Shoulder Dislocation

What Is Shoulder Dislocation? How Does Shoulder Dislocation Occur?

Shoulder dislocation is the disruption of the relationship between the humerus and scapula, which are the two main bones of the shoulder joint.

Complete or partial dislocations may occur result of trauma or excessive stresses. The strength of the structures holding these two bones may have lowered in the forward-down and backward directions or in the other directions.
Thus, the patient’s shoulder may dislocate spontaneously during daily actions such as swimming, reaching up, or even rolling over in bed.
Joint capsule or labrum is the tissue which the capsule adheres to the bone, may tear off.

What’s the Treatment for Shoulder Dislocation ?

Treatment of shoulder dislocation consists of resting and physiotherapy by rehabilitation at first dislocations.

Surgical options may be performed for repair of ligaments in the recurrent dislocations.

How Does Shoulder Dislocation Surgery Performed ?

Dislocated shoulder surgery is an operation for bone and joint ligaments. Surgery for joint capsule and labrum are performed in cases where bone damage is low and ligament damage is dominant. Operations are performed to increase bone support in cases where bone damage is high.

Arthroscopic Bankart Repair

It is possible to repair the damaged ligaments arthroscopically in cases where the bone damage is not dominant and only the ligament tear (bankart lesion-capsular tear) is effective. With small incisions, the inside of the joint is imaged with the camera and the torn ligaments can be sewn up to the belonging area.

After shoulder dislocation surgery, sling is used for 4 weeks and physiotherapy is applied. Recovery takes about 2 to 4 weeks to return to daily life and about 4 to 6 months to return extreme shoulder actions and sportive activities.
Final appearance of the reconstructed ligament that stripped from the front of the bone

Latarjet Procedure

The glenoid fossa of the scapula, which carries the spherical head of the humerus, is sometimes damaged. Damaged glenoid and bone loss facilitate the popping out of the humeral head. Cutting the coracoid process from front side of the joint and transferring to the glenoid bone (cavity) prevents the head from popping out. After surgery, sling is used for 4 weeks and physiotherapy is applied. Pain restricts the degree of arm usage of the patients in the first days of the surgery. Return to daily life takes about 2 to 4 weeks, and return to extreme shoulder actions and sportive activities can be around 4 months.