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Arthroscopic Stabilization for Shoulder InstabilityDr. Saper will determine if the patient should be treated surgically or non-surgically in order to stabilize the joint. If he feels a surgery needs to be performed, he will perform arthroscopic stabilization surgery for shoulder instability.
In the majority of patients, arthroscopic stabilization has been shown to be highly effective in eliminating shoulder instability. In certain situations such as longstanding instability, bone loss from the glenoid or humerus, and a dislocation that can’t be manually reduced, a specialized open procedure may be necessary. During arthroscopic stabilization surgery, the shoulder is examined to confirm the direction and degree of instability. Next, the area of damage will be assessed and small surgical instruments used to place anchors into the bone on the glenoid that contain strong sutures. These sutures are then used to repair the torn labrum and ligaments, restore the anatomy of the joint to its natural position, and to effectively “tighten” the shoulder back to normal. Dr. Saper will require all patients to become involved in a post-operative therapy program following arthroscopic stabilization shoulder surgery. This typically consists of gentle passive range of motion movements, followed by active motion, strengthening, and eventually, the return to activities. The patient will continue to wear a sling for about 6 weeks. Dr. Saper will examine the joint to assess how the progression of therapy should continue. This will depend on the configuration of the injury and type of repair. To learn more about shoulder instability, or for additional information on shoulder stabilization procedures, please contact the Seattle, WA orthopedic surgeon, Dr. Michael Saper located at Seattle Children's. |