How long will my work stop after the operation?

Author of the answer: Dr Régis GuinandCatégorie : instabilité

For a sedentary work (office, computer, telephone, relationship etc …) the stop can be short (a few days to 15 days the time of the cutaneous cicatrization) but is often brought back to 4-6 weeks if it is necessary for you to drive to work (no alternative).

For a moderately demanding work, count 2 and 3 months in order to be able to re-serve your limb correctly (especially above the head) in the absence of difficult sequences.
For heavy manual work the recovery is between 3 and 4 months in the absence of difficult consequences.

When can I re-force with the arm after the operation ? When can I do sports again?

Author of the answer: Dr Régis GuinandCatégorie : instabilité

Not before 3 months for low demand activities of the shoulders, in case of activities in force on the shoulders this period is doubled and thus goes to 6 months.
Not before 3 months for low-demand sports of the shoulders, in case of activity in force on the shoulders or contact sports this delay is 5 to 6 months.

Can I guarantee the result by stabilizing my shoulder? Is there a risk of new dislocation after?

Author of the answer: Dr Régis GuinandCatégorie : instabilité

No surgical technique can guarantee a success rate of 100%.
From this observation it is necessary to choose, depending on the case, the one that comes closest to it. In general, the success rate is in the 85 to 95% range of success in the two years following the operation.

However, it is necessary to differentiate the failure (no stabilization or recurrence for an effort qualified as benign) and a new dislocation due to a violent accident. Indeed an intervention does not allow a shoulder to be more stable than before !!!

Sometimes rebalancing and muscle stabilization are imperfect or even … nonexistent, largely explaining the feeling of instability felt and the fragility of the shoulder at a distance from the intervention. Hence the importance of proper follow-up and postoperative management !!

How long will I be immobilized after a stabilization procedure?

Author of the answer: Dr Régis GuinandCatégorie : instabilité

It is necessary to count on 4 weeks of rest (more or less strict) of the operated member. A one-month consultation is planned to redo the point with your surgeon, wean the immobilization and start the active unprotected physio.
It is not and recommended to drive before a period of 4 to 6 weeks for reasons of road safety, in case of simple operative follow-up.

Will a stabilization allow me to serve me normally from the shoulder?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

The goal is to resume a normal life, with activities in force or contact sports.
In the majority of the cases the objective is fulfilled, but the same sporting level is not always guaranteed although the intervention is the only solution …
Specialized rehabilitation can be of great use in order to perfect the stabilization thanks to the work of muscle reinforcement of the shoulder.

How to choose the technique of stabilizing my shoulder?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

During the consultation, the surgeon will ask you about the number of dislocations, the type of dislocation, the ease of dislocation and the impact on daily life or sport.

After having examined you (mobility of the shoulder, tests of apprehension etc …) it will ask for additional examinations like X-rays but especially a arthroscanner (scanner preceded by an injection of contrast medium iodized in the articulation of the shoulder ) which makes it possible to clearly specify the ligamentous and osseous lesions.

Depending on the lesions found will be considered the technique most suited to your case and according to his surgical habits.
You can not request a particular operation unless several techniques are possible and the surgeon agrees.

What is an operation in case of dislocation of the shoulder?

Author of the answer: Dr Régis GuinandCatégorie : instabilité

We can distinguish 2 types of interventions in case of dislocations:

– ‘repairing’ interventions consisting of reattaching (or tightening) the ligaments, the capsule and the glenoid bead. We often talk about capsuloplasty (intervention of Bankart performed arthroscopically) and for our team of ‘Bipolar Lock’.

– The ‘palliative’ interventions where the objective is not to repair but to overcome the problem of dislocation by an unnatural method such as the shoulder stop or Latarjet intervention that we have recently done under arthroscopy as well.

Should we always be operated on a shoulder that is luxury?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

The answer is no !!
There is never ever and never in terms of health and medicine!
Of course, we must evaluate the age, the sporting level and the type of sport or physical activity.
Someone sedentary feeling little or no gene in his daily life or no longer managed after rehabilitation will not be operated …

What can I risk by dislocating my shoulder?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

Each episode of shoulder instability contributes to aggravating the destabilizing lesions of a shoulder, so each dislocation facilitates more and more the next …
In case of anterior dislocations (the head goes far forward) it is not exceptional (although rare) that the nerve of the arm (brachial plexus) are injured with a risk of motor paralysis or loss of sensitivity of a part
limb (hand, fingers).

In the long term an unstable shoulder is a shoulder that wears much faster than a normal shoulder (osteoarthritis causing pain, stiffness) sometimes requiring the installation of a shoulder prosthesis …
However, an intervention does not guarantee the absence of this osteoarthritis but helps to slow down or reduce it.

Are there effective ways to prevent my shoulder from re-luxating?

Author of the answer : Sébastien TraversCatégorie : instabilité

Outside or before considering surgery, rehabilitation is one of the treatments that can improve an unstable shoulder, especially muscle strengthening and proprioception (reflex management of the phenomena felt just before dislocation).

Bodybuilding should be considered with the utmost caution so as not to unbalance the shoulder by reinforcing only certain muscle tyapes and not others …
Ask before advice to specialists physio, sports doctors etc ….

Is my shoulder at risk of re-luxating again?

Author of the answer : Dr Jean KanyCatégorie : instabilité

After a first episode of dislocation, joint damage is systematic (although often not very obvious on the exams) and facilitate the occurrence of a new dislocation since the bone parts fit together very little.

It is considered that the recurrence rate exceeds 70% (!) In case of dislocation before the age of 25 years ….
The situation naturally tends to worsen after each new episode of instability until the shoulder is dislocated by stretching or for an innocuous gesture of everyday life.

Why did my shoulder dislocate?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

The shoulder (glenohumeral joint) is the most mobile joint of the human body, the counterpart is that it is unstable because the two pieces of bone do not fit together very much.
The stability then rests on the ligaments, the joint capsule and the peripheral muscles.

After trauma or first dislocation, these stabilizing elements can be damaged and not heal, which facilitates the occurrence of new dislocations.

Rehabilitation is useful to strengthen the shoulder muscles that help stabilize the shoulder joint, although in some arm position (arm in arm as when preparing to throw a ball or a stick) the risk remains important to dislocate.

What is dislocation of the shoulder?

Author of the answer : Dr Régis GuinandCatégorie : instabilité

A dislocation is a loss (often brutal) of contact between the two bony parts of a joint.
Several types of luxation exist, the most frequent being by far the previous dislocations.

The occurrence of a dislocation is obviously painful and requires a reduction by the intervention of another person

If the joint is reduced spontaneously or following a slight movement on the part of the wounded one speaks then of ‘suluxation’.
This episode (traumatic most often) damages the articulation at the level of the means of union between the 2 bones concerned (ligaments, articular capsule, bone reliefs …) and augurs of recurrences or leaves the shoulder painful to the use (apprehension of a recurrence or ‘unstable painful shoulder’).