Description
Common Shoulder problems treated or assisted by arthroscopy in shoulder joint | Shoulder Arthroscopy treatment by Dr. Darshan Sonawane
What is recurrent Shoulder Dislocation?
Shoulder dislocation is usually caused by an injury. A traumatic shoulder dislocation, especially in the younger patients, tends to become recurrent due to a failure of the torn ligament (IGHL) and labrum to heal at the correct anatomical location.
With repeated dislocations, the extent of damage to the bone (Humerus-Hill Sachs lesion, glenoid bone loss) as well as the soft tissues (Bankart lesion, ALPSA lesion) increases.
MRI scan and CT scan can usually give a fairly good idea about the extent of damage suffered and helps in planning the surgery.
In patients with a preserved bone stock and good quality soft tissues, arthroscopic labral repair (Bankart repair, ALPSA repair) will give excellent results.
After the repair, patients are able to get back to leading an active lifestyle including participating in sports.
SLAP tears
SLAP or superior labrum anterior-posterior detachments are seen more often in overhead athletes. They are generally caused either by a traction injury to the arm or a fall on an outstretched hand.
They usually present with a dull aching pain in the upper arm along with a weakness in throwing or overhead activities.
Various types (more than 7 types) have been described and most of the symptomatic patients need arthroscopic repair of SLAP for recovery and function.
