About Recurring Dislocated Shoulder
Shoulder dislocation happens when the head of the humerus is completely moved completely out of the glenoid cavity. While in partial shoulder dislocation, the humerus ball just slips a little bit out of the glenoid cavity joint and it often slips back into position on its own.
How Does The Shoulder Dislocate Recurrently?
A shoulder is often dislocated after a serious injury EX: falling on the outstretched hand, athletes of the throwing sports or it may also happen due to traumatic dislocation. Patients with Joint Hypermobility (loose jointed patients) may suffer a lot with recurring dislocated shoulder. Yet their shoulder will often dislocate without significant pain.
What Are The Recurring Types Of Shoulder Dislocations?
1) Unidirectional – Are usually due to an injury or accident.
- Anterior – The most Recurring type of shoulder dislocation.
- Posterior – Happens when the ball moves and dislocates behind the socket
- Inferior – Happens when the ball moves and dislocates below the socket
2) Multidirectional – Mostly due to an injury of patients with loose joints by nature.
Why Does Recurring Shoulder Dislocation Happen?
Shoulder is one of the least stable body joints. Therefore, it is very common for recurring shoulder dislocations or subluxations to happen. In some patients, the shoulder joint may tend to dislocate recurrently after the first dislocation. In most cases in which patients suffer from a recurring shoulder dislocation problem, they are probably have shoulder instability.
Treatment of Recurring Dislocated Shoulder Dislocation?
‘First-time’ Shoulder Dislocation Treatment
When a shoulder dislocates, doctors can relocate it to its normal position by manipulating the bones of the bone to its original place, no surgery needed. The doctor usually use general anaesthetic or other types of sedative drugs. The key part here is the immobilization of the arm by the side of the chest using an arm sling for a period of 3-6 weeks. Surgical intervention may be needed in younger patients under the age of 25, along with athletes, there may be a need for bankart repair surgery right after the first shoulder dislocation injury. The surgery will minimize the chances of any recurring dislocated shoulder in the future.
What Is Treatment of Recurring Dislocated Shoulder?
There is a couple of options for treating recurring dislocated shoulder. Taking into consideration the patients’ functional and their level of having unstable joints.
1) Non-surgical treatment
Shoulder instability patients may not need the surgery. Patients with sedentary lifestyle with no or little physical activity, will probably be able to manage their injury without the need to go under the knife. However, they must restrict any intense activities that may cause their shoulder to dislocate or subluxate again. Just they have to keep in mind that the risk of recurring dislocated shoulder will be present at any point in time if the shoulder is in a vulnerable position.
Younger patients and athletes are most likely to need shoulder stabilization surgery. The available surgical options are:
- Arthroscopic Bankart repair
In this surgery, the doctors make 3 small portal holes. Some of the pros of the arthroscopic bankart repair technique are:
- Arthroscopic Bankart repair is minor surgery not an invasive one.
- This means staying in the hospital for a shorter period of time.
- Arthroscopic techniques usually allows better visualization of the shoulder joint enteriors.
- This type of surgical intervention may as well be useful for detecting other possible causes of shoulder dislocation like an ALPSA lesion.
- Open Bankart repair
The Bankart repair is an open surgery that involves making a 3-5 cm insecion in the front of the shoulder.
- Bone operations
When the bankart repair surgery alone is not enough, as there’s a Hill–Sachs lesion, or Hill–Sachs fracture, Bone operations are most likely to be performed.