Shoulder Instability

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If you are experiencing recurrent shoulder dislocations or chronic shoulder instability, surgical treatment may be the solution you need. Contact Dr. Boltuch’s office today to schedule a consultation and take the first step towards a stable and pain-free shoulder.

Shoulder Instability: Regaining Stability and Preventing Recurrent Dislocations

Understanding Shoulder Instability

The shoulder is a remarkably complex joint, offering a greater range of motion than any other joint in the body. This extensive mobility, however, comes with a trade-off: reduced stability. The shoulder relies heavily on surrounding structures, including the labrum and rotator cuff, to maintain stability. Dislocations often result in injuries to one or both of these structures, leading to shoulder instability.

When to Consider Treatment for Shoulder Instability

There is ongoing debate about the necessity of surgery following a single shoulder dislocation. However, research indicates that younger, more active individuals are at a higher risk of recurrent dislocations. Furthermore, repeated dislocations can significantly increase the likelihood of developing late shoulder osteoarthritis and bone loss in both the humeral head and the glenoid (socket) of the shoulder.

What is Shoulder Instability?

Shoulder instability occurs when the shoulder joint is prone to dislocation or feels loose. This condition can result from injuries to the labrum, rotator cuff, or other stabilizing structures of the shoulder. For patients experiencing recurrent shoulder dislocations, surgical intervention is often recommended to repair these structures and stabilize the shoulder.

Surgical Treatments for Shoulder Instability

Labral Repair: This procedure involves reattaching the torn labrum to the shoulder socket using anchors and sutures. It aims to restore the normal anatomy and stability of the shoulder joint.
Bone Augmentation: In cases where there is significant bone loss, adding bone to the socket (glenoid) can provide additional stability. This procedure often involves grafting bone from another part of the body or using synthetic materials.

Post-Operative Recovery

Recovery from shoulder instability surgery involves several phases:

Phase 1 (0-6 Weeks): The shoulder is immobilized in a sling to allow for proper healing. Gentle passive movements and physical therapy may be initiated to prevent stiffness.
Phase 2 (6 Weeks – 3 Months): Gradual increase in range of motion exercises and the introduction of light strengthening exercises.
Phase 3 (3 Months – 4 Months): Continued strengthening and functional exercises to improve the use of the shoulder in daily activities.
Phase 4 (4 Months – 6 Months): Return to play.

Why Choose Dr. Andrew Boltuch for Shoulder Instability Treatment?

Expertise in Upper Extremity Surgery: Dr. Boltuch’s extensive experience and specialization in shoulder and elbow surgery make him a trusted choice for treating shoulder instability.
Personalized Treatment Plans: Dr. Boltuch develops customized treatment plans tailored to each patient’s unique needs and goals.
Advanced Surgical Techniques: Utilizing the latest advancements in orthopedic surgery, Dr. Boltuch ensures optimal outcomes for his patients.
Comprehensive Care: From initial consultation through post-operative rehabilitation, Dr. Boltuch and his dedicated team provide continuous support and guidance to ensure a smooth recovery process.

Common Conditions Treated with Shoulder Instability Surgery

Recurrent Shoulder Dislocations
Labral Tears
Bankart Lesions
Hill-Sachs Lesions
Chronic Shoulder Instability
SLAP Tear
Posterior Instability