Schouder stabilization

Complaints before shoulder stabilization

Dislocation occurs at the glenohumeral joint more frequently than any other joint. The humerus head is relatively large compared to the glenoid. The shoulder capsule and the muscle / tendon cuff (rotator cuff) around the joint ensure that the head of the humerus is centered and stabilized in relation to the glenoid.

Falling or running into something can over stretch your shoulder joint. This loosens the part of the joint which keeps it tight in a way which does not allow it to heal. Once the shoulder has been out of joint once it is very likely to slip out of the socket again.

If the shoulder is dislocated for the first time shoulder it will replaced in hospital. Damaged bone will be detected using an X-ray. If symptoms of instability and/or pain still remain, further examination into the cause of these complaints is needed.

Treatment

Restoring the damaged part of the joint is usually sufficient as stabilization of the shoulder.

The operation is as follows:

The operation is performed under general anesthesia or spinal anesthesia
A keyhole surgery is used to repair the torn structures and to restore the stabilization of the joint
Through a small wound on the back of the shoulder, the camera is turned in with a flush system.
The arthroscopic procedure is performed using instruments inserted through small incisions and a video camera with a flush system.
The entire shoulder joint is evaluated, diagnosed and the operation plan finalized
The torn cartilage rim tendon is placed in the right position and fixed with so called bone anchors
The shoulder is rinsed and the wound is closed
A wound dressing is placed and a shoulder sling positioned to create a restriction of movement

Preparation

Before the treatment of shoulder stabilization sets, find several preparations are:

You visit the doctor's assistant and/or anesthesiologist to determine whether the cuff rupture operation is possible. Besides they will explain the various forms of anesthesia and pain management, both during and after surgery. More information about anesthesia, click here.
The day of surgery is scheduled. The total hospital stay is planned for two days
Do not use your arm the first week after surgery
If you have lack of help at home please discuss this with the transfer nurse of the Vlietland hospital or home care setting of your home.

Day of surgery

At your arrival please wear comfortable clothing and shoes. Bring your personal items such as medicines, clean clothes and toilet articles with you. Leave valuables at home as much as possible.

The day of surgery is as follows:

You appear sober at the agreed time in the clinic.
After preparation by the anesthesiologist will place the operation in the operating room.
After surgery, you quietly from the anesthesia in the recovery room.
Back on the ward nurse checks you out.
You get a shoulder-ment to the movement of your arm bepreken. It is important to prevent tearing apart the carefully restored structures.
The day after surgery the physiotherapist will give you instructions about what exercises you can do.

Recovery

The recovery from shoulder stabilization surgery takes about six months and runs roughly as follows:

The day after shoulder stabilization, you are still hospitalized. You get painkillers and physiotherapy practice and give you instructions for home practice.
Physical therapy is needed to optimize muscle strength and coordination to get back.
Pain and swelling indicate that the boundary of the charge is reached.
The stitches are removed after about 14 days.
After one day, the larger context of the shoulder is removed and the wound assessed.
Find some help with heavy household and things that you need to do with two arms

After at least 6 weeks you can start with moving the arm slightly, but only after about half year fully recovered. You can drive if your shoulder feels strong and stable enough. The period during which work can be resumed depends on the type of work you do.

Complications

While complications are not common, all surgery has associated risk. Complications include an infection, bleeding, nerve damage, instability of the shoulder or problems with the anesthesia. Complications may be related to anesthesia , click here.

Expectations

Surgery often has good results resulting in lasting pain relief and improved function. The shoulder is usually a little stiffer than before the operation. The results of this surgery are generally good: a considerable improvement is achieved by treating. However, you have to realize that this procedure includes a risk of a complication with an extended recovery period.

Frequent asked questions (FAQ)

Is arthroscopic shoulder surgery always possible?
No, not always. Your orthopedic surgeon will estimate if shoulder stabilization using an arthroscopic operation will succeed or not.

How long will my shoulder sore?
After treatment the pain will gradually decreases.

How long takes recovery of a swollen shoulder after treatment?
The swelling of the shoulder gradually disappears during the first weeks after surgery.

When can I resume my work after treatment?
It depends on the type of work you do. Talk to your company and your orthopedic surgeon.

Can I shower after surgery?
Yes, but you need to keep your dressings dry. You can cover them will plastic wrap. Use of soaps around the wound is not recommended. An anti-skid mat is a good idea.

How can I best care for the wound?
You must take care that the wound area stays clean and dry. The skin around the wound may take a red and / or irritated look, it decreases after the sutures and / or adhesive bandages are removed.

I have read that "anchors" are placed on my shoulder, what are they?
Anchors are a kind of screws with suture attached, which can provide secure fixation and the shoulder in a reliable way to stabilize.

How long is the recovery after the stabilization?
This recovery takes quite some time. The shoulder needs rest the first weeks so that scar tissue can be formed. The follow-up process takes several months to complete and requires your commitment to the exercise.

Prepare yourself by reading all the information given. For any questions please telephone or email contact with Orthopedium.