Arthroscopic Reduction Of Habitual Shoulder Dislocation
A recurrent shoulder dislocation is a condition in which the head of the humerus frequently slips out of the socket due to prior injuries or anatomical issues, such as weak ligaments or structural abnormalities of the joint. The shoulder is one of the most mobile joints in the body—both a benefit and a liability. Trauma or excessive strain can make it unstable, leading to repeated dislocations.
According to the American Academy of Orthopaedic Surgeons (AAOS), around 20–25% of patients who experience a primary shoulder dislocation will have recurrent episodes, and in individuals under age 25, that number can reach 40%.
Arthroscopic approach
Arthroscopy is a minimally invasive technique that uses a small camera (arthroscope) and specialized instruments inserted through tiny skin incisions. This allows the surgeon to address joint damage with high precision and minimal tissue trauma.
Key goals of the procedure
- Repair ligaments and the joint capsule (e.g., Bankart lesion repair to reattach the labrum).
- Correct any bony defects if present.
- Strengthen soft tissues around the joint to prevent future dislocations.
Benefits of arthroscopy vs. Open surgery
- Minimal tissue damage: Small incisions instead of large cuts.
- Faster recovery: Many patients heal within 6–12 weeks instead of several months.
- Lower risk of complications: Less chance of infection and scarring.
- High accuracy: Enhanced visualization allows the surgeon to see every detail of the joint.
A study published in the British Journal of Sports Medicine reports that arthroscopic stabilization of the shoulder joint has an 85–90% success rate in patients without significant bone defects, allowing them to safely return to sports and everyday life without fearing another dislocation.
Rehabilitation after arthroscopy
Full recovery involves several phases:
- Immobilization: During the first 2–4 weeks, the arm is typically supported by a sling or brace to allow healing.
- Passive exercises: Under a physical therapist’s guidance, gentle range-of-motion exercises begin to restore mobility.
- Active strengthening: After 4–6 weeks, exercises are introduced to build muscle and improve joint stability.
- Return to sports: Usually permitted after 3–4 months, provided the shoulder is stable and the muscular support is adequate.
A well-structured rehabilitation program minimizes the risk of repeat dislocations and promotes optimal recovery. When patients follow professional guidance, the likelihood of recurrence drops significantly.
As with any procedure, choosing the most suitable treatment method should be based on individual circumstances and an expert physician’s opinion. Modern techniques and surgical options allow most patients to regain motion, alleviate pain, and resume their normal lives.
Alisa Health Group stands ready to be your reliable partner in this journey, offering access to advanced medical solutions and comprehensive support. If you have questions about shoulder surgery or would like more information about our services, we’re always here to help at every step along the way to better health.
