Should You Consider Surgery for a Dislocated Shoulder?

Surgery for a dislocation!?

Due to a motorcycle accident, I dislocated my shoulder and after an MRI at the hospital, it was found that I have a torn ligament.
The doctor recommended surgery to avoid complications.
I would like to ask you: 1.
Are there risks associated with this surgery? 2.
What is the reputation of this hospital regarding such procedures? 3.
Can you assess whether it is normal for me to proceed directly to surgery?

Xi Qiang, 20~29 year old female. Ask Date: 2005/06/29

Dr. Shi Guozheng reply Orthopedics

The letter does not clearly specify which ligament is torn, making it difficult to provide an answer.
Surgery will always carry risks, but some risks are lower while others are higher; it's best to consult the surgeon for specific information.
The Tri-Service General Hospital has a solid reputation in sports medicine, so surgery should be feasible.
If the physician's assessment is accurate, then proceeding with surgery is certainly an option.

Reply Date: 2005/06/29

More Info

When considering surgery for a dislocated shoulder, especially in the context of a ligament tear, there are several important factors to evaluate. Based on your situation, here are some insights regarding the risks, the reputation of the hospital, and the appropriateness of immediate surgical intervention.

1. Surgical Risks: Like any surgical procedure, shoulder surgery carries inherent risks. These can include infection, bleeding, nerve damage, and complications related to anesthesia. Additionally, there is a risk of stiffness or loss of range of motion post-surgery, which can sometimes be more pronounced if the shoulder has been dislocated multiple times. However, the benefits of surgery often outweigh these risks, especially if the dislocation has led to significant instability or recurrent dislocations. In your case, since the doctor has recommended surgery to prevent long-term complications, it suggests that the potential benefits of stabilizing the shoulder and restoring function are considerable.

2. Reputation of the Hospital: The hospital you mentioned, Tri-Service General Hospital (三總), is known for its orthopedic department and has a good reputation for treating musculoskeletal injuries. It is essential to consider the experience and specialization of the surgeon who will perform the procedure. Surgeons who specialize in shoulder injuries and have a high volume of similar surgeries tend to have better outcomes. If you have concerns about the hospital or the surgeon, seeking a second opinion from another reputable orthopedic specialist can provide additional reassurance.

3. Appropriateness of Immediate Surgery: The decision to proceed with surgery immediately after a dislocation and ligament tear is often based on several factors, including the severity of the injury, the presence of instability, and the potential for future dislocations. If your doctor has recommended surgery to prevent complications, it is likely because they believe that conservative management (like physical therapy) would not adequately address the instability or pain you are experiencing. Immediate surgery can be particularly beneficial in younger, active individuals or athletes who wish to return to sports without the risk of recurrent dislocations.

In summary, while surgery for a dislocated shoulder does carry risks, the recommendation from your doctor indicates a proactive approach to prevent long-term issues. The reputation of the hospital and the surgeon's expertise are critical factors in ensuring a successful outcome. If you feel uncertain, do not hesitate to seek a second opinion to discuss your concerns and options further. Ultimately, the goal is to restore function and stability to your shoulder, allowing you to return to your daily activities and sports without fear of re-injury.

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