jointsguruShoulder is one of the most important joint in our body. It is very mobile joint and because of this it is very prone to dislocation. Having multiple dislocation in shoulder is very disturbing problem as it make you live in fear all the time. You never know when you are going to have next shoulder dislocation. It may occur during travelling or in party or in most awkward conditions. You need to solve this problem. And treatment is very easy.
I would first tell you why a person has multiple shoulder dislocation. Shoulder is like a ball and socket joint. But when there is some injury then this wall of the socket is broken then ball start coming out of it. It usually starts when some one is playing any game or any bike accident. Shoulder pops out and patient start screaming. It is very painful situation and a medical emergency. Patient need to visit dr and may need anaesthesia to put shoulder ball again in socket. After that arm has to be kept in arm pouch for few days. Once pain subsides then shoulder movement can be started.
Many people never have have second dislocation in all their life. But in few this happens again and again. It is called recurrent shoulder dislocation. When you visit a Dr he do a clinical examination and may advised you to go for MRI .
MRI report usually mentions two thins. Bankart and Hil Sach lesions. Bakart lesion means there is broken wall from socket side. Hilsach lesion means there is damage to ball as well.
If your MRI has these two words mention then you might need surgery to solve your dislocation problem. There are many type of surgeries which can be done to cure this problem.
Most common done procedure is arthroscopic Bankart repair. Arthroscopy is most advance method to treat joint problems. In this method surgery is done with the help of camera and advanced instruments. So there is no need of big cut or multiple sutures. Surgery is done through small puncture holes and so it is also called key hole surgery.
Special anchors are used to repair labrum to the bone. Anchors are made up of bio material so there is no need for second surgery to remove it.
After surgery Arm is kept in shoulder immobilisers and physiotherapy started after few days. Patient canstart his routine activities after few days. Office work is possible after 4 weeks. Games can be started after 6 to 8 months.
In some patient MRI shows that apart from Bankart there is big Hilsach lesion and in such cases an additional procedure is needed. It is called Remplissage procedure.
Some patient may have more then 20 to 100 dislocation and most of them are athletes or wrestlers. In such cases a special surgery is done which is called Latarjet procedure. Laterajet procedure is one of the most wonderful procedure in bad shoulder dislocatiors.
So let your doctor choose between Arthroscopic Bankart and Latarjet procedure. Once you are fit you can join your game again.
If you do not do your surgery and delayed it then chances of shoulder arthritis is there . So do not delay it and get it done as early as possible.
