OPD Timings

  • Clinic
    everyday evening
    strictly by appointment
    020-25450404

  • Deenanath Mangeshkar Hospital
    Mon. & Fri. 8.30-10.30am
    for appointments
    Tel: 020-66023080

  • Sancheti Hospital
    Timings changed-
    Mon. - Wed. - Fri.
    11.30-1.30
    Tel: 020-25533333

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Shoulder Dislocation


Dislocation of the shoulder usually almost always recurs. Each episode of dislocation brings with it additional damage to the cartilage of the socket (Glenoid) and the ball (head of the humerus). This damage is not reversible. The anterior labrum is a crucial stabilising structure which tears leading to the dislocation. In modern day orthopaedics, the treatment of this condition has revolutionised the outcome of the patients. Arthroscopic repair enables the patient to go home the same day or next day of surgery and helps restore the range of motion fully with a early return to pre injury level.

Shoulder is the most common joint in the body to dislocate. Due to its inherent design we have a great deal of mobility within the shoulder, which is directly at the cost of stability. Shoulder instability may present as repeated dislocation where in, patient has to go to a hospital to relocate the shoulder – often under sedation. Some times patients are able to relocate their shoulder themselves. Shoulder dislocation is a recurrent phenomenon. Commonly after the first dislocation there is a risk of 60%-80% recurrence. If the shoulder dislocates again there is more than 90% chance that it will re-dislocate. Each time the shoulder dislocates it peels off the attached ligament (Labrum) worsening the damage. Along with the ligament the cartilage of the joint on both sides (Glenoid & humerus) is damaged permanently. Cartilage damage cannot be repaired.

It is prudent to get treated early to avoid long-term problems. Repeated shoulder dislocations can lead to nerve injury, which may not heal completely. Repeated peeling off cartilage will eventually lead to early arthritis which can be disabling and compromise daily essential activities.

In the past the surgery for recurrent dislocation was open surgery with long scar & mixed results. In modern era few hospitals are geared to treat this condition with Arthroscopic repair by name of Bankart repair. The keyhole surgery leaves three small scars. Patients go home the next day of surgery and usually resume light work in few days. Patients must avoid driving for 2 months after surgery. By three months most patients have achieved their full range of movement & strength.

The results of Arthroscopic Bankart repair at our practice have been impressive with so far only four patients having dislocated and only two have had to have revision surgery amongst about 600 surgeries performed. For more info visit www.jointandbones.com

   


Click on Photograph for details.





Photos of 3 Months Post Arthroscopic Bankart repair Result



Suture Anchors Used For Repair

Modified Latarjet Procedure   Arthroscopic Bankart Repair
 
     
Shoulder Dislocation    
   
You are watching a Bankart Repair of the anterior ligament tear which occurs in patients with recurrent dislocation of the shoulder.


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