shoulder Surgery Dubai

What is a shoulder dislocation?

Shoulder Surgery Dubai - Dr Hesham Al Khateeb

Shoulder dislocation happens when the bones comprising the shoulder joint are forcefully displaced from their typical alignment.

The shoulder joint, essential for shoulder mobility, consists of the upper arm bone’s round ball fitting into the socket of the shoulder blade.

In essence, the dislocation disrupts the connection between the ball and socket, potentially causing damage to surrounding tissues such as muscles, nerves, tendons, ligaments, and blood vessels.

Symptoms of a Dislocated Shoulder

The telltale signs of a dislocated shoulder often include:

Severe pain:

This is the most common symptom and may be excruciating.

Deformity:

 The shoulder joint may appear visibly out of place or rounded.

Limited movement:

You might find it impossible to move your arm normally.

Weakness:

The injured arm may feel significantly weaker.

Numbness or tingling:

Numbness or tingling: This sensation might extend down the arm or hand.

Causes of a Dislocated Shoulder

Several factors can contribute to a dislocated shoulder, such as:

Falls:

Especially falls on an outstretched arm.

Sports injuries:

 Contact sports and activities involving forceful overhead movements are common culprits.

Seizures:

Uncontrolled muscle contractions during a seizure can dislocate the shoulder.

Direct blows:

A solid impact to the shoulder can cause it to pop out of its socket.

Diagnosis of a Dislocated Shoulder

Diagnosis typically involves a physical examination to assess the joint’s position and movement. X-rays will confirm the dislocation and identify any bone fractures. 

An MRI scan may sometimes be necessary to evaluate potential ligament or tendon damage.

Treatment for a Dislocated Shoulder in Dubai

The treatment plan for a dislocated shoulder in Dubai usually involves:

Pain Management: Medications will be administered to control the pain.

Relocation (Reduction): A medical professional will carefully maneuver the bone back into its socket. This procedure can be painful, so that muscle relaxants might be used beforehand.

Immobilization: Following relocation, your shoulder will be immobilized in a sling or brace for several weeks for proper healing.

Rehabilitation: Engaging in physical therapy exercises is essential for recovering strength and flexibility and restoring a complete range of motion to the shoulder.

Surgery for a Dislocated Shoulder

In some instances, shoulder surgery may be necessary to address a dislocated shoulder. This could be the case if:

 

  • Blood vessels or nerves around the joint are damaged.
  • Ligaments or tendons stabilizing the joint are torn.
  • The shoulder dislocates repeatedly (chronic instability).

Common Surgical Procedures to Treat Shoulder Dislocation

Surgical intervention for shoulder dislocation varies based on several factors, including the direction of dislocation, the extent of shoulder tissue damage, and the patient’s age and activity level. Here are some standard surgical procedures:

Bankart Repair: Bankart repair aims to mend a torn labrum (cartilage ring surrounding the shoulder socket) and reattach it to the socket. 

This procedure is typically performed using an open surgical approach or arthroscopic techniques.

Capsular Shift: A capsular shift may be performed in cases of recurrent dislocations where ligaments become stretched and lax. 

This procedure tightens the ligaments by creating tissue flaps, shifting them, and re-suturing them to eliminate excessive tissue laxity.

Latarjet Procedure/Bone Grafting: In the Latarjet procedure, a bone from the coracoid process of the shoulder blade and its attached conjoint tendon are relocated to the front edge of the socket to address bone damage resulting from dislocation.

Surgeons may also utilize cadaver bone or bone from the patient’s pelvis to augment bone loss in the shoulder socket or the humerus.

Remplissage Procedure: Often performed alongside the Latarjet procedure, remplissage addresses humeral head damage caused by dislocation, known as a Hill-Sachs lesion. 

In this procedure, the damaged area is addressed by resurfacing the head or filling in the defect and then securing it to a portion of the rotator cuff.

خلع الكتف

Shoulder Replacement: In severe cases, shoulder replacement may be necessary. 

Depending on the intensity of the damage, patients may receive either partial (hemiarthroplasty) or total shoulder replacement surgery.

 In some cases, elderly patients with significant rotator cuff tears may necessitate a reverse shoulder replacement, wherein a ball is positioned onto the socket, and a plastic socket is affixed to the ball with a stem in the humerus.

Each surgical procedure aims to restore stability and function to the shoulder joint, tailored to the specific needs and conditions of the patient.

Dislocated Shoulder Recovery

Following shoulder dislocation surgery, patients typically experience outpatient treatment or an overnight stay with discharge the following day, depending on the procedure and approach. 

Individuals must plan for their release by arranging transportation with a friend or family member.

During the first 5 to 6 weeks after surgery, the affected arm will be supported in a sling to aid in the healing process by limiting movement.

While the sling can be removed for bathing, dressing, and specific arm exercises, it should remain on otherwise.

Patients are encouraged to engage in gentle range-of-motion exercises for their elbow, hand, and wrist immediately after surgery to promote recovery.

Complications of Dislocated Shoulder

While rare, potential complications of a dislocated shoulder include:

Recurrent Instability: The shoulder may become dislocated again, especially if the stabilizing ligaments are torn.

Nerve Damage: Nerves near the shoulder can be damaged during the dislocation, leading to numbness, tingling, or weakness in the arm or hand.

Blood Vessel Damage: Blood vessels supplying the shoulder can be damaged during a dislocation, potentially causing healing issues and increasing the risk of infection.

Arthritis: Repeated dislocations can increase the risk of developing arthritis in the shoulder over time.

Preventing Dislocated Shoulder

Strengthening Shoulder Muscles:

Strong muscles support and stabilize the shoulder joint, making it less susceptible to injury.

Proper Warm-up:

Before participating in strenuous activities, it is advisable to engage in warm-up exercises to prepare the shoulder muscles constantly.

Fall Prevention:

Exercise caution on icy or uneven surfaces.

Safety Gear:

Ensure you don suitable protective equipment, like shoulder pads, when engaging in contact sports.

Are you looking
for Dislocated Shoulder Treatment Options in Dubai?

Meet Dr. Hesham Al-Khateeb, a highly skilled hip and knee surgeon based in Dubai. Dr. Hesham is dedicated to providing exceptional patient care, with expertise in complex primary and revision hip and knee replacements, sports injuries, and trauma surgery.

Dr. Hesham Al-Khateeb is the best shoulder surgeon in Dubai. Dr. Hesham is committed to delivering optimal patient outcomes by utilizing advanced techniques such as robotic and navigated knee and hip replacement surgery. 

In addition, he possesses advanced proficiency in addressing sports-related injuries, encompassing ACL reconstruction, meniscal repair, shoulder dislocation, and employing regenerative treatments like Stem Cell Therapy and platelet-rich plasma (PRP) therapy.

If you’re seeking top-notch care for hip, knee, or sports-related injuries, schedule a consultation with Dr. Hesham Al-Khateeb, the best shoulder surgeon in Dubai today. Your journey to recovery starts here. 

Our committed team of specialists is prepared to assist individuals dealing with a dislocated shoulder or needing expert guidance.

Contact us today to arrange a consultation for shoulder surgery in Dubai and take the first step toward restoring your shoulder to its full strength and mobility.

Schedule your consultation with Dr. Hesham Al-Khateeb for advanced shoulder dislocation, hip, knee, and sports injury treatments in Dubai.

Book Your Appointment