Can Shoulder Dislocation Surgery Fail Due to Arm Movement? - Orthopedics

More Info

---

Shoulder dislocation surgery, particularly for conditions like acromioclavicular joint dislocation, is designed to stabilize the joint and restore function. However, there are several factors that can contribute to the failure of such surgeries, including arm movement, rehabilitation practices, and the nature of the injury itself.

In your case, after undergoing internal fixation with screws for a closed acromioclavicular joint dislocation, it is indeed possible for the internal fixation to become compromised due to excessive or improper arm movement during the early stages of recovery. The first month post-surgery is critical for healing, as the tissues around the joint are still in the process of mending. If you engage in movements that place stress on the shoulder before it has adequately healed, it could potentially lead to a failure of the fixation, resulting in displacement or instability of the joint.

The sensation of a "bump" or protrusion near the shoulder line could indicate several things. It might be a sign of swelling or inflammation in the area, which is common after surgery. However, it could also suggest that the fixation has shifted or that there is a change in the alignment of the joint. This is particularly concerning if the bump is accompanied by pain, decreased range of motion, or instability in the shoulder.

To mitigate the risk of complications, it is crucial to adhere strictly to your surgeon's postoperative instructions. This typically includes avoiding certain movements, using a sling or brace as recommended, and following a structured rehabilitation program. Physical therapy is often initiated after a period of immobilization to gradually restore strength and range of motion without jeopardizing the surgical repair.

If you are experiencing new symptoms such as the bump you described, it is essential to consult your orthopedic surgeon as soon as possible. They may recommend imaging studies, such as an X-ray or MRI, to assess the integrity of the fixation and the surrounding structures. Based on the findings, they can determine whether further intervention is necessary.

In summary, while arm movement can indeed affect the success of shoulder dislocation surgery, the specifics depend on the type of movement, the timing post-surgery, and the individual healing process. Always prioritize communication with your healthcare provider regarding any changes in your condition, as timely intervention can prevent further complications and promote a better recovery outcome.