A shoulder dislocation occurs when the head of the upper arm bone (humerus) slips out of the shoulder socket (glenoid). The shoulder joint, known for its wide range of motion, is the most commonly dislocated joint in the human body. While this mobility is beneficial, it also makes the joint more vulnerable to dislocation and instability. If you've had a traumatic injury, fall, or repeated episodes of shoulder slipping out, it's time to consult a specialist. Dr. Chintan Desai, an experienced orthopedic shoulder surgeon in Mumbai, provides personalized care for both first-time and recurrent shoulder dislocation cases using minimally invasive and arthroscopic techniques.

Recurrent Shoulder Dislocation in Mumbai

A recurrent shoulder dislocation occurs when the shoulder joint repeatedly slips out of its socket after an initial dislocation. This typically happens due to weakened or torn ligaments, damaged labrum, or muscle imbalance following the first injury. Over time, the shoulder becomes unstable and more prone to slipping out even during routine activities.

Recurrent dislocations can significantly affect your quality of life, limiting your ability to lift, throw, or even sleep comfortably. If you've experienced multiple dislocations, it's crucial to seek specialized care to prevent further damage.

Dr. Chintan Desai, a renowned orthopedic shoulder surgeon in Mumbai, offers advanced, minimally invasive treatment for recurrent shoulder instability using arthroscopic techniques.

Causes of Recurrent Shoulder Dislocation

Several factors increase the likelihood of repeated dislocations:

• Age: Young adults (especially under 25) are more prone to recurrence after the first dislocation.
• Improper Healing: Inadequate rest or rehab after the initial injury can lead to weak ligaments.
• Labral Tears (Bankart Lesion): Damage to the cartilage ring around the socket weakens joint stability.
• Loose Ligaments: Genetic conditions like hypermobility make dislocations more frequent.
• High-impact Activities: Sports like football, cricket, swimming, and volleyball place repeated stress on the shoulder joint.
• Missed or Delayed Treatment: Ignoring symptoms or delaying medical care increases the risk of chronic instability.

Signs and Symptoms of Recurrent Shoulder Dislocation

If you suffer from recurrent shoulder dislocation, you may experience:

• A sensation of the shoulder "slipping out" or instability
• Shoulder pain or discomfort during overhead motion
• Repeated dislocations even with minor activities
• Clicking or catching sensations inside the shoulder
• Weakness and loss of strength in the shoulder
• Difficulty sleeping on the affected side

Types of Recurrent Shoulder Dislocation Surgeries

1. Arthroscopic Bankart Repair

• Ideal for: Patients with minimal to no bone loss.
• Procedure: Reattaches the torn labrum (Bankart lesion) to the glenoid (shoulder socket) using anchors and sutures.
• Benefits: Minimally invasive, faster recovery, minimal scarring.

2. Latarjet Procedure

• Ideal for: Patients with significant glenoid bone loss or failed Bankart repairs.
• Procedure: Transfers a piece of the coracoid bone (with attached tendons) to the front of the glenoid to act as a bone block and dynamic sling.
• Benefits: Very effective for preventing recurrent dislocations, especially in athletes or contact sport players.

3. Remplissage Procedure

• Ideal for: Patients with engaging Hill-Sachs lesions (a bony defect on the humeral head).
• Procedure: Fills the defect using the infraspinatus tendon and posterior capsule, performed arthroscopically alongside Bankart repair.
• Benefits: Prevents engagement of the defect with the glenoid rim during movement, adds posterior stability.

Recovery & Rehabilitation of Recurrent Shoulder Dislocation

Post-surgical care includes:

• Wearing a sling for 2–4 weeks
• Gradual physiotherapy to regain motion and strength
• Return to non-contact activities in 6–8 weeks
• Full return to sports in 4–6 months (depending on healing)

Shoulder dislocation is a common condition in athletes. The shoulder dislocates anteriorly (most common) when the arm is pulled in abduction and external rotation.

The first time a shoulder dislocates, it tears the supporting structure called the labrum of the shoulder. This tear is called a Bankart tear. A tear in the labrum does not heal itself and hence patients have recurrent shoulder dislocations. If the shoulder dislocates often, the bankart tear size increases and then the socket bone also breaks. This is then called a Bony Bankart lesion.

A depression develops on the back of the humeral head as a result of the dislocation. This is called a Hill Sach's lesion.

If left alone, 70 % of the shoulders will have recurrent dislocations when the arm goes in abduction and external rotation.

In order to prevent shoulder dislocation, the best treatment is shoulder arthroscopy and bankart repair.

Dr. Chintan Desai is the best shoulder arthroscopy surgeon in mumbai. He is trained in the best techniques for shoulder arthroscopy and bankart repair. He performs the KNOTLESS BANKART REPAIR.

After repair, most patients resume normal activities in 3 - 4 months.