How is shoulder instability repaired?
For patients in the greater Denver area and surrounding cities, Dr. Armando Vidal, orthopedic shoulder surgeon can treat shoulder instability with the following methods:
Dr. Vidal will develop a treatment plan to first, relieve painful symptoms of shoulder instability and second, to strengthen the shoulder muscles surrounding the joint. In some cases, activity modification may be needed to prevent further aggravation of painful symptoms. Dr. Vidal often rest and non-steroidal anti-inflammatory medication to reduce pain and swelling. Physical therapy will help strengthen the joint, increase stability and maintain range of motion.
In many cases of shoulder instability, surgery may be needed to repair ligament and joint damage and to reduce the risk of additional dislocations.
Arthroscopic Stabilization / Bankart Repair:
Typically, arthroscopic stabilization can be used for approximately 90% of the cases we see. This specialized surgical procedure uses a small camera, called an arthroscope, inserted in a small incision in the shoulder. Small surgical instruments are inserted through other small incisions and the surgery is done within the shoulder joint. Small anchors and specialized equipment is used to repair any damage to the labrum, ligaments and/or rotator cuff.
Open Bankart – Although arthroscopic repair is the workhorse of instability repairs, in some cases patients benefit from an open procedure. Similar to an arthroscopic stabilization, the labrum and ligaments are repaired using specialized equipment and anchors.
Latarjet Procedure – The Latarjet procedure is performed when there is critical bone loss that cannot be addressed with a soft tissue procedure alone. This is performed through an open approach. During this procedure, the coracoid (a small piece of bone on the front of the shoulder) is repositioned to the front of the shoulder socket to replace the lost or damaged bone. The new bone graft is attached, using surgical screws. This procedure is a very reliable option for recurrent instability even in cases of previous failed surgery.