**The following is taken from JaytheSportsPhysio's instagram page. It is reproduced with permission**
There are a number of surgical options that can be carried out on an unstable shoulder. Shoulder typically become unstable following a traumatic shoulder dislocation, common in contact sports such as rugby, or AFL.
Firstly, surgery is very rarely used in a first-time shoulder dislocation. Unless there are other complicating factors, conservative treatment should be the way to go. Surgery is more commonly considered if there is chronic instability, recurrent dislocations, or bony injuries such as a Bankart or Hills Sach's lesion.
A Hills Sach's lesion is when the head of the humerus sustains a lesion to it. This could from a bad bruise, to a fracture.
An Bankart lesion when the rim of the shoulder (that encapsulates the head of the humerus) sustains damage. This is typically more concerning, because a bad injury can cause the shoulder to be chronically unstable
The LaterJet surgery is one type of surgery that can be used to stabilise the shoulder.
The Laterjet surgery is a pretty big surgery. It involves taking a part of the coracoid process, and screwing it into the anteroinferior part of the glenoid rim. This will physically block the shoulder from going into external rotation.
In plain English?
They cut out a chunk of bone from the shoulder blade, and stick it into the rim of the shoulder (where the upper arm connects to the shoulder). This essentially stabilises it in place, so that it can't pop out.
The two videos in this blog show parts of this surgery.
Now this sounds pretty drastic.
However people with this kind of shoulder surgery can typically recover and return to sport in 4- 6 months.
Rehab post surgery typically involves getting back range of motion, followed by strength work, then sport specific rehab.
Get in contact with us to find out more.
ความคิดเห็น