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Shoulder Dislocation and Surgery to Treat Shoulder Dislocation

The shoulder joint is the joint that is most likely to suffer from dislocation. Shoulder joint dislocation is a condition in which the head of the upper arm bone (humerus) is out of the socket (glenoid). It can be dislocated in the front, the back or multi-directionally. In some patients, repeated dislocation can occur in the front. It causes patients to feel worry about being unable to fully use their shoulder joints, and some patients have to go to the hospital to pull their dislocated shoulders back into place.

 

What are the causes of shoulder dislocation?
This condition is often caused by fairly severe accidents like falls during impact sports or accidents that can cause the shoulders or arms to twist until the shoulders fall out of their sockets, leading to stretching and tearing of the shoulder tissues. Then the shoulders become stuck at the wrong positions that create a greater frontal area that create risk of additional dislocation when extending and rotating the arms. It is a form of disability that prevents the full use of the arms and shoulders of the affected sides. Its impacts are particularly heavy in athletes that have to use their arms and shoulders like volleyball, tennis, badminton and baseball, along with impact sports like soccer, basketball and boxing.
 
Warning Signs of Shoulder Dislocation
Patients who experience shoulder dislocation will develop immense pain or shoulder deformities. Some cases might even experience numbness and loss of ability to normally raise their arms or move the shoulder joints.
Treat recurring shoulder dislocation by using these techniques!
 
After pulling the shoulder back into place, if the treatment is inappropriate or if additional injuries occur, the shoulder tissues can be stuck in the wrong positions, and bone losses can occur at both the glenoid and humerus, leading to later shoulder instability. 
 
Today, stitches to repair shoulder tissues with the assistance of a camera is quite effective for cases where there isn’t total loss of the glenoid and humerus bone tissues. However, if bone tissue loss is also present, the rate of repeat dislocation after surgery can be as high as 67%. Therefore, Latarjet surgical treatment method is used to treat loose and repeatedly dislocating shoulder joints in the front, especially in cases that suffer from bone tissue loss.
 
The treatment starts by relocating parts of the coracoid section of the scapula along with attached tendons and ligaments to attach to the glenoid on the front and bottom through the tendons and muscles of the front section of the shoulder and then stitching to repair it. This treatment method can prevent shoulder dislocation as a result of the following:
 
1.Transfer of arm tendons attached to the bone to reinforce the lower section of the glenoid while extending the arm and rotating it outward.
2.Bone reinforcement at the lower anterior section of the glenoid.
3.Stitching to repair damaged shoulder tissues and attach transferred bone tendons. 
 
Who are suitable candidates for Latarjet surgery?
1.Patients who suffer from recurring shoulder dislocation on the front with more than 25% of the socket missing but less than 40%.
2.Patients who suffer from recurring shoulder dislocation on the front with more than 40% of the head of the humerus missing.
3.Patients who suffer from recurring shoulder dislocation after having undergone camera-assisted surgery to repair damaged shoulder tissues.
 
Patients with recurring shoulder dislocation will receive a thorough background interview, physical exam, x-ray testing along with 3D computer x-ray imagery and magnetic resonance imagery in order to fully determine the site of the pathology to make appropriate treatment plans.
 
 
You may find our specialist here at Orthopedic Institute, Phyathai 2 Hospital
Phyathai 2 Hospital
International Correspondence Center
 
Tel:  +66-2617-2444 ext. 2020 or 2047  E mail: onestop@phyathai.com
 


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