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Shoulder gets dislocated quite frequently. Does it need surgery? - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How are you doing?
User:hi Doctor..
User:I am doing good and you?
Doctor:I am good, thank you
Doctor:Please proceed with your query
User:Actually I have some trouble with my left shoulder joint. It gets dislocated quite frequently.
User:And I am not sure about how it started.
Doctor:How many times has your shoulder been dislocated?
User:Very difficult to give you a count. It can be put as many times.
User:A couple of times it has been completely dislocated as in the arm was completely dangling.
Doctor:Have you noticed any specific activities during which it dislocates?
User:Yes. Hanging. Freely balancing weights. Sometimes it dislocates slightly even while trying to balance the body while playing badminton/cricket. It has also happened a couple of times while simply lying down on bed.
Doctor:Actually, the treatment of recurrent shoulder dislocations is surgical
User:Oh. Is it kind of a major surgery?
Doctor:Not as such
Doctor:It can be done arthroscopically as well
Doctor:which means they give a small cut and put a tube with a lens in it around your shoulder joint
User:Ok. Any restrictions in movement to be expected after this?
Doctor:They can then strengthen the muscles around the shoulder can then be tied so as to strengthen the support for the joint
User:arthroscopically as in "keyhole surgery"?
Doctor:Yes, exactly
Doctor:No restrictions in movement after that
User:So there's no other solution? I mean apart from surgery?
User:Good to hear that. I was worried about the restriction in movement.
Doctor:No, I am afraid
Doctor:There is no other treatment
User:Oh. Any good places in Bangalor?
Doctor:I can get my customer care team to help you with that
Doctor:Fortis and Manipal are good places
User:Yes please. But I am not planning it immediately. I am planning it around May or so.
Doctor:You would need to get yourself evaluated by an orthopaedic surgeon first
User:Ok. Can you be clear about that? Is it something like if I am fit for the surgery or so?
Doctor:The type of surgery that needs to be done
Doctor:Will be determined only after a complete examination and investigations have been done
Doctor:Fitness for surgery will only be determined of you need to undergo an open surgery
Doctor:Which means a typical surgery and not a key hole surgery
User:I get it.
Doctor:Fitness for surgery is seen by aneasthesia people
User:So after this surgery will I be able to use my hand like before? This started recently. I dont know how it started. I am 23 now.
Doctor:The risk of recurrent dislocation is only 3% although it varies from procedure from procedure
User:Oh. The most common causes being?
Doctor:There is a risk of failure with every procedure that we do
Doctor:But this is an extremely small risk
Doctor:I can assure you, you'll be completely fine
User:Ok. Is there any work around for a failed procedure?
Doctor:That would depend on the procedure performed.
Doctor:Generally, the risk of failure is less with an open procedure rather than a key hole procedure
User:Ok. But what happens if the procedure fails? It is done again?
Doctor:Yes, in some cases
Doctor:It can be done
Doctor:As I said, the management would vary from case to case
User:Ok. So does this have something related to the timeframe after the first dislocation?
User:I mean the time elapsed after the first instance of dislocation and the procedure?
Doctor:They wouldnt do the procedure unless there were recurrent dislocations
User:Ok. I get it.
Doctor:A diagnosis of recurrent dislocations depends on having multiple episodes of dislocation even with the slightest trauma
User:So they will try dislocating my arm during the diagnosis? :(
Doctor:They'll believe you
User:Ok. Thanks. :)
Doctor:the diagnosis is pretty evident
Doctor:Have you followed what I said so far?
User: It was very informative talking to you. You really helped clear my confusions about this. And I am extremely glad to hear that there is a permanent solution to the problem
User:Yes Doctor. Every word.
Doctor:Any more questions that I can answer?
User:None. :)
Doctor:Thanks for consulting me
Doctor:Have a great day!
User:Same to you.
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