Most patients, who have new instability after a surgery to fix shoulder instability, DON’T want more surgery. http://www.healio.com/orthopedics/arthroscopy/news/online/%7B207d5985-69ec-43db-8fd8-6971b6357b84%7D/speaker-most-patients-with-instability-do-not-have-additional-surgery-after-bankart-repair A 2014 paper presentation at the Arthroscopy Association of North America found that patients who had surgery to stabilize a dislocating shoulder had about a 1 in 4 chance of having another episode of dislocation or subluxation … Read more
We don’t know a millionth of one percent about anything.
Thomas Edison
A recent presentation at the American Arthroscopy Association of North America tried to answer the question of why some adolescents re-dislocate their shoulder and others do not after shoulder instability repair.
I saw a patient recently that I have been treating for a few years. He originally sustained a very bad trauma – a gunshot wound to his dominant arm and was in his early 40’s at the time of the incident. His injury was so bad that it required a shoulder replacement as the ball portion of the joint could not be salvaged – it was totally shattered. He had some permanent damage to the bone and muscles around the shoulder which was not totally fixable.
A study from the recent American Arthroscopy Association of North America outlines risk factors for poor outcomes after surgery in patients who have had dislocations. Background: Steve Burkhart popularized the concept of the inverted pear-shaped socket. He found that if more than 1/4 of the bone was missing from the socket after a dislocation and a strictly soft tissue arthroscopic repair was performed to fix it, then these patients would be at high risk for