INC Health & CONSULTING
Arthroscopic Treatment in Habitual Shoulder Dislocations
Habitual shoulder dislocations cause tissue rupture and calcification in the shoulder joint. Therefore, the treatment principle in habitual shoulder dislocations is in favor of surgery.
Open surgery is rarely preferred in habitual shoulder dislocations. The general approach is treatment with arthroscopic shoulder surgery. Depending on what causes the recurrence of shoulder dislocation, the bankart lesion procedure or the capsular narrowing method is performed with the closed arthroscopic surgical approach.
What is Shoulder Dislocation?
The shoulder joint consists of the fixation of the arm bone with the scapula and the joint socket, and this structure is surrounded and held together by the tissue, connective tissues and muscle groups we call the capsule. The separation of the arm bone from the capsule in a way that disrupts this mechanical integrity is called shoulder dislocation.
Why Does Shoulder Dislocation Recur?
If the labrum, the cartilage surface surrounding the glenoid bone, is torn during the first shoulder dislocation, the joint socket where the capsule or arm bone enters, the shoulder dislocation is likely to recur. Congenital features such as loose capsule or small head of the arm bone that attaches to the joint cause shoulder dislocation at an early age and usually recurs.
Shoulder Dislocation Symptoms
- Severe pain in the shoulder and entire arm
- Limitation of movement in the shoulder joint
- Difficulty raising and/or moving the arm
- Posture deformity in the shoulder joint
- Both arms look different from each other
Arthroscopic Surgery in Habitual Shoulder Dislocations
It is possible to heal recurrent/habitual shoulder dislocations and repair the tissue damage they cause, with arthroscopic bankart repair and capsular shifting, which are performed to prevent the shoulder from protruding again, or to repair or narrow the loose or torn joint capsule.
Shoulder arthroscopy for the treatment of habitual shoulder dislocations is performed under general anesthesia. Small incisions are made for two or three pots and deformed tissues are repaired with arthroscopic imaging support.
Fixing the arm bone so that it does not protrude into the joint socket and repairing and renewing the surrounding tissues to protect this structure constitutes the content of the arthroscopic surgical procedure in habitual shoulder dislocations.