Shoulder dislocation occurs when the joint capsule, ligaments or labrum separates from the bone, and this results in instability of the shoulder joint and is a common complication. If a person's shoulder dislocation occurs repeatedly, they should be treated under the supervision of an orthopedic doctor in Shiraz.

Shoulder pain can be debilitating and even the simplest tasks such as putting on clothes or holding something in the hand will be difficult. The most common symptom is frequent instability, and it occurs when a dislocation occurs in a loose joint, which will lead to pain, weakness, and limited mobility. This problem is more common in young people, athletes, and those who have a history of injury. Types of shoulder dislocations There are two types of dislocations in patients: posterior dislocation, dislocation Anterior

If a person dislocates the shoulder more than once, this condition is known as "recurrent dislocation". This problem can cause chronic instability of the joint and increase the risk of further injuries such as labrum tears or ligament damage.

Risk factors in recurrent shoulder dislocations

Shoulder dislocations involve several bones, namely the humerus, shoulder blade (scapula) and clavicle. is Whenever the dislocation occurs again, there is still a risk of recurrence.

⛔ In repeated shoulder dislocations, the prognosis is for the occurrence of arthritis in the future and may lead to surgery.

There is a possibility that symptoms will occur in the tissue structure (such as ligament tears) which will cause pain during movement and muscle spasm.

Causes of repeated shoulder dislocations

Recurrent shoulder dislocations are usually the result of an initial injury that has not been properly treated or has weakened the supporting structures of the shoulder. Some common factors include:

• Previous shoulder injuries
• High-impact sports such as football, basketball, gymnastics, and martial arts
• Congenital or structural defects in the shoulder joint
• Excessive laxity of the shoulder ligaments
• Muscle failure and weakness of the stabilizing muscles of the shoulder joint

Symptoms of frequent dislocation Shoulder

People who suffer from this problem may experience the following symptoms:

• A feeling of instability or "slipping" in the shoulder
• Chronic or intermittent pain, especially when moving the arm
• Reduced range of motion of the shoulder
• A feeling of temporary dislocation when performing certain movements
• A clicking or cracking sound in the shoulder joint

Diagnosis methods Frequent dislocation of the shoulder

⛔ Shoulder dislocation in Shiraz is an emergency situation and needs immediate treatment.

If this happens, you should put a bandage on the shoulder and arm to keep it stable and then ice it. The reason for this is the existence of some internal bleeding caused by soft tissue tearing. Bleeding should stop after ice therapy, but swelling will occur. In this case, you should use heat therapy. The heat makes the blood flow in the shoulder properly.

This function should either be done during the visit to the emergency room or immediately after this problem occurs, but in any case, you should go to the emergency room immediately.

The first dislocated shoulder

If the shoulder is dislocated for the first time, surgery is not necessary. Instead, the doctor will prescribe painkillers and anti-inflammatory drugs to reduce the swelling and manually place the rotator cuff in its proper place.

He will then prescribe a shoulder brace to keep it in place for two weeks. After that, physical therapy is done to increase the range of motion of the shoulder. Physiotherapy will also help to train and strengthen the surrounding muscles in the shoulder blade and above the shoulder.

⚠️ Important note: the patient should avoid doing certain movements prescribed by the doctor because it may cause shoulder dislocation to recur and cause more serious problems in the future.

Treatment of repeated shoulder dislocations in Shiraz

Recurrent shoulder dislocations are usually more common among people with a history of dislocations. After the first dislocation, the shoulder becomes weaker and the possibility of re-dislocation increases. For some patients, the shoulder dislocates repeatedly regardless of what the person's activities involve.

Shoulder instability can often be treated with non-surgical methods such as physical therapy, rest, and medication. In cases of dislocations among athletes and especially high-impact sports players, there may be a need to treat frequent shoulder dislocations through surgery.

Shoulder physiotherapy in Shiraz Read more

Surgical interventions for treatment

Goal of surgery, prevention Dislocations occur in the future, which worsens shoulder pain and function. There are three options:

Arthroscopic repair surgeon

If the torn ligament or labrum is too loose, the surgeon will recommend arthroscopic repair, which involves repairing or repositioning the capsule. Capsular surgery is sometimes necessary and is considered a type of surgery that helps patients get rid of severe pain.

• If there are large pieces of bone in the shoulder, open surgery with bone transfer is needed.
• If there is a lot of damage to the lateral bone of the arm (Hill-Sachs damage), in addition to the standard method, another method is performed, which includes the attachment of the rotator cuff tendon to the lesion.

About Operation

• The duration is between 45 and 90 minutes
• Local anesthesia is applied
• If the patient wants to be sedated, mild and short sedation can be used

There are two other surgeries for this problem, which include:

• Bankart Repair: It is for patients with ruptures. labrum.
• Latarjet Procedure: In cases where the glenoid bone is weakened or damaged, this procedure helps to increase the stability of the shoulder by transferring a piece of bone from another area of the body.

Important points about recovery and recovery after surgery

Patients can go home one hour after the operation. Numbness in the shoulder wears off after about 6 to 12 hours. During the first few days, anti-inflammatory pain medications should be used. The follow-up after the operation is another two weeks when the sutures are pulled.

• A splint keeps the arm and shoulder immobile for 3 weeks
• Physiotherapy is necessary 3 to 4 weeks after the surgery to restore maximum physical capacity and prevent shoulder freezing
• If the pain level allows, non-physical activities may be performed the next day
• Patients can do daily activities during the first week resume
• Full recovery usually takes 5 to 6 months after surgery
• Success rate is 85 to 95

Postoperative limitations

There are limitations to arthroscopic shoulder surgery. In cases where the cartilage is lost or a bone fracture occurs along with the shoulder dislocation, open surgery is likely to be needed. In such cases, the type of surgery used depends on the amount of cartilage that has already been lost. If the amount lost is small, endoscopic surgery is likely to be performed.

Read more:

The best orthopedic doctors to treat shoulder dislocation in Shiraz

In Shiraz city, specialist and subspecialist orthopedic doctors with high experience are working in the treatment of shoulder problems. Some of the features you should consider when choosing a doctor:

• Having expertise in shoulder surgeries
• Using advanced imaging and arthroscopy equipment
• Having experience treating complex shoulder cases
• Working with accredited physiotherapists for post-operative rehabilitation

After the first shoulder dislocation, there is a 90% chance of recurrence, especially among young people under the age of 20.

In mild to moderate cases, yes, but if the injury is severe, surgery is usually required.

Depending on the severity of the injury, from a few weeks to a few months possible. Physiotherapy is needed.

Yes, many athletes return to a high level of activity after successful surgery and rehabilitation.

Repeated shoulder dislocation is a treatable complication that can be prevented by visiting specialist orthopedists in Shiraz. Accurate diagnosis, selection of the appropriate treatment method (non-surgical or surgical), and a comprehensive rehabilitation program are the three main pillars of successful treatment. href="https://doctoreshghi.com/%D8%A7%D8%B1%D8%AA%D9%88%D9%BE%D8%AF%DB%8C-%D8%AF%D8%B1-%D8%B4%DB%8C%D8%B1%D8%A7%D8%B2/">refer to a reputable orthopedic clinic in Shiraz and start the treatment as soon as possible

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