by dr kalman piper
What Is Shoulder Instability?
What Causes Shoulder Instability?
Shoulder Anatomy And Pathology
Can Shoulder Instability Recur?
How Is Shoulder Instability Assessed?
How Is Instability Treated?
What Is The Recovery Time From A Surgery?
What Are The Risks Associated With Surgery?
- Post operative shoulder pain and swelling, including bruising down the arm.
- Shoulder stiffness
- Most patients have a period of stiffness after surgery and after 6 weeks in a sling. The stiffness improves with physiotherapy, once it commences. Some patients may notice a loss of external rotation of the shoulder, after the Latarjet procedure; however this will not cause any functional loss.
- Recurrence of the dislocation.
- Shoulder stabilisation reduces the risk of recurrent dislocation, but not to zero.
- The risk of recurrent dislocation after Bankart repair may be as high as 15%, in young active males, compared to greater than 80% in non-surgically treated shoulders.
- Loss of throwing strength and delay or inability to return to sports
- In general, it takes 6 months to return to sports, however full throwing strength can often take longer to recover (one year or longer).
- Shoulder Arthritis
- Damage to the cartilage of the shoulder joint which occurs with shoulder dislocation treatment predisposes the shoulder to developing arthritis. Unfortunately, surgery cannot reverse any damage to the shoulder joint cartilage, however stabilizing the shoulder may prevent the cartilage damage from worsening during recurrent dislocations.
- General Surgical Complications
- Nerve injuries – stretching of nerves during the shoulder dislocation treatment (most common) or the surgery may cause numbness or muscle weakness in the arm. Most nerve palsies are temporary.
- Infection – very rare with arthroscopic shoulder surgery.
- DVT – very rare with surgery of the upper limb.
- Allergic reactions to anaesthetic drugs or pain medications.
- Anaesthetic Complications – discuss with your anaesthetist.