Dislocations

Shoulder is the most commonly dislocated joint of the body. The support of a flat joint completely by soft tissues is the reason for more frequent dislocation compared to other joints. Although dislocations occur due to general joint laxity, the most common cause is trauma, such as falls or forcing the shoulder in an inverse movement.

Stressing the shoulder in an inverse position removes the round head of the arm bone from the shallow slot, causing the patient to experience severe pain and unable to move his shoulder. In general, shoulder joint is relocated and fixed under anesthesia in emergency rooms.

However, during the dislocation, the ligaments of the shoulder and the joint capsule are ruptured and fractures of the bone tissue or abrasion in multiple dislocations may occur.

Once a dislocation of the shoulder joint occurs, since the ruptured joint capsule does not have a spontaneous healing ability, the joint comes out with an easier strain after the first dislocation. Subsequent dislocations of the joint occur even during daily movements without strain.

The patient can easily put dislocated joint in its place. Although this does not cause pain in the early stages, every incidence of dislocated shoulder joint cause corrosion of the cartilage and bone of the shoulder joint and may cause degenerative arthritis of the joint.

Surgical treatment of neglected recurrent shoulder dislocations requires more comprehensive surgical procedures. Open surgical intervention may give better results in these patients. Patients often complain of recurrent dislocations, shoulder pain, feel of dislocation or insecurity.

Patients may be reluctant to do sports require use of arm and shoulder to avoid fear of dislocation. Although physical therapy is initially applied, many patients require surgical intervention in such cases.

The aim of surgery is to restore the deteriorated structures (by suturing the ruptured joint capsule). Arthroscopic (closed) or open surgery can be performed.

However, if there is excessive corrosion on the bone structure in delayed cases and cases where the shoulder is dislocated many times, open intervention gives better results. Arthroscopic surgery results are as successful as open surgery in patients with multiple times of dislocations.

In patients with excessive corrosion and bone loss on bone surfaces, this area can be repaired with bone taken from another area. Patients can return to daily life in many ways postoperatively, only some movements are banned for 6 weeks. The time to return to sports is usually takes 4-6 months.