Recurrent Shoulder Dislocation: Surgical Options and Recovery - Orthopedics

More Info

---

Recurrent shoulder dislocation is a common issue, especially among athletes and active individuals. It can lead to significant pain and functional limitations, as you've experienced over the past eight years. Let's address your questions regarding surgical options and recovery.


1. Evaluations Needed Before Surgery
Before considering surgery for recurrent shoulder dislocation, several evaluations are typically conducted:
- Physical Examination: A thorough physical examination by an orthopedic surgeon will assess the stability of your shoulder, range of motion, and any associated injuries.

- Imaging Studies: X-rays are usually the first step to rule out any fractures or bony abnormalities. An MRI may be recommended to evaluate the soft tissues, including the rotator cuff and the labrum, which is often involved in recurrent dislocations.

- Functional Assessment: Understanding how the dislocation affects your daily activities and sports can help guide the decision-making process.


2. Duration of Surgery
The duration of the surgical procedure can vary depending on the specific technique used. Generally, shoulder stabilization surgeries, such as Bankart repair or Latarjet procedure, can take anywhere from 1 to 2 hours. The complexity of the case and the surgeon's experience can influence the time required.


3. Hospital Stay and Recovery Time
- Hospital Stay: Most patients undergoing shoulder stabilization surgery can expect to stay in the hospital for a day or two, depending on their overall health and the specific procedure performed.

- Return to Normal Activities: Recovery time varies widely among individuals. Generally, you can expect to wear a sling for about 4 to 6 weeks post-surgery. Physical therapy usually begins shortly after surgery to regain range of motion, followed by strengthening exercises. Full recovery, where you can return to sports or heavy lifting, may take anywhere from 4 to 6 months, depending on your adherence to rehabilitation protocols and the nature of your activities.


4. Risks and Considerations
As with any surgical procedure, there are risks involved. Some potential risks associated with shoulder stabilization surgery include:
- Infection: Although rare, surgical site infections can occur.

- Nerve Injury: There is a small risk of nerve damage during the procedure, which could lead to weakness or numbness.

- Recurrent Dislocation: There is a possibility that the shoulder may dislocate again, even after surgery.

- Stiffness: Post-operative stiffness can occur, which may require additional therapy to address.

- Anesthesia Risks: As with any surgery requiring anesthesia, there are inherent risks that should be discussed with your anesthesiologist.


Conclusion
Given your history of recurrent shoulder dislocation, surgery may be a viable option to restore stability and improve your quality of life. It is crucial to have a detailed discussion with your orthopedic surgeon about the best surgical approach for your specific situation, the expected outcomes, and the rehabilitation process. They will guide you through the necessary evaluations and help you make an informed decision. Remember, the goal of surgery is not only to prevent dislocations but also to allow you to return to your normal activities pain-free.