Dislocating Shoulder: Arthroscopic Repair Dr. Alan Reznik

[mateo88990]

I had a shoulder dislocation surgery and i am post surgery a week now, no pain really but no range of motion either i start PT tomorrow. The problem i am worried about is that i have a lot of sliding and clicking in my shoulder still, is this normal, why does this happen?

[DrAReznik]

@mateo88990 sometimes the sliding and clicking you feel is the shoulder blade moving on the rib cage not the formally unstable ball and socket joint. Relax, start some grip exercises and elbow motion and let the shoulder rest.

[kcliftoncarroll]

Wow! This is an amazing video. I have a torn labrum (in 3 different directions) a Hill-Sachs lesion, two detached ligaments and I'm awaiting results of the CTscan to see if there's any bone loss in the socket that requires being rebuilt. I'm 46, have had dislocations for 20+ years and am a professional guitarist.It looks like surgery is a strong option for me. What can I do to be as healthy and well prepared for surgery? Any diet, massage, exercise, etc. that would help before surgery?

[DrAReznik]

@kcliftoncarroll In general if you shoulder is very unstable there is very little you can do to get ready. As you already know there is torn cartilage, torn ligaments and possibly bone damage. Just relax, wit for the results and make a good plan to be compliant with the post operative precautions. The biggest problem I have are patients that think they can out smart mother nature- healing takes time. Good Luck.

[astigide24]

@kcliftoncarroll i had this surgery 3 mos ago. and i'm a guitar player too. you would be immobilized for atleast 6 weeks then you can take you sling off. but i must warn you it would hurt just by mere standing. and also on the firts 8 weeks after surgery your shoulder would hurt so bad if the weather is too cold. i was also advised not to play guitar up until 8 weeks.

ps. i can play instruments now. except drums

[registeredme]

I have been to the local orthopedic clinic here in Germany. I told him about this regular dislocation i have everytime i play rugby,and pretty much limited my physical activities outside sport. After doing the MRI scan,he told me that my shoulder is fine and after a long time,i can achieve back the stability of my shoulder. But i strongly disagree to that,and pretty much unsatisfied by his diagnostic. I even dislocated once while removing my jacket! and it has been reoccuring more than a year!

[DrAReznik]

@registeredme - Your history is so convincing. Sometimes a plain MRI will not show the problem when an MRI arthrogram will (liquid injected into the shoulder joint to show the ligaments better). If this is not possible and exam under anesthesia and a diagnostic scope may be needed. Other factors are your age and general laxity of multiple joints. That could explain the non-operative treatment. But if these are not issues than repair sounds like a good idea. Best of luck.

[daleflaherty]

I have had a operation on my shoulder 8 weeks ago not for the Arthroscopic blanket repair, ever since I had a car crash my shoulder would pop out for the fun of It! If I went swimming it would pop and also every time I had a full contact kickboxing fight it would pop out. I went to the hospital every time it popped.I had put it back in myself but created enough evidence to have it looked at and eventually repair, My only question is will I be able to go back to punching correctly after 6 month?

[DrAReznik]

@daleflaherty most shoulder regain 80% improvement by 4 months, full use can take up to a year. Full punching (really depends on your definition of punching). In general light work outs (I mean light) can start at four months provided you do well with a good therapy program first and your MD gives you the OK.

[DrAReznik]

to learn more see my book on LULU.com/spotlight/rezex

"The Knee and Shoulder Handbook for all of us"

[wearethesame]

I've been extremely athletic for years (Karate, aikido, jujitsu) until I dislocated my shoulder 2 years ago. Since then, it dislocates an average of once every 2 weeks. I obviously can't compete in sports anymore and it's driving me crazy. If I get this surgery, is there hope for me to compete again?

[DrAReznik]

these are common complaints in an athletic person with recurrent dislocations. The main concern is the damage recurrent dislocations does to the ball of the ball and socket joint. With time and recurrence the edge of the socket wears down and the ball develops a dent or defect. The "Hill Sachs" lesion and edge wear makes the shoulder even more unstable. Worse repair in patients with large defects is less reliable and other approaches are required. Having it fixed is your best option.

[ab110795]

Cool

[mcb630]

okay, im 16 and i have chronic dislocations, they can happen hundreds of times a day, it just depends on what im doing, and how its feeling. I'm having a surgery really similar to this one but im not sure how sore/ immobile that will make me, becasue mine is multiple directional, so it ahs to be tightened all the way around

[revelinabandon]

I am a 39 yr old male with a history of dislocation in my left shoulder. The original injury occured when I fell full on it during a soccer match. No hands. Ever since it's been weak and threatened dislocation during overhead lifting, forward pushing, and even rolled out of the socket from a relaxed position while laying on my back in a waterbed.

I'm youthful, but this is an old injury that's recurred dozens of times over 22 years. What are my chances of solid repair?

[chaunceydavis528]

I've had 13 dislocations between the age range of 18 - 22. In the back of my mind there is always the possibility of the next dislocation - until that happens, I'll continue to try non-surgical methods. I'm 30 yr old now and Its been almost 9 years since my last dislocation.......if I have another dislocation - I'll definitely have surgery.

[matt31602]

@chaunceydavis528 if i were you i would get that fixed i just had mine fixed and it so much better i have no worries in favoring in my arm...

[DrAReznik]

I have had a number of patients with this issue and the majority have done well with a repair.

[chaunceydavis528]

I probably need this surgery too. I've had a total of 13 dislocations with my left shoulder - after the 2nd dislocation - I've managed to put the shoulder back in the socket by twisting my arm counter clockwise. Most of my dislocations happened as a result of playing basketball. I'm not as active as I used to be and part of it may have to do we fear of suffering another dislocation......From time to time I perform shoulder strengthening exercised hoping this will provide the "cure",

[davespark10]

i just pulled/ or ripped my groin, its hurts so bad im looking for things that might make it feel better... you guys have any ideas?

[DrAReznik]

Groin pulls have nothing to do with shoulder injuries and are completely different in nature. In general they take a long time to heal. Occasionally they represent a fracture of the insertion site of the tendon. This needs to be checked by your Orthopedic surgeon.

[surgicalgown]

Great video. Thank you for loading.

[missmarplefan]

can this be done for hip joint