Dislocation of a shoulder
- Athletes are more prone to shoulder
dislocations; upper arm bone gets removed from the
- Despite proper strengthening and
rehabilitation using non-surgical treatments, shoulder dislocations tend to
- Arthroscopic bankart surgical treatment for
first-time shoulder dislocations could lower the risk of recurrence
is a common occurrence as
the joint is one of the most mobile parts of the body. Athletes are more prone
to shoulder dislocations; upper arm bone gets removed from the cup-shaped
socket. The joint can easily dislocate due to traumatic injuries such as
falling on an outstretched arm, forceful throwing, sudden blow and forceful
contact with another player.
Young athletes are more susceptible to
shoulder joint disability and recurrences. A dislocated shoulder requires
immediate attention and emergency room physicians examine the injury. Some of
the common non-surgical treatments for dislocated shoulder include closed
reduction, immobilization and medications.
‘People experiencing shoulder dislocation for the first time can benefit by undergoing arthroscopic surgery initially than other non-operative treatments.’
Closed reduction involves external
manipulation of the bone and joint without surgical intervention.
Immobilization of the shoulder by placing it into a sling can help in healing.
are also provided to relieve pain.
strengthening and rehabilitation using non-surgical treatments, shoulder
dislocations tend to reoccur. Therefore, a recent study presented at the
American Orthopedic Society for Sports Medicine's (AOSSM) Annual Meeting in
Colorado Springs revealed that arthroscopic bankart surgical treatment for
first-time shoulder dislocations could lower the risk of recurrence and
eliminate the need for follow-up surgery.
Arthroscopic surgery uses a tiny camera
called an arthroscope, which is inserted through a small incision in the skin
to repair the tissues around the shoulder joint.
Researchers examined 121 patients aged 16-30
years who had arthroscopic surgery for 51 months. Among them, 68 patients had
experienced their first dislocation, while 53 had recurrent dislocations after
being initially treated non-operatively.
After treatment with an arthroscopic bankart
repair, researchers found that the postoperative dislocation rate dropped to
29% from 62% among those who did not undergo surgery immediately after their
first shoulder dislocation.
Compared to patients who were treated
not-operatively initially and those who experienced repeated dislocation before
surgery, patients who underwent arthroscopic surgery showed better outcomes.
Therefore, researchers suggested that
physicians should counsel those with first-time injuries on the benefits of
arthroscopic surgery as the initial treatment for shoulder dislocations.
"Deciding between a non-operative
program or going forward with surgery can be a challenging decision for medical
professionals treating shoulder injuries in young athletes," noted the
study's lead author Tyler J. Marshall, from Alabama Ortho Spine and Sports in
"However, this study shows a substantial
benefit for athletes undergoing surgery to prevent recurrent instability down
the road," he added.
Orthopaedic Society for Sports Medicine. "Treating first time
shoulder dislocations with surgery can benefit young athletes."
ScienceDaily, 7 July 2016.
- American Academy
of Orthopaedic Surgeons. "Recurring shoulder instability
injuries likely among young athletes playing contact sports."
ScienceDaily, 1 August 2012.
- Dislocated shoulder - (https://en.wikipedia.org/wiki/Dislocated_shoulder)