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Recurrent shoulder dislocation / subluxations can lead to labrum tears mostly anterio inferior labrum is involved with a contralateral lesion on the humeral head known as hill sachs lesion. Recurrent dislocations can lead to glenoid bone loss and percentage of glenoid bone loss is an important point while deciding the treatment of labrum tears
Dr. Satvir after thoroughly going through patient’s clinical history and examination, and studying the MRI and CT scan will chart out an individualized plan for the patient.
In cases of recurrent dislocation with minimal glenoid loss, we do an arthroscopic knotless labrum repair under general anesthesia and regional block.
In this technique the labrum is refixed to is native site with the help of advanced bio composite knotless suture anchors. This gives a strong fixation and helps is immediate accelerated rehabilitation of the patient. In these cases, we very carefully look out for hill sachs lesion, if a big hill sachs lesion is present, we do a simultaneous arthroscopic remplissage procedure to fill the defect. Carefully looking out for hill sachs lesion is very important as missing out on it can lead to failure of the labrum repair.
In case of recurrent dislocation with more than 25% glenoid loss, our preferred technique is an arthroscopic assisted laterjet procedure. In this the corocoid process is used to augment the glenoid and act as a bumper along with the conjoint tendon to prevent the dislocation of the shoulder.
Our post-operative rehab involves a accelerated programme for all cases of bankart repair. The patient is allowed to do passive and assisted exercises from day one Our goal is to achieve rom by 3 - 4 weeks followed by strengthening exercises and return to sports by 3 - 4 months.