Shoulder Dislocation: Recovery, Rehabilitation, and Concerns - Orthopedics

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Acromioclavicular joint dislocation


A few days ago, I suffered a shoulder ligament tear and clavicle dislocation (without fracture) due to a car accident.
I underwent surgery at Tamsui Mackay Memorial Hospital on May 28, 2015, and was discharged on the 30th.
The doctor used a "clavicular fixation button" for stabilization.
I would like to ask:
1.
How long should I wear the sling before I can stop using it?
2.
Is the fixation button made of metal? The doctor mentioned that it does not need to be removed; will it have any long-term effects?
3.
When can I start moving my arm freely, including my shoulder?
4.
When should I begin rehabilitation? Currently, I am hesitant to raise my arm, but I can manage activities below 90 degrees.

Xiao Yang, 20~29 year old female. Ask Date: 2015/06/01

Dr. Lin Jingwei reply Orthopedics


Hello: 1.
Currently, due to the time required for the repair of ligaments and other soft tissues, it is recommended to use a sling for protection for 4-6 weeks post-surgery.
2.
The fixation button for the acromioclavicular joint is made of metal and generally does not need to be removed in the future, and it will not significantly affect the range of motion.
3.
At this stage, you can freely move your elbow and wrist joints, while the rehabilitation schedule for shoulder mobility will need to be determined by the physician during outpatient visits through clinical and imaging assessments.

Reply Date: 2015/06/01

More Info


Shoulder dislocation and associated injuries, such as ligament tears and clavicle dislocation, can significantly impact your daily life and require careful management for optimal recovery. Based on your situation, here are some insights regarding your questions about recovery, rehabilitation, and concerns following your surgery.

1. When can I stop using the sling?
The duration for which you need to wear a sling can vary based on the severity of your injury and the specific recommendations from your orthopedic surgeon. Typically, a sling is used for about 4 to 6 weeks post-surgery to immobilize the shoulder and allow the ligaments and surrounding tissues to heal. Your doctor will assess your healing progress during follow-up visits and will provide guidance on when it is safe to discontinue the sling. It is crucial to follow their advice to prevent re-injury.

2. What material is the fixation device made of, and will it cause future issues?
The fixation device, often referred to as a "shoulder-locking button" or similar, is usually made of biocompatible materials, such as metal or plastic, designed to remain in the body without causing adverse reactions. If your surgeon indicated that the device does not need to be removed, it is likely because it is positioned in a way that it will not interfere with shoulder function. In most cases, these devices do not cause problems in the long term. However, if you experience unusual pain or discomfort, it is essential to consult your doctor.

3. When can I resume normal arm and shoulder activities?
The timeline for resuming normal activities varies from person to person. Generally, after the initial healing phase (around 6 weeks), you may begin gentle range-of-motion exercises as advised by your healthcare provider. Full range of motion and strength training typically begins around 3 to 6 months post-surgery, depending on your recovery progress. It is essential to listen to your body and not rush the process, as doing so can lead to complications or setbacks.

4. When should rehabilitation start?
Rehabilitation usually begins soon after surgery, often within the first few weeks, focusing initially on passive range-of-motion exercises to prevent stiffness. As your healing progresses, physical therapy will incorporate more active exercises to strengthen the shoulder and improve function. Your physical therapist will tailor a rehabilitation program to your specific needs, ensuring a gradual and safe return to full activity.

In addition to these points, here are some general recommendations for your recovery:
- Pain Management: Use prescribed pain medications as needed and consider ice therapy to reduce swelling and discomfort.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your orthopedic surgeon to monitor your recovery and make necessary adjustments to your rehabilitation plan.

- Physical Therapy: Engage in physical therapy as recommended. A therapist can provide exercises tailored to your recovery stage and help you regain strength and mobility.

- Avoid High-Risk Activities: Until cleared by your doctor, avoid activities that could put your shoulder at risk of re-injury, such as heavy lifting or overhead movements.

- Nutrition: Maintain a balanced diet rich in calcium and vitamin D to support bone health and healing.

In conclusion, recovery from shoulder dislocation and associated injuries requires patience and adherence to medical advice. By following your healthcare provider's recommendations and engaging in a structured rehabilitation program, you can optimize your recovery and return to your normal activities safely. If you have any concerns or experience unusual symptoms during your recovery, do not hesitate to reach out to your healthcare team for guidance.

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