The shoulder can be better centered in the joint through special strength training exercises. Most instabilities are caused by inadequate and, above all, unevenly trained muscles. This cause should therefore always be addressed.
We recommend twice-weekly physiotherapy in combination with a home training program.
Acupuncture can be used very well as supportive pain therapy and to reduce the tendency to swell in osteoarthritis.
1x - 2x per week for 10 weeks
During the operation, the injured joint lip is reattached in a minimally invasive keyhole operation. As a rule, we can use self-dissolving bone anchors for this.
After the operation, the arm should be immobilized for 3-6 weeks. Intensive physiotherapy for strengthening usually begins after the 6th postoperative week and continues for 3-6 weeks until the patient is fully fit for sport again.
During the operation, the injured joint lip is reattached and the capsule and ligaments are tightened so that the shoulder is more stable again.
Thanks to particularly gentle surgical techniques, we can usually prevent secondary bleeding and thus avoid the need to insert a drain. We also use self-dissolving anchors so that no irritating components remain in the joint.
The small skin access points are closed with absorbable sutures (self-dissolving cosmetic sutures), so that painful suture removal after 10 days is not necessary.
The operation itself usually takes 45-60 minutes.
In most cases, we recommend short inpatient treatment for 1-2 nights.
A so-called pain block is often carried out before the operation, so that the nerves are anaesthetized for 24 hours. During this time, patients should remain in hospital for safety reasons.
This normally takes 6-12 weeks. The severity of the injury before the operation and the condition of the muscles play a decisive role here.
Due to the intensive physiotherapy and the corresponding outpatient rehabilitation, it is often necessary to reckon with a period of absence from work of between 6 and 12 weeks.
Sports that do not put a lot of strain on the shoulder, such as jogging, can be performed from the 6th week onwards.
For sports in which the arm is raised above 90°, breaks of up to 12 weeks may be necessary. We will be happy to advise you on this and create an individual weight-bearing plan for you.
Accident-related injuries in younger patients, such as injuries to the joint labrum or the tendons and ligaments due to dislocation of the shoulder, should be treated surgically.
This is irrespective of whether the patient plays sport or not, as the focus here is on preventing a renewed dislocation of the shoulder and the risk of premature osteoarthritis.
With today's special minimally invasive techniques, complications are extremely rare. The worst and extremely rare complication would be a joint infection.
As our arthroscopic surgery involves a great deal of fluid irrigation, infection practically never occurs. However, should this occur, an antibiotic would have to be administered. It may be necessary to irrigate the joint again.
There is normally no risk of major injury to the tendon, bone or nerves.
