Shoulder Dislocation Treatment

What are the Different Types of Shoulder Dislocation Surgery?

Bankart repair surgery: A bankart repair is a surgical technique usually performed to repair recurrent shoulder joint dislocations. During the procedure, the worn-out ligaments are re-attached to the proper place in the shoulder joint, using the objective of rebuilding normal function.
Capsular shift surgery: This surgical procedure is performed to tighten the joint capsule. During this procedure, a surgeon uses an arthroscope to tighten the capsule and the ligaments in order to stabilize the shoulder.
Latarjet procedure: It is usually recommended for a person with bone loss at the shoulder’s socket. This procedure involves taking a small amount of bone material from the coracoid process (part of the shoulder blade) and transferring it to the front part of the shoulder’s socket. Bone loss in the socket can also be repaired with bone grafts taken from the patient’s iliac crest (part of the pelvic bone) or from a donor. Bone grafts from a donor or bone bank may increase the risk of infection.
Remplissage procedure: A healthcare provider usually suggests this procedure if the shoulder’s ball, or humeral head, is damaged by dislocation, causing a condition known as a Hill-Sachs lesion. This procedure involves resurfacing the head and/or filling in the defect by fixing it to part of the rotator cuff.

How are Dislocated Shoulders Diagnosed?

X-ray
MRI
CT scan
Musculoskeletal ultrasound

Benefits of Shoulder Dislocation Surgery

Small incisions
Less surgical time
Minimal postoperative pain and discomfort
Low chances of complications
Less blood loss
Improved range of motion of the shoulder joint
Enhanced stability of the shoulder joint
Low chances of repeated dislocation

Frequently Asked Questions

If you are experiencing any of the following signs or symptoms, you may require immediate medical assistance for shoulder dislocation treatment-

Suture anchors are tiny screws that are used to attach soft tissues like tendons, ligaments, or the meniscus to the bone to promote healing in minimally invasive surgeries. At SurgiKure, we use PEEK and other biocomposite suture anchor material for bankart or labrum tear repair.

Anchor sutures are spiral screws usually used to fix tendons and ligaments to the bone. Depending on the patient’s need and the surgeon’s preference, they can be made of plastic, metal, or a bio-dissolvable material.

It is very important to personalize the rehabilitation program based on the patient’s needs, the extent of the injury, and their normal activity level. For example, rehabilitation for an unstable shoulder after arthroscopic surgery, especially in patients with repeated shoulder joint dislocations, depends on the cause of the tear, degree of joint instability, frequency of joint dislocation, the direction of the dislocation/instability, neuromuscular control over the joint, and patient’s activity level.

Arthroscopic bankart surgery repair has a 90-95% success rate. In most cases, people usually resume daily activities, including sports, in 2-3 months. In general, you can begin weight training 3 months after the surgery. However, complete internal recovery may take about 4-6 months.

Though arthroscopic bankart repair operation is very safe, in rare cases, it may be associated with complications such as nerve injury, poor suture attachment, wound infection, rupture of the repair, shoulder stiffness, recurrence of the injury, and long-term complications due to low-quality anchors.