Recurrent Shoulder Injury After Clavicle Dislocation Surgery: What to Do? - Orthopedics

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Recurrent shoulder injuries, especially after a clavicle dislocation surgery, can be quite challenging and frustrating. It seems that you have experienced significant trauma to your left shoulder, first from a car accident that resulted in a clavicle dislocation, followed by another accident that exacerbated the injury. Your ongoing symptoms, including numbness in your hand, inability to lift your arm above 90 degrees, and weakness when performing daily activities, indicate that there may be underlying issues that need to be addressed.

From your description, it appears that you have been diligent in pursuing rehabilitation, which is crucial for recovery. However, the persistence of your symptoms suggests that there may be more than just soft tissue damage at play. The fact that two different physicians have differing opinions on whether surgery is necessary adds to the complexity of your situation. This is not uncommon in cases of recurrent shoulder injuries, as the decision to operate often depends on various factors, including the extent of the injury, the presence of any structural damage, and the overall condition of the shoulder joint.

In cases like yours, where there is a history of dislocation and ongoing symptoms, it is essential to consider a few key points:
1. Imaging Studies: If you haven't already, it may be beneficial to undergo advanced imaging studies, such as an MRI or a CT scan. These tests can provide detailed information about the soft tissues, including the rotator cuff, ligaments, and any potential bone abnormalities that may not have been visible on previous X-rays. This information can help guide the treatment plan.

2. Physical Therapy: Continuing with physical therapy is crucial. A skilled physical therapist can help you strengthen the muscles around the shoulder, improve range of motion, and address any compensatory movement patterns that may have developed due to pain or weakness. It's important to communicate your specific limitations and symptoms to your therapist so they can tailor the rehabilitation program to your needs.

3. Surgical Consideration: If imaging studies reveal significant structural damage, such as a torn rotator cuff or instability in the shoulder joint, surgery may be warranted. Surgical options can range from arthroscopic repairs to more invasive procedures, depending on the severity of the injury. It's essential to have a thorough discussion with your orthopedic surgeon about the risks and benefits of surgery, as well as the expected outcomes.

4. Pain Management: In the meantime, managing your pain is crucial. Discuss with your healthcare provider about appropriate pain management strategies, which may include medications, corticosteroid injections, or alternative therapies such as acupuncture or chiropractic care.

5. Lifestyle Modifications: While you are recovering, consider making modifications to your daily activities to avoid exacerbating your symptoms. This may include using adaptive devices for lifting or carrying, taking frequent breaks during activities that require prolonged use of your shoulder, and avoiding positions that cause discomfort.

6. Second Opinions: If you are still uncertain about the best course of action, seeking a second or even third opinion from orthopedic specialists who have experience with shoulder injuries can provide additional insights and help you make an informed decision.

Ultimately, the goal is to restore function to your shoulder and improve your quality of life. While surgery may be a viable option, it is essential to weigh the potential benefits against the risks and to ensure that you have exhausted all non-surgical avenues before proceeding. Remember, recovery from shoulder injuries can be a lengthy process, and patience, along with a commitment to rehabilitation, is key to achieving the best possible outcome.