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Arthroscopic Posterior Labrum Repair and Shoulder Stabilization

CAUSES

  • Traumatic injury to the shoulder resulting in instability or dislocation
  • Common in athletes (Hockey, Football)

SYMPTOMS

  • Pain
  • Shoulder instability or dislocation
  • Apprehension

PREOP

  • X-ray
  • MRI Scan--Evaluate Labrum
  • CT scan-–Evaluate for bone loss

RECOVERY

  • 10 days suture removal
  • 4 weeks sling; duration of sling use is often based on size of tear and quality of tissue.
  • 4- 6 months physical therapy 2 x per week.
  • Expectation is excellent range of motion and minimal to no pain with return to full activity

TECHNIQUE

The labrum is reattached and the shoulder capsule is tightened using sutures and suture anchors using arthroscopic techniques of small incisions using a camera

DAY OF SURGERY

  • Nerve block anesthesia
  • 1-2 hour surgery
  • Outpatient

WHEN TO HAVE SURGERY?

  • More than one dislocation or recurrent subluxation
  • Significant tear on MRI
  • Poor shoulder function
  • Poor performance of shoulder in sports
  • Failed physical therapy

RECURRENCE RATE

  • 5 %
  • Tear Before

    Shoulder1
  • Final Repair

    Shoulder4

Questions?

Email Dr. Gamradt - [javascript protected email address]
[javascript protected email address] Office Phone:

  • American Orthopedic Society for Sports Medicine
  • The Association of Clinical Elbow and Shoulder Surgeons (ACESS)
  • American Academy of Orthopedic Surgeons
  • The American Shoulder and Elbow Surgeons (ASES)