Evaluation and management after failed shoulder stabilisation surgery: A review

Publication date: May–August 2018Source: Journal of Arthroscopy and Joint Surgery, Volume 5, Issue 2Author(s): Kapil Kumar, Abhinandan Punit, Chirag Bhatia, Scott BarkerAbstractShoulder joint being the most mobile joint of the body is very much susceptible to dislocations accounting for half of the dislocations presenting to Emergency departments. Recurrence of instability is quite common owing to the structural defects created as a result of the traumatic event causing the first dislocation. Younger the patient higher is the chance of recurrence. Recurrence after stabilisation surgery is a complication that is indeed a challenge for every shoulder surgeon. Several factors ranging from patient’s age and gender to technical errors to missed diagnoses may be responsible for the failure of primary stabilization. A thorough evaluation by detailed history, clinical exam and radiological imaging to explore the causes of failure and then performing the appropriate procedure addressing the causative factor is the key to a successful outcome. Various surgeries have been described in the literature to address the capsulo-labral as well as the bony defects responsible for recurrence. This review article focuses on the etiopathology, evaluation methodology and different surgical treatments available to address the problem of recurrence after primary stabilisation.

Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research