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In the simplest definition, a shoulder dislocation is an injury to the shoulder. The shoulder is made up of three bones – the collarbone, the shoulder blade, and the upper arm bone, the top of which is round like a ball. The round ball at the top of the upper arm is also known as the humerus and it fits into a cup-like socket in the shoulder blade. A shoulder dislocation occurs when the ball pops out of the socket. The ball can either be partially or completely be out of the pocket. A partial shoulder dislocation means only a part of the upper bone is out of the socket. Whereas, a complete shoulder dislocation means the ball is completely out of the socket.
Diagnosis by doctor
An experienced orthopedic doctor can tell my just physical examination if a shoulder is dislocated or not. Additionally, to confirm, the doctor may ask some general questions like:
Once the doctor gets clear answers to these queries and understands the cause of your symptoms, the doctor can chart your treatment course better.
The doctor may ask you to undergo some imaging tests like an x-ray or an MRI to get an idea of the extent of the injury. The imaging tests will not just show the extent of the injury but also if there are any broken bones. During a consultation, the orthopedic specialist may also check if you can move the shoulder in different directions, or feel any pain or numbness as you move the arm.
Involves spraining of the joint with no damage to the ligaments connecting the shoulder blade and the collar bone
A partial dislocation of the shoulder joint in which there may be some displacement that may not be obvious during a physical examination
Complete dislocation of the joint. The grade includes rupture of the acromioclavicular (a joint at the top of the shoulder) and coracoclavicular ligaments.
If Left Untreated
A shoulder dislocation mostly occurs while doing activities that involve forceful throwing, heavy lifting, or falling onto the widely opened arm or onto the shoulder. Irrespective of the reason, a dislocated shoulder can cause excruciating pain and lead to restricted joint motion.
If you experience painful symptoms at or around your shoulder joint, you should consult an orthopedic surgeon the earliest who can render the necessary treatment to fix the condition. Failure to get timely treatment can result in extensive damage to the shoulder.
Leaving shoulder dislocation untreated may result in:
Though arthroscopic bankart repair operation is very safe, in rare cases, it may be associated with complications such as:
Bankart surgery may also include risk associated with anesthesia. To minimize these risks, an experienced ortho specialist is likely to use special surgical techniques. The good side of these, however, is that all of these can be effectively managed if they are promptly identified and corrected. Wound infection may require a wash and antibiotic treatment. A nerve injury may require repair. Stiffness in the joint may require additional surgery. If the instability of the joint persists, the doctor may consider additional surgery.
A shoulder dislocation occurs when the ball of the shoulder pops out of the socket. The condition is usually painful and requires immediate medical assistance to place the ball back in its place.
A shoulder may get dislocated due to a traumatic event, some accident, or when the surrounding ligaments of the shoulder get stretched out too much.
Types of Surgery
There are different surgical options for shoulder dislocation repair. The orthopedic doctor generally suggests the best surgical treatment depending on the severity and location of the injury within the shoulder.
Total Shoulder Replacement Surgery – Total shoulder replacement surgery is also known as shoulder arthroplasty. The procedure removes the damaged parts of the shoulder joint and replaces them with artificial implants.
Cost of the Surgery
Bankart Repair Surgery – The cost of Bankart Repair Surgery in India ranges from INR 60,000 to INR 80,000.
Capsular Shift Surgery – The cost of Capsular Shift Surgery in India may cost anywhere between INR 65,000 to INR 95,000.
Total Shoulder Replacement Surgery – The cost of Total Shoulder Replacement Surgery ranges from INR 85,000 to INR 1,50,000 in India.
During the Surgery
Bankart shoulder repair surgery starts with the orthopedic doctor making small incisions around the shoulder region. The orthopedic doctor inserts a tiny camera to view the insides of the joint. Using small instruments, the doctor attaches the labrum to the glenoid bone. The orthopedic surgeon inserts small anchors into the bone and stitches to put the labrum in place. An arthroscopic bankart repair surgery involves the repair of the torn ligament via sutures called anchors. The procedure provides significant improvement in shoulder function with a low recurrence rate and increased shoulder stability.
Prepare for Surgery
To prepare you for a bankart surgery, the orthopedic doctor needs to be well informed about your health conditions, including the medicines, if you are taking any.
Recovery After Surgery
Benefits of Surgery
When a shoulder joint is dislocated, it can lead to a great deal of pain and discomfort. The shoulder may get unstable and injure the glenoid labrum. The goal of a bankart repair is to fix these problems associated with a dislocated shoulder.
Bankart repair can be performed by two procedures – open and arthroscopic bankart repair. While conventional open surgery may require long incisions and multiple stitches, an arthroscopic bankart repair involved quick healing and minimal scarring.
The benefits of arthroscopic bankart lesion repair surgery weigh far more than an open bankart surgery. Unlike open surgery, an arthroscopic bankart repair does not involve a long time for healing. Arthroscopic bankart surgery involves no major restrictions from regular activity and you can return to work sooner than any other surgical procedure. Other benefits of a bankart repair surgery involve smaller surgical incisions in the skin, lesser blood loss, shorter surgical duration, decreased rate of complications, and improved mobility of the shoulder.
“A Bankart repair is one of the minimally invasive, tissue-sparing treatment options to fix a dislocated shoulder. It is one of the best ways to increase the security and comfort of the shoulder, and ensure maximum mobility of the shoulder,” says one of the orthopedic specialists at Pristyn Care.
Yes. Most of the insurance providers in India cover orthopedic surgeries including bankart repair for shoulder dislocation. Several health insurance plans in India cover the cost of hospitalization, charges of the operation theatre, doctor’s consultation fee, the cost of the anesthesia, as well the cost of surgical implants. Additionally, there are insurance providers who provide the treatment coverage even if the surgery is done as a daycare procedure. All you need to do s check the terms and conditions, the term insured for the surgery, and the waiting period of the insurance policy. The exact details of insurance coverage depend upon the insurance policy of the individual. We accept most major health insurance plans including Star Health Insurance, New India Health Insurance, Bajaj Allianz, Religare, ICICI Lombard, etc, and also provide a No Cost EMI option to patients who need assistance with finances for a shoulder dislocation surgery.
Myth 1: A dislocated shoulder and a separated shoulder are the same things.
Fact: No, they are not. Although the two sound very similar to each other, they are two very different conditions. A shoulder dislocation is a condition in which the shoulder joint pops out of the socket. The condition can cause damage to the surrounding nerves and tissues. On the other hand, a separated shoulder does not hurt the shoulder joint but the shoulder blade and the collarbone.
Myth 2: A shoulder that has been dislocated once shall not be dislocated again.
Fact: If medical reports are to be believed, 50 percent of people with a dislocated shoulder suffer a recurrence of the condition. Over 90 percent of people have a recurrence of shoulder dislocation that occurs twice. Males aged 14 to 20 suffer from recurrence of shoulder dislocation in most of the cases. If a shoulder has been dislocated twice, it is crucial to undergo surgery in order to repair the damaged nerves and tissue.
Myth 3: Shoulder dislocation is common among people of all age groups.
Fact: In reality, only 1-3 percent suffer from shoulder dislocation in their entire lifetime. In most cases, the condition occurs in men aged 25-35 years. Elderly women, people involved in contact sports are prone to dislocating their shoulders, most often after falling. A shoulder dislocation should not be taken casually. The condition should be promptly treated by an experienced orthopedic specialist.
Pristyn Care is associated with the best ortho surgeons in India who have extensive years of experience in performing advanced bankart repair surgery. Some healthcare services and medical facilities provided at Pristyn Care are:
Bankart lesions are commonly caused due to trauma and sports injuries. It is very common for athletes to get a dislocated shoulder in their twenties. When a shoulder dislocates repeatedly, it can lead to a tear in the nearby labrum, called a bankart tear. Some possible causes for repeated dislocation of the shoulder joint and bankart lesions are:
Anchor sutures are spiral screws that are usually used for fixing tendons and ligaments to the bone. Depending on the patient’s need and the surgeon’s preference, they can be made of plastic, metal or a bio-dissolvable material.
After bankart surgery, a person can start playing sports again within 6-12 weeks after the surgery. However, it is advised to avoid lifting heavy objects and contact sports for at least 3 months to avoid the recurrence of the injury.
After the surgery, a person may have to wear a sling for the first 4-6 weeks after the surgery. Since the treatment is done via arthroscopic repair, the recovery is quick, the person can return to day-to-day activities within a few days.
Arthroscopic bankart surgeries repair have a 90-95% success rate, and people can resume daily activities, including sports, in 2-3 months. In general, a person can begin weight training 3 months after the surgery. However, complete internal recovery may take about 4-6 months
Non-surgical ways to heal a dislocated shoulder may include home remedies and lifestyle modifications.