Shoulder instability occurs when the shoulder joint becomes dislocated or comes out of its socket. This can be a painful and ...

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Shoulder Instability: Causes, Treatment &amp; Recovery

[Music] hi I'm Dr kushalappa shoulder and elbow consultant at Nar health bangalo and today I'm going to be talking about shoulder instability shoulder instability is a condition in which the shoulder joint dislocates or basically comes out of socket now the shoulder joint in general is a ball in a socket joint and it is quite amazing in the sense that it's it's a very small socket in which a very small ball sits and this gives us a large range of motion but at the same time we're able to keep the joint in place while doing heavy sort of activities consider playing badminton consider lifting weights overhead and this is all achieved through the ligaments that we have that provide a static stability and also the muscles that we have that provide us Dynamic stability now shoulder instability is condition in which there is a compromise in this static stability now the compromise in the static stability can result from a number of reasons the most common being a trauma so let's say you have a fall and after you have a fall you dislocate your shoulder now that results in a tearing or damage to the ligaments in the front of the shoulder and hence the shoulder comes out the front of the joint now when this happens it results in what we call a bankard lesion and as the shoulder comes out of joint the head tends to impact back onto the socket resulting in what we call Hill sax Legion and this in combination compromises the stability of your shoulder joint the same situation can happen in the posterior Direction which most commonly happens in patients who have a seizure disorder so when you have a seizure and you have a fit that's bit uncontrollable your shoulder has a tendency to come out the back of the shoulder resulting in a reverse Bank cut or reverse Hill sax lesion as well now when we look at shoulder instability we try and manage the patient at as a whole and we classify the risk or we look at the risk stratification to understand the risk you have to dislocate your shoulder in the future once again and we look at multiple parameters such as age we look at the side that you've dislocated whether it's your dominant or non-dominant side we look at gender as well and we look at your your occupational demand as and in addition to that your activity demand taking all of these things into consideration we at Nar come with a treatment plan for you and that might be something as simple as physiotherapy which is aimed at regaining your movement and regaining your stability stability by by taking or harnessing your Dynamic stability which is your muscles or it may require you to undergo a surgical procedure now based on the kind of injury you have this surgical procedure might be Keyhole or arthoscopic or it might be open or reconstructive in a keyhole procedure our main goals are to basically take the tissue that you've torn and put them back to where they are where they meant to be this requires a period of rest which is roughly about 6 weeks that you you take relatively ease in your activities followed by extensive rehab and we aim to get you back to your spot roughly in around 6 months time in terms of an open procedure we're doing something that we classify as non-anatomic in which we're taking a piece of bone from the front of your shoulder and changing the position which is called a lat latj procedure and in this procedure we give you good stability to your shoulder and make it near indestructible and send you back onto your sporting Journey going forward that's our goal at Nar to get you back onto your feet and onto the field and have an active lifestyle [Music]

Dr.

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