Depending on age and level of activity, many patients recover completely from a dislocation or dislocation of the shoulder, without further problems. Initially, the shoulder will be rested by immobilization to allow healing of damaged structures. Cold topical application is recommended to reduce pain and inflammation. Non-steroidal anti-inflammatory drugs or other analgesics will be recommended for pain management.
Physiotherapy and physiotherapy are useful to slowly regain mobility and maintain muscle strength. It is very important to strengthen the muscles of the rotator cuff and other supporting muscles. Return to the sport after a shoulder dislocation will take 3-4 months.
How to treat unstable shoulder?
If someone still experiences repeated dislocations or dislocations of the shoulder, it is very important to seek treatment so that the condition does not worsen over time. Young patients, especially those who play contact sports such as rugby, martial arts, have a greater risk of developing chronic instability after the first dislocation. The more episodes of dislocations occur, the more damaged will be the ligaments and the vertebra. In addition, the cartilage can be damaged due to the forces exerted by the head of the humerus when it leaves the joint. In such situations, surgical treatment is usually recommended.
Surgical options include:
Arthroscopic patellar repair or Bankart surgery : in this operation, the patella is sewn back to the edge of the patella where it was attached before the dislocation. At the same time, the strained shoulder ligaments will be strained with very strong sutures. This procedure has a very high efficiency and prevents other dislocations. Shoulder arthroscopic procedures have the added advantage of being minimally invasive, and thus allow for a faster recovery.
Operation Latarjet: in situations where the bone on the edge of the acetabulum has been cemented after multiple episodes of dislocation, it is very important to restore its original shape and size. In the Latarjet procedure, the bone, the sacroiliac appendage with the tendons attached to it, which is located at the front of the shoulder, is transferred and attached to the anterior part of the acetabulum, thus restoring its normal shape and size.