Doctor insights on:
Surgery For A Dislocated Shoulder
What are some tips for recovering from arthroscopic shoulder surgery done to correct dislocated shoulder?
Yes: Surgery for a dislocated shoulder involves repairing the labrum back to the glenoid. The glenoid is the socket of the shoulder joint and is significantly smaller the the humeral head, which is the ball. To make up this size difference, the socket is surrounded by the thick labral tissue. This tissue is torn during a dislocation, repair prevents instability and shouldn't limit motion. ...Read more
Generally yes: Generally it would be expected that you have return of full motion after shoulder dislocation surgery, but specifics will depend on the type of dislocation, chronicity of the dislocation, and type of surgery performed. Consult with your orthopedist for your specific situation. ...Read more
Think cuff tear > 45: Shoulder dislocations in patients older than 45 are associated with a high incidence of concomitant rotator cuff tears. Often times it is the cuff tear and not the dislocation itself that generates the indication for surgery. A thorough discussion with the treating surgeon will lead to the answer in the specific case you mention. ...Read more
I need surgery for a dislocated shoulder and have been meaning to get my knee done as well. Can I get both at the same time? How much rehab is there?
2 times shoulder dislocation in 3 years. Will shoulder surgery prevent it frm dislocating again? I heard 5% chance afta surgery. Otherwise 80%. 23yo.
I've shoulder dislocation with humerus fracture, I alreeady pass the surgery for 2 weeks, but now I feel the shoulder become dislocated again, help?
See your surgeon: You need to follow up with your surgeon, who will probably check x-rays to make sure everything is in the proper place. ...Read more
How to identify shoulder dislocation? What type of pain is this (e.G. Pulling)? Hurts in case of dislocated shoulder wrist too? Thanks for your answer.
Wouldn't the hospital not release me from care unless they knew I didn't need surgery on my dislocated shoulder?
Outpatient: If you presented to the emergency department, this would not be considered an immediate need for surgery unless it was an open fracture, life-threatening injury, compartment syndrome, gas in the tissues, etc. A dislocated shoulder is not considered immediately needed for surgery so you can do it on an outpatient basis. Hope this answers your question. ...Read more
Can doctors in hospital give dislocated shoulder back to place without surgery? If yes, how painful is this for patient?
Depends: A dislocated shoulder needs immediate reduction performed by a physician or a healthcare provider familiar with the reduction technique. Sometimes muscle or bone can prevent the reduction from taking place and the patient may need anesthesia to get the reduction therefore the reduction can be done in an emergency room or a hospital setting. ...Read more
Ice.: Ice the shoulder 3-5 times per day, for 20 minutes at a time. Also, take an over the counter anti-inflammatory medication. You may use a sling for a few days for comfort, but no longer than that. ...Read more
See your surgeon: A dislocated shoulder tends to continue to dislocate, each time causing damage that makes the problem worse each time. Surgery is not always needed, but the evaluation is import to address your individual situation. Please see your friendly neighborhood sports medicine orthopedic surgeon for assistance! ...Read more
See orthopedist: After its put back in, rest it and avoid painful maneuvers especially the throwing position. You may use a sling for a few weeks if desired. Gradually, your activity level can be increased with a supervised rehab. Program. Discuss definitive treatment with a sports orthopedist to determine your options. Surgical and non-surgical treatment options are supported for a first time dislocator. ...Read more
Severe pain: A shoulder dislocation is extremely painful and results in inability to move the shoulder joint at all. You might note a cavity/ groove over shoulder region where the dislocation has occurred. It can still be difficult to differentiate a dislocation from a fracture therefor an X Ray may be needed to confirm this. ...Read more
Instability: Shoulder dislocations are really only a problem when they become recurrent. Many individuals experiencing dislocation for the 1st time can recover fully after this event with restoration of strength and motion. However the younger the individual the more likely this will become a recurrent problem requiring surgical stabilization, especially in the young athlete involved in collision sports. ...Read more
Glenohumeral...: A glenohumeral dislocation occurs when the head of humeus displaces in relationship to the glenoid fossa. Most glenohumeral dislocations occur when the humerus slips forward (anterior) on the fossa. A disocated shoulder must be reduced, & a post-reduction x-ray is necessary to check for any fractures/ ensure proper realignment. Dislocations may also cause soft tissue (rotator cuff/ labrum) damage. ...Read more
Shoulder: The most definitive way to diagnose this is via a set of xray from various angles. Experienced physicians can usually (but not always) diagnose by palpation/exam. ...Read more
Cold: Ice is generally used in the "acute" setting after an injury to reduce inflammation by restricting blood flow to the area. The "acute" timeline is not truly defined but acute can be considered upto a week after injury. Afterwards both cold and heat can be used. Rememeber ice it down after irritation from injury or activity. Heat it up to initiate circulation and healing or before exercise/therapy. ...Read more
Orthopaedic training: One learns to reduce dislocated shoulders and other joints with hands-on training that is part of many residency training programs within the health field. Many therapists, physician assistants, and aprns are also trained to manage/reduce dislocated shoulders. ...Read more
Rest: Resting allows the ligaments to have a chance at healing. In the past, we recommended a lot of physical therapy to improve the dynamic stability of shoulders. However, for patients that dislocate, strengthening does not help in containing the shoulder. Either the body is able to restore function and stability or not. Other options are rarely successful if there is persistent instability. ...Read more
Young males who are involved in contact sports have a high rate of redislocation with a non-operative approach. Therefore, most quarterbacks would need surgery on their shoulder.
To throw a ball, a significant amount of range of motion of the shoulder is required. Surgery for a dislocated shoulder may result in a mild loss of range of motion which may inhibit the quarterback's ability to throw. ...Read more
Depends...: The treatment for shoulder dislocations varies based on the reason why the shoulder is dislocating. Some shoulders dislocate because the ligaments that hold the shoulder together are loose. Traumatic dislocations usually result in a ligament tear. The treatment of the loose shoulder may simply be physical therapy, whereas the person with a tear might require surgery. ...Read more
6-12 weeks: This depends greatly on other injuries that may have occurred during the dislocation. A simple shoulder dislocation without other injury typically recovers with therapy in 6-12 weeks. Shoulder dislocations that have other injuries such as rotator cuff tear or labral tears that commonly occur during a dislocation may require surgery and take longer to heal. ...Read more
The first line of: Treatment should be evaluation by a sports medicine doc or orthopaedist. Dislocation can often just be subluxation and can be easily treated with physical therapy. If your shoulder is trly coming out of joint to the point where it has to be physically reduced back into place, therapy won't help and you are likely going to require a ahoulder stabilization procedure, either arthroscopic or open. ...Read more
Dislocated shoulder: Effects of a dislocated shoulder are that you have torn the capsular ligaments surrounding the shoulder and these need to heal first once reduced, and followed by an orthopedist. If after healing there is any instability you may need an MRI and possible arthrocopic shoulder surgery. ...Read more
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