Left shoulder acromioclavicular joint dislocation?
Hello, doctor.
I was in a car accident in February, and at that time, the diagnosis indicated that surgery was not necessary; I was advised to use a figure-eight shoulder strap and a sling for stabilization.
I improved significantly, and the bone protrusions were less pronounced.
In June, while serving in the military, I felt some discomfort and weakness in my left shoulder when lifting my rifle.
The unit took me to the National Defense Medical Center, where the doctor arranged for an X-ray.
After reviewing the results, he immediately informed me that I needed surgery to fix the acromioclavicular joint using a hook plate.
It has been two weeks since the surgery.
I am experiencing a lot of discomfort in my daily life.
I would like to know if it is possible to have the plate removed or to have it removed at another hospital, as I am unable to undergo a return-to-duty evaluation, which makes my daily life quite inconvenient.
Is it possible to have it removed? Thank you, doctor.
Mr. Wang, 10~19 year old female. Ask Date: 2023/07/02
Dr. Wang Shouji reply Orthopedics
Hello, the hook-shaped bone plate can indeed cause shoulder pain and limited range of motion.
It is recommended to wait for the soft tissue to heal before removing the plate.
Changhua Hospital cares about your health.
Sincerely, Dr.
Wang Shou-ji.
Reply Date: 2023/07/02
More Info
Understanding left shoulder dislocation and its treatment options is crucial for effective recovery. Based on your description, it seems you have experienced a significant shoulder injury due to a car accident, which was initially managed conservatively with a figure-eight bandage and a sling. However, after further evaluation, it was determined that surgical intervention was necessary, leading to the placement of a hook plate for stabilization of the acromioclavicular joint.
Treatment and Recovery Options
1. Post-Surgical Care: After shoulder surgery, it is essential to follow your surgeon's post-operative care instructions closely. This typically includes keeping the arm immobilized in a sling, managing pain with prescribed medications, and attending follow-up appointments to monitor healing. Physical therapy often begins shortly after surgery, focusing on gentle range-of-motion exercises to prevent stiffness.
2. Physical Therapy: Engaging in physical therapy is vital for regaining strength and mobility in the shoulder. Your therapist will guide you through exercises tailored to your recovery stage, gradually increasing intensity as healing progresses. This may include stretching, strengthening exercises, and functional training to help you return to daily activities.
3. Monitoring for Complications: It is important to watch for signs of complications, such as increased pain, swelling, or changes in sensation. If you experience any of these symptoms, you should contact your healthcare provider immediately.
4. Surgical Hardware Removal: Regarding your question about the removal of the hook plate, it is generally possible to have surgical hardware removed after the bone has healed sufficiently. However, the timing of this procedure depends on several factors, including the type of hardware used, the extent of healing, and your overall health. Typically, surgeons recommend waiting at least 6-12 months post-surgery before considering hardware removal unless there are specific complications or discomfort caused by the hardware.
5. Consultation with Another Specialist: If you are experiencing significant discomfort or inconvenience due to the hardware, it may be beneficial to seek a second opinion from another orthopedic surgeon. They can evaluate your situation and provide recommendations based on your specific circumstances.
6. Lifestyle Adjustments: During your recovery, consider making lifestyle adjustments to accommodate your shoulder's limitations. This may include modifying how you perform daily tasks, using assistive devices, or seeking help from family or friends.
7. Long-Term Outlook: The long-term outlook after shoulder dislocation and subsequent surgery can vary. Many individuals regain full function and strength, but some may experience lingering discomfort or limitations. Adhering to rehabilitation protocols and maintaining open communication with your healthcare team can significantly impact your recovery trajectory.
Conclusion
In summary, recovering from a shoulder dislocation and subsequent surgery requires a comprehensive approach that includes proper post-operative care, physical therapy, and monitoring for complications. If you are considering hardware removal, consult with your surgeon to discuss the best course of action. Remember, patience and adherence to your rehabilitation program are key to achieving the best possible outcome. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance.
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