I dislocated my right shoulder 5 days ago as I was hitting a bag during Tae Kwon Do training. It is the first time it happens. A few prior occasions I felt the joint moving more than usual(subluxation) after hitting the bags at an extreme force.
I have never had any problems with this shoulder. I used to play volleyball as I was growing up and did play some collegiate and professional level. Again, I never developed any problems. I guess that constant overhead repetitive motion and overstretch likely played a factor with my recent shoulder event.
Going back to the injury, I was taken to the ER and was given IV sedation and the shoulder was placed back in position.(1/2 to1hr since incident) This was a saturday. I was placed on a splint and sent home. I weared the splint for 1 day but decided to take it off as it was causing more pain. The pain was very significant during those few hours after the injury. I took Ibuprofen 600mg 3 time a day. Sunday I took the splint off due to the discomfort and pain I was having by maintaining the arm in that position. The pain was somehow better under control without the splint.
On monday, I went for an MRI which revealed a Hills-sach fracture with a Labral tear. I saw the Ortho doctor( well know sports medicine doctor in the area) on that same day and he recommended surgery immediately as the likelyhood of suffering another dislocation is above 85%. He said that if further dislocation occurs it can damage further the labrum and the head of the humerus and can be converted in a more serius injury.
The next day(tuesday) I had a Shoulder MRI with contrast which shows the Hill sach fracture, diffuse anterior inferiur labral tear and also a SLAP tear which was not seen on the previous MRI. The rotator cuff as well as the bicep tendon were intact. The glenoid bony structure was also intact.
On tuesday(that afternoon), I saw another sports med doctor(Ortho) as a second opinion and he pretty much confirmed the damage but recommended 3 months of waiting period and to stay away from any major activity and that if the pain continues or if the shoulder again dislocate then surgery is recommended.
Today, Wednesday(5 days after the injury) I am still unsure as to what step to follow. I am 37 years of age active person, I have twins 5 year old boys and a baby boy 8 months old. I want to be able to play sports with the kids in the future and be able to carry them and do all those father-son activities.
I know that if I do any of those things it is very likely that the shoulder will again dislocate and can cause more damage to the other shoulder structures(like the rotator cuff, bicep tendon and humerus),
I am inclining towards surgery as I was told that the risk of dislocation after surgery drops to 5-10% on very active individuals. I was told that the surgery is a arthroscopic procedure which is considered a minimally invasive. However, the doctor told me he will likely use several anchors to correct the tears. I am very fearful of the anchors. Does anybody have any experience with the anchors?
The post-op recovery will consist of 3-4 weeks on a special inmobilizer followed by rehab. It can take up to 6 months of therapy and strengthening before I can do any major thing like playing tennis or go swimming. This is a long time as I can play with the kids or even hold them or grap them. MAJOR DOWNSIDE.
Any experience with surgery not involving rotator cuff repairs? I might endep up getting a labral and SLAP repair as well the rest that is needed for a typical anterior joint dislocation.
THanks for listening. I am just concern with those anchors and how much pain I will be after surgery.
It is common for young patients to dislocate their shoulders without involving the rotator cuff. Rotator cuff injuries are seen much more commonly in the elderly population.
Though the best treatment of first time dislocations in young patients is still controversial, most sportsmedicine surgeons recommend surgery for any patient who wants to stay active.
It sounds like you have a soft tissue labral tear, rather than a bony Bankhardt lesion. The soft tissue tears are very amenable to arthroscopic repairs. Suture anchors have been used for many years, and have made arthroscopic surgery possible. Without the anchors, most repairs would have to be done open.
So, if you want to stay active, you should probably opt for the surgery. You will still have to do extensive rehab after the surgery, but the rate of dislocation is supposedly lower with surgery.