Dislocated Shoulder Surgery Overview
The shoulder is an extremely mobile joint since it is stabilized by soft tissue restraints instead of bony restraints. Composed by the humeral head (ball) and glenoid area of the scapula (socket), the shoulder’s mobility allows individuals to throw overhead, lift heavy objects and perform work-related movements. The shoulder joint can experience a dislocation when the ball and socket become pulled apart from a traumatic event. A shoulder stabilization procedure may be necessary in more severe “unstable” shoulder cases. A dislocated shoulder surgery aims to repair ligament and joint surface damage, as well as reduce the risk of re-dislocations and arthritis. Dr. Mark Getelman, orthopedic shoulder surgeon located in the Van Nuys, Thousand Oaks and Los Angeles, California communities, developed and published the “Hospital-Corner” repair, a surgical dislocated shoulder treatment.
A dislocated shoulder can cause extreme pain and instability in patients. In many cases, the shoulder’s surrounding ligaments and cartilage can become torn at the time of dislocation, leading to additional concerns for the patient.
Dislocated shoulder treatment, no matter the injury severity, begins by reducing the shoulder, or putting the ball back into the socket. After this occurs, Dr. Getelman will perform a series of X-rays to confirm the shoulder is back in the correct position and an MRI scan to examine injury extent. If bone loss is suspected, a CT scan may also be needed. If too much damage has occurred to the joint, a shoulder stabilization surgery may be necessary to return stability and full range of motion.
Dr. Getelman will typically perform an arthroscopic shoulder surgery when surgery is deemed necessary for a labral tear without bone loss. The majority of patients who undergo surgery experience restoration of shoulder stability, while restoring range of motion and overall joint mobility.
Dr. Getelman developed and published the “Hospital-Corner repair” for shoulder instability. This shoulder instability repair uses double-loaded suture anchors in the glenoid. The first primary stitch is passed through the labrum only and then tied, shifting the tissue superiorly. The second stitch is then passed inferiorly through the patulous capsule, in addition to the labrum with a pinch-tuck technique. This dislocated shoulder surgery technique distributes the tension on the labral repair and creates a fold to protect and shield the primary labral repair. Just as flat sheets are folded and tucked underneath a mattress to form a “hospital corner,” this procedure applies a similar principle to the labrum and capsule of the shoulder joint.