Orthopedist Questions Orthopedist

What surgery is done for a dislocated shoulder?

I am a 19 year old male and I dislocated my shoulder. What surgery is done for a dislocated shoulder?

8 Answers

Typically dislocations are performed without the need for surgical intervention. However, if there's tissue damage as a result of the dislocation or any fractures, your orthopedic surgeon may advise surgery to repair the damage.
Ligament repair commonly done with an arthroscope
At 19, the likelihood of Regis location is here. What services you do depend on the shape of the bone and how much damage has been done to the labrum. There are various procedures which need to be done based on findings on X-rays and special studies.
Surgery for a recurrent dislocating shoulder involves tightening the ligaments that are loose, sometimes moving small piece of bone. It is generally done arthroscopically through small incisions and is very successful.
If you did have a true shoulder dislocation where it came out of socket and had to be reduced or put back in place I would recommend an MRI with arthrogram to see how much damage there is. If there was just some capsular injury then you may not need surgery. If there is more extensive damage like a labral tear, ligament tear or fracture then you may more likely need surgery. This is typically a repair performed arthroscopic through small incision and minimally invasive. It is outpatient or same day surgery. Recovery would depend on how much had to be repaired and can range from 6 months to a year for complete recovery.
There are a lot of details that go into determining what surgery is performed. This includes physical exam and imaging. You must meet with your physician and discuss your end goal and determine how severe the injury is. If it’s mild or moderate, regenerative treatments are an excellent way to help dislocations. These treatments include prolotherapy, platelet rich plasma (PRP), stem cell, bone marrow, adipose (fat), amniotic, and umbilical (Wharton’s jelly). Check out our website for more information on these treatments: www.theosteocenter.com
In most cases, when you dislocate the shoulder, a cartilage in the shoulder called the labrum becomes torn. To prevent the shoulder from dislocating in the future, the labrum can be repaired, most of the time, arthroscopically.
Usually, first time shoulder dislocations are treated non-operatively with immobilization for 3 weeks after the shoulder is reduced back into place and then subsequent physical therapy. If recurrent instability, then may need surgery with stabilization of the shoulder. Traumatic dislocations have a high recurrence rate with contact sports. Non-traumatic dislocations may be treated with physical therapy.

Mark Burt, M.D.