Our Summary

This study discusses a surgical procedure for treating posterior shoulder instability, a condition that affects 2-10% of shoulder instability cases. This condition often arises due to repetitive minor injuries rather than a single traumatic event, and involves damage to the posterior capsulolabral complex, a part of the shoulder joint.

The surgery aims to repair and rebuild the damaged tissue in the shoulder. The procedure involves first diagnosing the extent of the damage, then preparing the shoulder for surgery. The repair involves securing the damaged tissue with a suture anchor, a type of surgical fastener. This is done using a special curved guide and a variety of tools, including an arthroscope, a small camera used to view the inside of the joint, a suture lasso, and a monofilament, a type of thin thread used in surgery.

The study found that this surgery was effective in improving shoulder stability, reducing pain, and improving function. In a group of 200 patients who were followed for three years after the surgery, 90% were able to return to sports, and 64% were able to return to their previous level of performance. The failure rate of the surgery was low, at 6%.

In conclusion, this surgical procedure is a reliable way to manage and treat posterior shoulder instability. The authors confirm that they have obtained the necessary consent from any patients included in the publication.

FAQs

  1. What is the purpose of the surgical procedure discussed in the study?
  2. How effective was the surgical procedure in treating posterior shoulder instability according to the study?
  3. What tools are used during the surgical procedure to repair and rebuild the damaged tissue in the shoulder?

Doctor’s Tip

One helpful tip a doctor might tell a patient about labral repair is to follow the post-operative rehabilitation plan carefully. This may include physical therapy exercises to regain strength and range of motion in the shoulder, as well as avoiding certain activities that could put strain on the repaired tissue. Following the rehabilitation plan will help ensure a successful recovery and optimal outcomes from the surgery.

Suitable For

Patients who are typically recommended labral repair are those who have posterior shoulder instability, which is often caused by repetitive minor injuries. These patients may experience symptoms such as shoulder pain, instability, and limited range of motion. Labral repair surgery may be recommended for patients who have not responded to conservative treatments such as physical therapy or medication. Additionally, patients who are active in sports or activities that put strain on the shoulder joint may benefit from labral repair to restore stability and function to the shoulder.

Timeline

  • Before labral repair: The patient experiences symptoms of posterior shoulder instability, such as pain, weakness, and limited range of motion in the shoulder. They may undergo diagnostic tests, such as MRI or arthroscopy, to confirm the extent of the damage to the posterior capsulolabral complex.

  • During labral repair: The patient undergoes surgery to repair the damaged tissue in the shoulder. The surgeon uses a variety of tools, including an arthroscope, suture lasso, and suture anchor, to secure the tissue in place. The procedure typically takes a few hours and is performed under general anesthesia.

  • After labral repair: The patient goes through a period of rehabilitation and physical therapy to regain strength and range of motion in the shoulder. They may need to wear a sling for a period of time and follow a specific exercise regimen to facilitate healing. Over time, the patient should experience improvements in shoulder stability, pain reduction, and overall function. Many patients are able to return to sports and previous levels of performance within a few months to a year after surgery.

What to Ask Your Doctor

  1. What is the specific type of labral repair procedure that will be performed on my shoulder?
  2. What are the potential risks and complications associated with this surgery?
  3. What is the expected recovery time and rehabilitation process following the surgery?
  4. How successful is this surgery in terms of improving shoulder stability, reducing pain, and restoring function?
  5. Are there any alternative treatment options available for my condition?
  6. How many times have you performed this specific type of labral repair surgery?
  7. What is the expected outcome in terms of returning to sports or previous levels of activity?
  8. What kind of post-operative care and follow-up appointments will be necessary?
  9. Can you provide me with any resources or information to help me better understand the procedure and what to expect?
  10. What are the long-term implications of undergoing labral repair surgery for posterior shoulder instability?

Reference

Authors: Nammour MA, James M, Arner JW, Bradley JP. Journal: Video J Sports Med. 2023 Jul 25;3(4):26350254231178325. doi: 10.1177/26350254231178325. eCollection 2023 Jul-Aug. PMID: 40308662