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Shoulder Dislocations
I had shoulder (right) dislocations 4 times. The recent one was in June, 2016. I took MRI in July, 2016 and the report says that "Hill Sach's defect with anteroinferior labral tear and inferomedially displaced (fused) bony bankart lesion favour shoulder dislocation". Doctor-1 whom i visited in Mumbai suggested me to go for an operation where there will be an open surgery stitching the torn larbal. I recently shifted to another city, here i went for final opinion where the doctor said that anthroscopic operation is required where three screws will be inserted and stitched to the labral
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Shoulder joint is one of mobile joint of body at the cost of stability.
You have two options to avoid 5th dislocation.
1.soft tissue repair of shoulder joint
Or
2.bony augmentation of glenoid part for stabilty.
Decision will be upon your glenoid bone loss.if more than 20 to 25 percent then you require bony otherwise soft tissue procedure only will suffice.soft tissue will be arthroscopic only according to latest technology.regards dr pankaj agrawal.dr pankaj agrawal.shoulder knee & joints reconstruction surgeon ahmedabad
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Hot fermentation.
Gentle strength exercises.
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The bankart lesion is fused, so it needs to be mobilized. The hill Sach lesion may or may not need to be addressed depending on the size. Small lesion may be left alone, but large one cannot. So identification of Hill Sach lesion will decide further course. If it is small, then arthroscopy, otherwise an open surgery
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All ortho doctor giving best openion after surgery you have to go for proper strength training under guidence. So plz visit physiotherapy clinic for proper care.
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Hot Fomentation.
Gentle Shoulder Stretching.
Core Strengthening Exercises.
Gentle Neck Exercises.
Avoid sleeping on affected side..
Warm up and cool down is a must.
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Arthroscopic surgery is the one which s most commonly done now as it has faster rehabilitation
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The amount of bone loss need to be assessed by a ct scan for both glenoid and Humerus head. Only then the decision between bony procedure or soft tissue repair can be taken.
More so, if soft tissue repair is planned, it should be done arthroscopic
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.