Shoulder is a unique joint to have a 360-degree range of motion. The Humeral head makes a joint with a socket – called the glenoid. The shape of this socket is flat with the surrounding labrum making it deep. The labrum tissue of the shoulder joint is the thickened part of the shoulder capsule which makes the socket deep and has all the nerve endings with connection to the brain for the joint position sense of the joint. This joint position sense from the brain makes the shoulder joint always centric during the motion of the shoulder joint. The 360-degree range of the shoulder joint is possible due to inherent laxity in the joint. This arrangement makes it a highly mobile joint of the body which is essential for all day-to-day activities of the upper limb. But the laxity and mobility of this joint renders it prone for joint dislocation unlike other deep-seated joints of the body example the hip joint. Joint dislocation means that the head of the humerus comes out of the socket of the shoulder joint. This happens when the force of Abduction and External rotation is applied to the head of the humerus. Meaning when the arm is lifted and is at or above the shoulder joint, example when you are trying to throw a ball. In this position of abduction and external rotation the joint can get dislocated if the force applied in this position is greater than what the shoulder joint can sustain. This can happen during a fall, accident or while playing a sport with the arm in abduction and external rotation.

Shoulder Joint dislocation is a very violent movement of the joint causing the stabilizing ligaments of the shoulder joint to tear. The shoulder dislocation causes anterior labral tear along with injury to other structures. The force of dislocation can also at times cause fracture of the Humerus head or more frequently indentation in to the head of the humerus called the Hill Sach’s lesion. This is a sign of how violent the force is, causing the head to collapse at a localized area. Since this is a permanent insult to the head of the humerus, this further causes the head to engage with the socket every time the head is lifted and taken beyond a certain range. The patient with this pathology of the shoulder joint starts to feel apprehensive about the joint feeling loose or unstable in this position. The Fracture can also be seen at the anterior margin of the socket – called the glenoid. In anatomical terms it is called Bony Bankart. People with this kind of injury to the shoulder joint are prone to easily dislocate their joints with mild provocative maneuver of the shoulder joint. Especially the patients with history of dislocation before 20 years of age have been found to have recurrent episodes of shoulder dislocation due to the above explained factors.

Shoulder joints can dislocate in the elderly people due to a different mechanism of the injury to the shoulder. In the elderly people if the fall or jerk to the shoulder causes them to dislocate then the likely cause is tear of their Rotator cuff. This tear of the Rotator cuff causes a permanent tent through which they easily dislocate in a provocative position of the shoulder joint. This position of abduction and external rotation meaning the position of the arm like you are throwing a ball causes the head to escape through the tent of the torn rotator cuff to dislocate. This process can become recurrent and cause further damage to the surrounding structures of the joint.

Dr. Vishwadeep Sharma is a renowned orthopedic surgeon in Delhi specializing in shoulder dislocation treatment. His approach involves a comprehensive evaluation of the patient's condition, followed by personalized treatment plans tailored to each individual's needs. With extensive experience in shoulder dislocation surgery, Dr. Sharma emphasizes the importance of minimally invasive techniques to promote faster recovery and better outcomes for his patients.

Role of Arthroscopy in treatment of shoulder dislocation

If the shoulder dislocation becomes recurrent, with a constant fear of the joint feeling loose or unstable then there is a role for arthroscopy in these joints.

Arthroscopy is a key hole surgery where a small scope is inserted into the joint cavity which is attached to a camera. With arthroscopy you can visualize each structure of the shoulder. In the shoulder joint with dislocation the structure which is torn, especially the labrum tissue is re-attached to the margin of the socket-Glenoid called Bankart Repair. This restores the normal mechanics of the shoulder joint. Once the attached Labrum heals on to the face of the glenoid the normal joint position sense of the joint is communicated to the brain via the re-established channel. This restoration of the normal function is possible through a small incision surgery with just a day of stay in the hospital with fast rehab and return to a normal lifestyle. But it is a process followed over many weeks to avoid any complications later.

Advances in the technique of this procedure have drastically happened over the last decade with more and more latest techniques added over the last few years. Among them, procedures like Remplissage for the Hill’s Sachs Lesion are getting more and more established. This Procedure is done to fill the defect on the humerus head. This defect or crater(for understanding) in the head of the humerus is filled with the posterior capsule and the tendon of the infraspinatus. Every technique is done by a specialist shoulder surgeon with training in the same.

Bone Block procedure is also a procedure for the shoulder joint dislocation cases with bone loss in the socket- Glenoid side. This procedure can be done arthroscopically with a patient’s own bone from another body part. The bone block is cut and contoured to match the anterior aspect of the glenoid and fixed with either screw or loop devices.

Shoulder Dislocation Treatment in Delhi

Shoulder dislocation can be a painful and debilitating injury, requiring prompt and expert treatment to ensure full recovery. In Delhi, patients have access to top-notch medical care for shoulder dislocation, including advanced surgical options. Dr. Vishwadeep Sharma is one of the leading orthopedic surgeons in Delhi specializing in shoulder dislocation surgery, offering innovative and minimally invasive techniques to restore shoulder function.

With a focus on patient-centered care, Dr. Vishwadeep Sharma utilizes state-of-the-art technology and personalized treatment plans to address each patient's unique needs. His thorough approach includes accurate diagnosis, comprehensive preoperative evaluation, and follow-up care to optimize recovery outcomes for his patients. Through his expertise in arthroscopic shoulder surgery and joint preservation techniques, Dr. Vishwadeep Sharma can provide effective solutions for even complex cases of shoulder dislocation.

Shoulder Dislocation Surgery in Delhi

Shoulder dislocation is a common injury that often requires surgical intervention for long-term stabilization and function. When conservative treatments such as physical therapy and rest are not effective in preventing recurrent dislocations, surgical options may be considered. One of the most common surgical procedures for shoulder dislocation is known as arthroscopic stabilization. This minimally invasive surgery involves repairing or tightening the torn or stretched ligaments and soft tissues around the shoulder joint to improve stability.

This minimally invasive procedure, performed by skilled surgeons like Dr. Vishwadeep Sharma, offers a promising solution for those suffering from shoulder pain and limited mobility. With small incisions and the use of a tiny camera, arthroscopic surgery allows for precise diagnosis and treatment of various shoulder conditions such as rotator cuff tears, labral tears, and shoulder instability.

One of the key benefits of arthroscopic shoulder surgery is its ability to minimize tissue damage and reduce recovery time compared to traditional open surgeries. Additionally, this advanced technique enables surgeons like Dr. Vishwadeep Sharma to focus on repairing specific issues within the joint without disrupting surrounding healthy tissue. As a result, patients can experience faster healing and rehabilitation following their procedure, getting back on track with their daily routines in a shorter time frame.

If you are looking for a Shoulder Dislocation treatment in Delhi, schedule an appointment with Dr. Vishwadeep Sharma today.

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