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Patients are given a complete physical examination that provides an assessment of the individuals overall health.
Range of motion measurements are taken for each shoulder.
Diagnostic imaging studies may be performed to determine the extent of the injury to the joint capsule and to evaluate any underlying conditions.
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90% of individuals under the age of 25 will sustain additional dislocations or subluxations. As you age, your risk for a second dislocation decreases.
A patient's goals and lifestyle may need to be altered, with normal activity levels being modified.
A complete recovery is dependent on the severity of the injury, the health and habits of the patient, and the underlying shoulder disorders or conditions present at the time of the shoulder dislocation.
Maintaining an active exercise and shoulder rehabilitation program is the best recommendation for recovery and prevention.
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Immediately after surgery, as anesthesia wears off, patients will usually feel tired and slightly disoriented, though the after-effects of anesthesia can vary greatly from patient to patient.
Post-operative pain will be present and may require over-the-counter or prescription medication to control the pain.
Passive range of motion exercises are begun on the first post-operative day to maintain shoulder flexibility.
Postoperative instructions:
Activity
Follow general post operative guidelines provided by your physician.
Be wary of any signs of infection, including swelling and redness.
No driving until instructed by your physician
Do not engage in activities that increase pain or swelling.
Maintain your arm in a sling at all times until instructed otherwise by your physician.
Ice Therapy
Begin ice therapy immediately after surgery.
Manual icing should be performed every two hours for twenty minutes until your swelling is controlled.
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A critical part of a successful recovery from a shoulder dislocation or subluxation involves the active participation in a rehabilitation program. To reduce the risk for a second dislocation, strengthening the muscles that hold the head of the humerus in contact with the glenoid (shoulder socket) is of great importance. These muscles are called the rotator cuff muscles. They are strengthened by working against progressive resistance. It is important that the shoulder have both strength and functional range of internal and external rotation. The following rehabilitation program is presented as information only. Your physician and physical therapist will customize a rehabilitation program suited to your injury-specific needs.
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Thera-Band
The Thera-band system of resistance provides both a positive and negative force on the muscles; improving strength, range of motion and conditioning of muscle groups. Thera-Bands are made from latex and are color-coded based on the level of resistance they provide.
The selected band easily attaches to a door where a wide range of strength training exercises can be preformed. The advantage of the wide band design is in the distribution of the resistive force upon the joints and muscles. Thera-Band therapy is highly affected in treating shoulder injuries where passive strength training is required and when specific muscle groups must be targeted. Shoulder muscles can be strengthened using the Thera-Band without having to apply excess force to the actual shoulder joint.
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Risks during and after surgery include problems that may develop in relation to bleeding, infection, and/or anesthesia.
Injury to blood vessels and nerves within the shoulder region.
The possibility of experiencing unforeseen complications
The development of a stiff shoulder (frozen shoulder) following surgery.
Recurrent dislocation of the shoulder in the future.
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Many shoulder reconstructions for shoulder instability can be performed arthroscopically, utilizing minimal incisions, as an ambulatory precedure. This may require the use of suture anchors to repair and tighten damaged tissue, as well as a recent surgical procedure called thermal capsulorrhaphy which by using heat selectively shrinks capsular tissue that may have become stretched out. Open surgical reconstruction or repair may be required in certain circumstances. Your surgeon will discuss the various options with you.
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