the repair. If you felt a sensation of looseness or pulling in the area, it could be a sign that you may have stressed the repair site.

Signs that may indicate loose stitches or complications include:
1. Increased Pain: If you experience a sudden increase in pain at the surgical site, it could be a sign of complications.

2. Swelling or Bruising: New or worsening swelling or bruising around the shoulder may indicate an issue.

3. Decreased Range of Motion: If you find it difficult to move your shoulder as you did before or if you experience a "catching" sensation, this might suggest a problem with the repair.

4. Popping or Grinding Sensation: Unusual sounds or sensations in the shoulder joint during movement can be concerning.

If you suspect that the stitches may have loosened, it is crucial to consult your orthopedic surgeon as soon as possible. They may recommend imaging studies, such as an MRI or ultrasound, to assess the integrity of the repair and the condition of the surrounding tissues. These imaging techniques can provide valuable information about the status of the stitches and whether there is any re-tear or other complications.

In the meantime, it is advisable to avoid any activities that could strain your shoulder, including push-ups or any overhead lifting. Resting the shoulder and following your surgeon's post-operative guidelines is essential for optimal healing. If you have been prescribed physical therapy, ensure that you follow the therapist's recommendations and avoid any exercises that could compromise the repair.

In summary, while it is possible for stitches to loosen after shoulder labrum repair, it is not a common occurrence if the post-operative guidelines are followed. However, any new or unusual symptoms should be taken seriously, and you should seek medical advice promptly to ensure that your recovery remains on track. Your orthopedic surgeon will be the best resource for evaluating your situation and providing guidance on the next steps.

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