Shoulder Dislocation


Shoulder surgery is solely reserved for exceptional or critical shoulder issues, but for the right patient, a surgical procedure can restore full movement and power to your joint. The arthroscopic subscapularis replacement procedure is frequently suggested for rotator cuff tears, which appear in pain on the front and side of the higher shoulder and arm. The main goals of the method are as follows:

  •    The loose, frayed, or otherwise damaged tissue is removed from the healthy tissue.
  •    The cuff edge is moved to a normal position without excessive tension or pressure.
  •    The cuff is fixed with suture anchors, which are attached to the bone.

Reimbursement for this method can take over five months, including physical therapy to retrieve movement and control. Your shoulder is the most flexible joint in your body part. It allows you to place and rotate your arm in many positions in front, above, to the side, and behind your body. This flexibility also makes your shoulder susceptible to instability and injury. As being Shoulder Arthroscopy Doctor in Ahmedabad we are providing the best service for the shoulder.

 

 

It is prudent to get treated early to avoid long-term problems. Repeated shoulder dislocations can lead to nerve injury, which may not heal completely. Repeated peeling off cartilage will eventually lead to early arthritis which can be disabling and compromise daily essential activities.
What are the benefits?
The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical methods are often implemented according to the sufferer. Arthroscopy is performed in a hospital operating room under general anesthetic or Local Block. The arthroscopy is a small fiber optic instrument made up of tiny lens, light source, and video camera.
The surgical instruments used are very small, but appear much larger when viewed through arthroscopy. The television camera attached to the arthroscope displays the image of the joint, on a television screen, allowing the surgeon to look throughout the shoulder-at cartilage, ligaments, and the rotator cuff. The surgeon can conclude the amount or sort of injury, and then improve or correct the problem if it is required.

Why is arthroscopy necessary?

Certain circumstances of the shoulder which cannot be cured by medications and treatment require Arthroscopic surgical procedure.

What are the possible complications?

Infections, pain, injury to surrounding nerves and blood vessels, Post surgery stiffness.

Recovery after arthroscopy

Patients can go home the same day depending on their condition. They may require pain medications for a few days. In some cases, they can start using the hand in a few days, while in some other cases they may take even a year for full recovery. They can take bath within a few days after surgery. Driving, using computers, writing and playing sports will depend on each individual case and the disease. With the help of our Shoulder Arthroscopy Doctor in Ahmedabad you get the complete solution for your joint problems.
Symptoms

  • Common symptoms of chronic shoulder instability include:
  • Pain caused by shoulder injury
  • Repeated shoulder dislocations
  • Repeated instances of the shoulder giving out
  • A persistent sensation of the shoulder feeling loose, slipping in and out of the joint, or just “hanging there”

Physical Examination and Patient History
After discussing your symptoms and medical history, your doctor will examine your shoulder. Specific tests help your doctor assess instability in your shoulder. Your doctor may also test for general looseness in your ligaments. For example, you may be asked to try to touch your thumb to the underside of your forearm.
Imaging Tests
Doctor may order imaging tests to help confirm your diagnosis and identify any other problems. X-rays. These pictures will show any injuries to the bones that make up your shoulder joint.
Magnetic resonance imaging (MRI).
This provides detailed images of soft tissues. It may help your doctor identify injuries to the ligaments and tendons surrounding your shoulder joint. The Bankart’s Lesion is the standard lesion associated with this condition. Some or other variant of this lesion may also be found if not standard lesion. The voluminous capsule is the other commonly associated finding with this condition.
3D CT Reconstruction
This provides details of the bony structure of the shoulder. We are particularly interested in the Socket (Glenoid) shape and bone loss due to injury itself or the effect of rubbing (Erosions) in case of very frequent episode of the dislocation of shoulder. Bone loss on socket (Glenoid) side is important to decide about the possibility of the open bone augmentation procedures. The 3D CT also gives details of the depth of bone depression on the back side of the ball (Humerus Head) of shoulder in the form of Hill Sach’s lesions.
Treatment
In the past the surgery for recurrent dislocation was open surgery with long scar & mixed results. In modern era few hospitals are geared to treat this condition with Arthroscopic repair by name of Bankart repair.). The Bankart repair involves re-attaching the detached capsulo-labral complex to the glenoid using suture anchors. It is also possible to do a capsular shift (tightening of the lax capsule) at the same time. The advantage of the arthroscopic technique is its minimally invasive nature which minimizes morbidity of surgery and hospital stay. Further it allows excellent visualization of the entire shoulder joint and is very useful in detecting and treating other causes of dislocation like an ALPSA lesion as well as associated pathology like a SLAP lesion.

The keyhole surgery leaves three small scars. Patients go home on the same day or on the next day of surgery and usually resume light work in few days. Patients must avoid driving for 2 months after surgery. By three months most patients have achieved their full range of movement & strength.