Arthroscopic Anterior Shoulder Stabilisation

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Aim:                        

To prevent further anterior dislocation of the shoulder joint

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Surgery type:         

Arthroscopic (keyhole)

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Anaesthetic:          

General (asleep) usually with a nerve block

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Objective:              

Repair the torn labrum (gristle) to the front of the bone socket

Stitches passed through the labrum via a cannula (tube)

Stiches and therefore labrum fixed to the prepared bone by plastic anchors

The joint capsule is also tightened during the procedure

Further soft tissue tightening may be required for severe damage

                               

Duration:               

45-90 minutes

 

Scars:                     

3 (1 at the back of shoulder 2 on the front- approx. 10-15mm each)

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Sling:                      

Up to max of 6 weeks.

Aim to wean by 4 weeks depending on pain

Sling to be removed for exercise, washing and at rest

Teach axilla hygiene and washing out of sling

 

Sports:                   

3 months- non-contact sports, cycling, jogging, breast stroke

6 months- contact sports

9 months- overhead sports

 

Work:                     

Sedentary jobs- return as pain allows

Manual jobs- may need to adjust activity for up to 3 months

 

Driving:                  

From 8 weeks-pain and ROM dependent