Treatment usually depends on the age of the patient and the number of dislocations sustained. Younger individuals tend to have recurrent episodes of instability with minor activities, and are therefore candidates for surgery, to stabilize the shoulder joint. Athletes in contact or competitive sports may also benefit from surgery after the first dislocation episode to stabilize the shoulder.
For most other patients, non-operative treatment is recommended after the first instability episode. This usually includes a sling with a short period of rest, followed by a course of physical therapy, and gradual return to activities. If additional dislocation or subluxation episodes are experienced, these patients also benefit from surgery to stabilize the shoulder.
Surgery for shoulder instability involves repairing the torn labrum and tightening the ligaments to provide the needed stability. Additional procedures may be needed to achieve a good result, depending on the number of damaged structures. Traditionally this is done through large incisions with significant bleeding, tissue damage, pain and scarring, necessitating spending time in the hospital.
At Oceana Sports Medicine and Orthopaedic Center, Dr Aboka performs minimally invasive, all-arthroscopic treatment for shoulder instability through keyhole incisions. This cutting-edge technique allows for thorough inspection of the shoulder joint, and facilitates identification and treatment of all damaged parts of the shoulder joints.
This procedure is outpatient/same-day surgery, and leads to less pain and scarring and quicker recovery.