CAUSES
- Traumatic injury to the shoulder resulting in instability or dislocation
- Common in athletes (Hockey, Football)
SYMPTOMS
- Pain
- Shoulder instability or dislocation
- Apprehension
PREOP
- X-ray
- MRI Scan--Evaluate Labrum
- CT scan-–Evaluate for bone loss
RECOVERY
- 10 days suture removal
- 4 weeks sling; duration of sling use is often based on size of tear and quality of tissue.
- 4- 6 months physical therapy 2 x per week.
- Expectation is excellent range of motion and minimal to no pain with return to full activity
TECHNIQUE
The labrum is reattached and the shoulder capsule is tightened using sutures and suture anchors using arthroscopic techniques of small incisions using a camera
DAY OF SURGERY
- Nerve block anesthesia
- 1-2 hour surgery
- Outpatient
WHEN TO HAVE SURGERY?
- More than one dislocation or recurrent subluxation
- Significant tear on MRI
- Poor shoulder function
- Poor performance of shoulder in sports
- Failed physical therapy
RECURRENCE RATE
- 5 %
-
Tear Before
-
Final Repair
Questions?
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