Our Summary

Shoulder dislocation is a common injury that usually affects the front part of the shoulder. There are several ways to fix a dislocated shoulder, sometimes using anesthesia, sometimes without. This research paper looks at a method developed by Prakash for fixing dislocated shoulders without anesthesia.

The study was done from March 2018 to February 2020 at Tata Main Hospital in Jamshedpur, where they looked at over 100 shoulders that fit their criteria. They found that this new method worked on almost 98% of the cases without needing any anesthesia. More patients had right-sided shoulder dislocation than left-sided. In 91% of the patients, the shoulder was fixed on the first try. A second attempt was needed in about 8% of the cases. There were no complications reported.

In conclusion, Prakash’s method is a simple and effective way to fix a dislocated shoulder without the need for anesthesia. The researchers recommend that doctors and emergency care providers learn this technique.

FAQs

  1. What is the Prakash’s method for fixing dislocated shoulders?
  2. What percentage of the cases were successfully treated using Prakash’s method, according to the study?
  3. What is the recommendation of the researchers to doctors and emergency care providers?

Doctor’s Tip

One helpful tip a doctor might tell a patient about shoulder replacement is to follow the post-operative instructions carefully. This may include doing physical therapy exercises, avoiding certain movements or activities, and taking prescribed medications as directed. By following these instructions, the patient can help ensure a successful recovery and optimal functioning of the shoulder replacement.

Suitable For

Patients who are typically recommended for shoulder replacement surgery are those who have severe shoulder pain and stiffness that affects their daily activities, have not responded to conservative treatments such as physical therapy or medications, have significant loss of function in the shoulder joint, have arthritis in the shoulder joint, have a fracture in the shoulder joint that cannot be repaired, or have a torn rotator cuff that cannot be repaired. Additionally, patients who have tried other surgical procedures that have not been successful may also be recommended for shoulder replacement surgery. It is important for patients to discuss their individual case with their healthcare provider to determine if shoulder replacement surgery is the best option for them.

Timeline

Before shoulder replacement:

  1. Patient experiences shoulder pain, stiffness, and limited range of motion.
  2. Patient undergoes physical therapy, cortisone injections, and other conservative treatments to manage symptoms.
  3. If conservative treatments are not effective, patient may be referred to an orthopedic surgeon for further evaluation.
  4. Orthopedic surgeon determines that shoulder replacement surgery is necessary due to severe arthritis, rotator cuff tear, or other shoulder conditions.

After shoulder replacement:

  1. Patient undergoes pre-operative evaluation and preparation for surgery.
  2. Shoulder replacement surgery is performed, either as a total shoulder replacement or a partial shoulder replacement.
  3. Patient stays in the hospital for a few days for post-operative care and monitoring.
  4. Patient undergoes physical therapy and rehabilitation to regain strength and range of motion in the shoulder.
  5. Patient gradually resumes normal activities and experiences improved shoulder function and reduced pain.
  6. Long-term follow-up appointments are scheduled to monitor the success of the shoulder replacement and address any complications that may arise.

What to Ask Your Doctor

Some questions a patient should ask their doctor about shoulder replacement include:

  1. What are the reasons for recommending a shoulder replacement surgery?
  2. What are the benefits and risks of shoulder replacement surgery?
  3. What is the expected recovery time and rehabilitation process after the surgery?
  4. Are there any alternative treatments or therapies that could be considered before opting for shoulder replacement?
  5. How experienced are you in performing shoulder replacement surgeries?
  6. What type of shoulder replacement procedure do you recommend for my specific condition?
  7. What are the potential complications or side effects of the surgery?
  8. How long will the shoulder replacement last and what is the expected outcome in terms of pain relief and function?
  9. What type of post-operative care and follow-up appointments will be necessary?
  10. Are there any specific lifestyle changes or precautions I should take after the surgery to ensure a successful outcome?

Reference

Authors: Laik JK, Kaushal R, Rajak M, David V, Kumar R, Sarkar S. Journal: Cureus. 2023 Jan 8;15(1):e33497. doi: 10.7759/cureus.33497. eCollection 2023 Jan. PMID: 36756027