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Stabilisation of recurrent dislocation (shoulder)

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Ramsay Health Care UK Ramsay Health Care  (formerly Capio Healthcare UK) was established in 1964 and has grown to become a global hospital group operating over 100...
Spire Healthcare Spire Healthcare  (previously known as BUPA Hospitals) provide the highest standards of care for patients, from the time they are first...
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Private surgeons who can help
Andrew Price: Consultant Orthopaedic and Knee Surgeon, Oxford Specialist in knee arthroscopy with mensical repair, knee revision, partial and total knee replacement, patello femoral resurfacing,...
Andrew Quaile : Consultant Spinal and Orthopaedic Surgeon, Hampshire and Surrey Mr Andrew Quaile qualified from Charing Cross Hospital, London in 1978 and spent a number of years practising medicine in the Royal Navy. He...
Anil Gambhir : Consultant in Hip and Knee Surgery, Lancashire An orthopaedic surgeon offering private knee and hip replacement in Bolton and Wigan, Lancashire   Anil Gambhir qualified from the University of...
Bruno Gerber: Consultant Orthopaedic Surgeon, London A specialist in computer navigated joint replacement and corrective orthopaedic surgery, biological ligament and cartilage...
Duncan Whitwell: Consultant Orthopaedic and Oncology Surgeon, Knee and Hip Specialist, Oxford Specialist in knee and hip surgery especially hip and knee arthroscopy, knee replacement, hip replacement and resurfacing...
Gavin Bowden: Consultant Spinal and Orthopaedic Surgeon, Oxford Specialist in spine and hip surgery especially the management of degenerative disorders such as sciatica and spinal stenosis, neck and back...
James Bliss : Consultant Knee Surgeon, London A specialist in knee replacement, anterior cruciate ligament reconstruction, multi-ligament reconstruction and knee realignment procedures...
James Casha : Consultant Orthopaedic Surgeon, Kent Specialist in spinal surgery, hip and knee replacement and arthroscopic surgery.   Mr Casha, a consultant orthopaedic surgeon in...
James Wilson-MacDonald: Consultant Spinal and Orthopaedic Surgeon, Oxford Specialist in spine surgery especially the treatment of disorders of the spine such as fractures, tumours, infections, spinal deformities...
Jeremy Fairbank: Consultant Spinal and Orthopaedic Surgeon, Oxford Specialist in spine surgery especially the treatment of disorders of the spine such as fractures, tumours, infections, spinal deformities...
John Hollingdale : Consultant Orthopaedic Surgeon, London An orthopaedic hip and knee surgeon in London  - Specialist in minimally invasive hip replacement operations and knee surgery   John...
John P Browett : Consultant Orthopaedic Surgeon, London A private consultant orthopaedic surgeon who is a knee specialist   Mr John P Browett, a fully trained consultant orthopaedic...
Jonathan Walczak : Consultant Orthopaedic & Trauma Surgeon, Kent Specialist in minimally invasive hip replacement operations and knee surgery   Mr Jonathan Walczak, MB BS BSc FRCS (Orth) was born in London and...
Lawrence Freedman: Consultant Orthopaedic Surgeon, London Specialist in Knee Surgery including knee replacements and arthroscopic (keyhole) surgery for knee pain, torn cartilage and cruciate ligament injuries...
Max Gibbons: Consultant Orthopaedic and Oncology Surgeon, Knee and Hip Specialist, Oxford Specialist in knee arthritis surgery including partial and total knee replacement, soft tissue reconstruction for sports related injury of the...
Mr Sudhir G Rao: Consultant Orthopaedic and Sports Surgeon (Knee & Shoulder), London & Kent Specialist with expertise in Sports Injury of the Knee, Hip and Shoulder including Arthroscopic Surgery (Keyhole Surgery), Cruciate Ligament...
Paul Jairaj: Consultant Orthopaedic Surgeon, London, Surrey and Dorset Specialist in sports injuries and joint replacement surgery.  Fellowship trained in arthroscopic, minimally invasive and computer guided surgery....
PJS (Chan) Jeer : Consultant Trauma and Orthopaedic Surgeon, Kent Specialist in hip, knee replacement, ankle surgery, forefoot surgery, anterior cruciate ligament reconstruction, cartilage transplant surgery and...
Richard Sinnerton : Consultant Orthopaedic Surgeon, Surrey Specialist in arthroscopic (keyhole) operations, shoulder surgery, elbow surgery, and reverse geometry shoulder replacement   Richard J...
Samantha Z. Tross: Consultant Orthopaedic Surgeon, Middlesex and West London Consultant orthopaedic and trauma surgeon - specialist in minimally invasive hip surgery, hip resurfacing, primary and revision hip and knee...
Sean Curry : Consultant Orthopaedic and Trauma Surgeon, London Specialist in knee, hip and trauma surgery including knee and hip replacements   Mr Sean Curry , a Consultant Orthopaedic and Trauma Surgeon...
Simon Jennings: Consultant Sport, Trauma and Orthopaedic Surgeon, London Specialist in all sports injuries and trauma surgery   Mr Simon Jennings, a fully trained consultant orthopaedic surgeon in London specialising...
Simon Moyes: Consultant Orthopaedic Surgeon, London Specialist in arthroscopic and minimally invasive treatment and orthopaedic surgery for injuries to shoulder, knee, foot and ankle   Simon...
Stephen H Norris: Consultant Orthopaedic Surgeon, Sheffield, South Yorkshire A Consultant Orthopaedic Surgeon, and specialist in hand, wrist and foot surgery in Sheffield   Stephen H Norris works in private...
Suhaib Sait: Consultant Orthopaedic Shoulder and Knee Surgeon, London & Kent Specialist in arthroscopic surgery, joint replacement, knee and shoulder surgery, sports injuries and hand surgery - carpal tunnel syndrome &...
Videsh Raut: Consultant Orthopaedic Hip & Knee Surgeon, Lancashire Specialist in sports injuries, complex hip & knee reconstruction, arthroscopic knee surgery and foot surgery.   Videsh Raut: Consultant...
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If you are considering recurring shoulder dislocation surgery, or have an operation planned, it is important to know all you can about it. This includes:
 
  • why you need this operation
  • what it will be like
  • how it will affect you
  • what risks are involved
  • any alternatives.
 
The information here is a guide to common medical practice. Each hospital and doctor will have slightly different ways of doing things, so you should follow their guidance where it is different from the information given here. Because all patients, conditions and treatments vary it cannot cover everything. Use this information when making your choices of recurring shoulder dislocation surgery with your doctors. You should mention any worries you have. Remember that you can ask for more information at any time.
 

What is the problem?

Your shoulder joint has dislocated several times. You probably feel that it is likely to do so again at any time.
Shoulder
Shoulder

What is the shoulder joint?

The shoulder joint comprises the ball on the upper end of your upper arm bone (humerus) and the socket on the shoulder blade. Unlike the hip joint, the socket is quite shallow and the ball is held in place by the soft tissues around the joint.
 
If you fall on your arm, it is possible for the ball of the humerus to pop out of the socket (dislocate). The ball usually dislocates forwards from the socket.
Shoulder 2
Shoulder 2
 

What has gone wrong?

When you first dislocated your shoulder you damaged the soft tissues that normally keep the ball in the socket.
 
Either the tissues were pulled off the bone at the front edge of the socket or the tissues were stretched and are now loose.
 

The aims

The aim is to stop your shoulder dislocating. The tissues that hold the joint in place will either be reattached or tightened.
 

The benefits

Obviously, the main benefit is that your shoulder will not dislocate with ease. This will get rid of the feeling that it will dislocate when you put your arm into certain positions.
 

Are there any alternative treatments?

If your shoulder has dislocated several times, there is no satisfactory alternative treatment.  Physiotherapy will not cure the problem.
 

What if you do nothing?  

Your shoulder will continue to dislocate with relative ease.
 

Who should have it done?

If your shoulder has dislocated several times and you have the feeling that it will dislocate again, you should have an operation.
 

Who should not have it done?

If you have never had a complete dislocation, but only a partial dislocation, then you will not benefit from this operation.  
 
Author: Mr Boyd Goldie MBBS FRCS BSC DHMSA. Consultant in orthopaedics & trauma.
© Dumas Ltd 2006
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