Repair of Recurrent Dislocation
The first time you dislocated your shoulder was painful enough. But now, if you are experiencing a recurrent dislocation, it’s time to take action so you can avoid the repeated pain and incapacity from your dislocated shoulder. The more often a shoulder is dislocated, the more likely it is to dislocate again. Dr. Venuto can perform arthroscopic surgery to repair certain types of recurrent dislocations to increase shoulder stability.
Recurrent shoulder dislocation occurs when the head of the humerus (the upper arm bone) becomes partially or totally separated from the glenoid cavity (the socket into which the humeral head fits). It is most often seen in younger athletes, people with a torn labrum, people with collagen disorders such as Ehler-Danlos and Marfan Syndrome, and people whose initial dislocation occurred after a rather minor trauma.
Call Dr. Venuto today at 949-759-3600 or send us an email if you would like to learn more about stem cell treatment in Orange County.
An Understanding of the Injury
The connection between the humerus and the glenoid cavity is shallow, which has the positive effect of allowing a wide range of motion but the downside of being the easiest joint to dislocate in the body. To create stability in the shoulder joint, it is anchored in place by the synovial membrane, various ligaments, the labrum, rotator cuff muscles, and other muscles of the upper arm including the triceps, biceps, and deltoid.
The vast majority of dislocated shoulders are caused by an injury. Recurrent dislocations are more likely if the initial injury was caused by twisting of the arm or forcing the arm up and out away from the joint (known as abduction). Recurrent dislocations are actually less likely in cases of a severe initial injury, because scar tissue is more likely to form and contribute to greater joint stability (while also causing some loss of range of motion).
Signs of Injury
Just like an initial dislocation, a recurring dislocation is immediately obvious. The symptoms are identical to those of the initial dislocation. Dr. Venuto will consider some of the following signs along with performing diagnostic tests to understand the full extent of your injury.
- Pain: Severe pain in the shoulder joint always accompanies a shoulder dislocation.
- Inability to Move the Shoulder: Because the humerus is not connected to the shoulder joint, an injured patient will not have the ability to move the arm at the joint.
- “Mushy” Feeling: When the shoulder is touched from the side, it may feel as if the underlying bone is gone (particularly when the humeral head is displaced anteriorly – the most common type of dislocation).
Choosing Dr. Venuto
Here are just a few reasons why so many people choose Orange County orthopedic surgeon Dr. Ralph Venuto for their care.
- Board-certified in orthopedic surgery and specializing in sports medicine and the treatment of knee and shoulder disorders.
- One of the first surgeons in the country to perform arthroscopic surgery, without adding trauma or scarring.
- Named one of the “Best Doctors in Orange County” in Orange Coast Magazine’s “The Doctor’s Doctor.”
After an X-ray of the shoulder reveals the dislocation, the first step in any treatment of a dislocated shoulder is to place the humerus back in its socket to reduce intense pain. For a recurrent shoulder injury, Dr. Venuto will ask how often the shoulder has dislocated and which types of activities have caused the dislocations. He will also look for signs of loose ligaments and check the strength of the shoulder muscles. He may order additional X-rays or an MRI to look for bony abnormalities, labrum tears, or a rotator cuff injury.
Treatment depends on what is causing the recurrent shoulder dislocation. In many cases, strengthening of the shoulder muscles through isometric exercises will give the shoulder joint sufficient added stability. If the recurring dislocation is caused by a labrum tear, Dr. Venuto can perform an arthroscopic Bankart repair of the shoulder to reattach the ripped labrum to the bone and tighten the capsule of the shoulder joint.
Complete recovery can take four months or longer, and athletic activities should be resumed only after clearance by Dr. Venuto.
Get the help you need now.
Call Dr. Venuto at 949-759-3600 or SEND US AN EMAIL to schedule your appointment.
Pay Attention to Early Warning Signs…
At his orthopedic practice in Newport Beach serving Costa Mesa, Irvine, and all of Orange County, Dr. Venuto sees patients almost every day who are living with various orthopedic conditions of the knee or shoulder. Paying attention to early warning signs can help lead to earlier treatment, which itself may minimize the pain and disability associated with your condition.
Call Dr. Venuto today at 949-759-3600 or send us an email to schedule your visit.