Operative therapy of shoulder dislocation
Within the framework of the treatment principles for shoulder dislocation, a distinction has already been made between conservative and surgical therapy. Since there is no standardized procedure that can be applied universally, only the most common surgical treatment measures will be discussed below. Your doctor can decide individually which surgical measure is best for you.
- Classification of shoulder dislocation
- Age?
- Are there any previous damages? Bone, cartilage and soft tissue lesions?
- Assessing the pain
- To what extent is there a functional limitation (effects on: mobility, strength (dead arm sign)
- Is there a feeling of instability?
- Can neurological failures, circulatory disorders be detected?
- What sports activities are practiced? (This question is particularly important with regard to therapeutic measures; see below)
- Which shoulder-stressing activities are carried out (privately)?
Common surgical procedures
It is not possible at this point to name and describe all the surgical treatment measures for shoulder dislocation because there are too many surgical procedures. At this point, the most common and proven operations will be named and briefly described. Depending on the aetiology, type and direction of dislocation and the extent of intra-articular damage to the shoulder dislocation, the different techniques can even be combined under certain circumstances.
You should trust your treating physician in this respect. He will be able to see the extent of your disorder and advise you individually. Both open and arthroscopic techniques are used in the course of surgical therapy. In addition, anatomical and non-anatomical reconstruction techniques are available. 1. arthroscopic surgical techniques: 2. further surgical techniques are: Possible consequences and complications:
- Operation according to Neer,
- Labrum – Capsule – Refixation
- Open surgical techniques
- Operation according to bank type (anatomical open surgical technique)
- Operation according to Neer (anatomical open surgical technique)
- Eden – Long Hybinette (non-anatomic open surgical technique)
- Putti – Platt
- Operation after Bristow – Helps
- Operation according to Mayer – Burgdorff
- Operation according to Weber (non-anatomical open surgical technique)
- General risks: secondary bleeding, hematoma, wound healing disorder, infection, thrombosis, pulmonary embolism, injury to vessels, nerves
- Special consequences: Restriction of movement (especially rotation), arthrosis (late sequelae)
- Complications: Recurrence, delayed bone healing, pseudarthrosis, implant complications (misalignment, material fracture, loosening, allergy)
