Arthroscopic Treatment of Shoulder Dislocation

Most commonly dislocated joint due to lack of bony stability

• Fast Facts
  50 % of ALL dislocations
  95 % anterior
  85 % caused by trauma recur

Anatomy of the Shoulder

• Glenoid Labrum
  Dense, fibrous structure
  Oval
  Deepens glenoid fossa
  Stability
  

Anterior Dislocation

• Most common type
  Forced external rotation or fall
  “squared off” appearance of shoulder
  Palpable gap below the acromion
  Humeral head palpable antero-inferiiorly to glenoid
  Must examine distal pulses and axillary nerve
  

Conservative Treatment

• Rowe – JBJS, 1957
  324 young patient with ant. dislocations
  94% had recurrence if < 20 years old
  62% had recurrence if < 30 years old
  14% had recurrence if > 40 years old

Natural History

• Non operative treatment of shoulder dislocation
  in young athletes
• Arciera – J Arthroscopy, 1995
  De Beardino – J South Orthopaedic Ass, 1996
  Haelen – J Arch Orthopaedic Trauma Surgery, 1990
  Hovelius – J Orthopaedic Science, 1999
  Wheeler – J Arthroscopy, 1998
  Kirkby – J Arthroscopy, 1999
• all over 80% recurrence rate
  Non operative treatment is unacceptable
  

Arthroscopic Bankart Repair

• Gold standard
  Minimally invasive
  90% success rate
  

Key Hole Surgery

• Minimally invasive
  3 to 4 small holes around your shoulder
  Can be done as a Day Surgery case
  > 90% success rate
  

 

Please note that the information contained herein is for general medical information only.
If you have any specific medical condition or queries, please consult your medical doctor.

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