How is an arthroscopic labral repair for shoulder instability performed?
A shoulder is considered “unstable” when it dislocates frequently or slips partially out of the joint – this is called a shoulder subluxation. When there is a labral tear, the shoulder can become painful and unstable. There is limited range of motion and patients are at a higher risk of dislocation. The specialists at The Shoulder Clinic of Idaho use new, arthroscopic surgical techniques to repair the torn labrum and restore shoulder instability.
During this procedure, the torn labrum is visualized with the use of an arthroscope, inserted through a small incision in the shoulder. The surgeon will clean up any scar tissue and rough edges of the labrum and prepare the bone of the socket (glenoid), then reattach the labrum to the bone. This is achieved with the use special implants called suture anchors. These anchors are made of different types of material (suture, metal, bioabsorbable material) and are inserted into the glenoid bone arthroscopically through small incisions. Each anchor has a suture that is used to reattach the labrum back to the bone. Multiple suture anchors are used to hold the labrum in place and to tighten the injured shoulder joint. The sutures hold the labrum permanently, however, to be successful and to avoid recurrence of a shoulder instability or labral tear problem, the labrum must heal directly to the bone of the socket (glenoid) in its normal position.
What happens after arthroscopic labral repair?
After an arthroscopic labral repair for shoulder instability, it is important to keep the shoulder immobile, in a sling, as determined by your surgeon at The Shoulder Clinic of Idaho. Patients in Boise, Meridian, Nampa and the surrounding communities of the Treasure Valley can expect to wear the sling for approximately 3-6 weeks. Pain medication will be prescribed and passive, range of motion exercises may begin. When the shoulder sling is removed, patients can begin active range of motion exercises of the shoulder and eventually, physical therapy with shoulder strengthening exercises. It is important that patients follow the shoulder rehabilitation protocol given by their doctor in order to achieve success with their arthroscopic labral repair for shoulder instability.
For additional information about arthroscopic labral repair for shoulder instability, or for a consultation about your shoulder pain symptoms, and instability, please contact The Shoulder Clinic of Idaho, serving Boise, Meridian, Nampa, and the surrounding communities of the Treasure Valley.