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Shoulder Dislocation Recurrent

The humerus (arm bone), the scapula (shoulder blade), and the clavicle (collarbone) are the three bones that makes up your shoulder. Your upper arm bone is structured like a ball at the top. This ball is fitted into a cup-shaped socket in the back of your shoulder blade. A shoulder dislocation occurs when the ball of your shoulder slips out of its socket.

The most mobile joint of your body is your shoulder. It helps you in caring out your daily activities like lifting, rotating, and reaching high over your head. However, the increased range of motion might lead to instability.

What causes shoulder dislocation?

The most common causes of shoulder dislocations are:

01.
Sports-related injuries
02.
Accidents
03.
Falling on your shoulder or with your arm outstretched
04.
Electric shocks and seizures can produce muscle contractions that pulls the arm out of place
Symptoms of shoulder dislocation

Dislocated shoulder symptoms include:

Shoulder Discomfort
Swelling and bruises in your upper arm or shoulder
Your arm, neck, hand, or fingers are numb
You have difficulty moving your arm
Your arm appears to be crooked
Shoulder muscle spasms are a common occurrence
Muscles around the shoulder joint are torn
Types of shoulder dislocation

You can experience a partial dislocation, in which the ball is just partially out of the socket or a full dislocation, in which the ball is totally out of the socket.

Shoulder dislocation are of three types:
  • Anterior (forward): The humerus (the head of the arm bone) is pushed forward, in front of the socket (glenoid). This is the most common form of dislocation, and it occurs most frequently when the arm is extended.
  • Posterior (behind): The arm bone's head is shifted behind and above the socket. Seizures or electrical shock are the most typical causes of this type of dislocation.
  • Mediocre (bottom): The arm bone's head is pushed out of the socket and toward the armpit. This is the rarest kind of dislocation.
What are the treatments for a dislocated shoulder?

If your shoulder has been dislocated for the first time, to minimise swelling, the doctor will prescribe painkillers and anti-inflammatories. They will also manually reposition your shoulder to its original position.

The doctor will then recommend that you use a shoulder brace to help support your arm. Following that, the shoulder must be immobilised for two weeks. Physical therapy (physiotherapy) will be recommended to gradually enhance the shoulder's range of motion. It will also aid in the training and re-strengthening of the muscles. However, to avoid relapses your doctor might suggest you to restrict certain motions and movements for faster recovery.

Recurrent shoulder dislocations

Recurrent shoulder dislocations are typical among people who have previously dislocated their shoulder. The shoulder will be weaker and more likely to dislocate after the first incidence. In few cases people’s shoulder will dislocate repeatedly, regardless of their daily activity. This continuous recurrence of shoulder dislocation is when a surgery is required.

Depending on the severity and location of the injury within the shoulder, there are numerous surgical treatments for shoulder dislocation repair.

What are the treatments for a dislocated shoulder?

If your shoulder has been dislocated for the first time, to minimise swelling, the doctor will prescribe painkillers and anti-inflammatories. They will also manually reposition your shoulder to its original position.

The doctor will then recommend that you use a shoulder brace to help support your arm. Following that, the shoulder must be immobilised for two weeks. Physical therapy (physiotherapy) will be recommended to gradually enhance the shoulder's range of motion. It will also aid in the training and re-strengthening of the muscles. However, to avoid relapses your doctor might suggest you to restrict certain motions and movements for faster recovery.

Surgery:
  • Bankart Reconstruction Surgery: The tear in the cartilage is repaired and reattached to the socket during Bankart repair surgery. Bankart repair surgery can be performed arthroscopically or openly, depending on the severity of the damage.
  • Capsular Shift Surgery: This type of surgery involves shifting the lining of the ligaments that holds the shoulder in place .The ligaments are tightened during capsular shift surgery, allowing the shoulder to be held firmly in place once more.
  • Bone Grafting: When the bone on the edge of the shoulder socket has been injured, this shoulder dislocation surgery is recommended. The tendon is attached to the front edge of the shoulder socket using bone from the shoulder blade as a graft. To support the shoulder, bone from a bone bank or the patient's pelvis can be used.
  • Remplissage Surgery and Latarjet Surgery: This surgery involves the removal of excess skin. The damaged portions are resurfaced by remplissage surgery, to smooth them out or fill them in. Then the ball is reattached to the rotator cuff. Latarjet and Remplissage surgery are sometimes performed together to solve several issues with a dislocated shoulder.
  • Total Shoulder Replacement Surgery: Several shoulder dislocations or instability caused by rotator cuff injuries can necessitate a total shoulder replacement. The ball and socket of the shoulder are replaced with artificial prostheses, which are then joined to the humerus, or upper arm bone, through a stem.

The most extreme surgery for shoulder dislocation is total joint replacement. It's normally done only after other treatments have failed to relieve significant shoulder pain or loss of motion.

What to expect post-surgery?

After surgery the patient will only be required to stay in the hospital for one day. The doctor might start the physical therapy (physiotherapy) immediately, as per the specifics needs of the patient to gradually enhance the range of shoulder motion. Patients often recover for 4-6 months before returning to normal daily activities and sports.

Kapadia Hospital in Mumbai has the most advanced surgical technologies and highly qualified surgeons for shoulder dislocation surgery.

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