What is Shoulder Instability?
Shoulder instability refers to a condition in which the ‘ball and socket’ joint of the shoulder is not held securely in place, resulting in a feeling of looseness or a sensation that the shoulder wants to ‘pop out’.
This can be caused by various factors, including traumatic injury (e.g., a fall or sports-related injury), repetitive strain, or an underlying medical condition such as connective tissue disorders or laxity in the ligaments and tendons that support the shoulder joint.
Symptoms of Shoulder Instability
Pain
Popping or clicking sensation
Sensation of looseness or weakness in the shoulder
Recurrent episodes of dislocation or subluxation (partial dislocation) of the shoulder.
How is Shoulder Instability Diagnosed?
Our orthopaedic specialist will perform a physical examination to assess the range of motion in your shoulder and arm, as well as to check for tenderness and swelling. Imaging tests, including an X-ray, may be conducted to identify any potential causes of instability and pain, such as fractures.
Additionally, an MRI scan may be used to provide detailed images of your shoulder tendons and ligaments for further evaluation.
Treatment Options for Shoulder Instability
Treatment for shoulder instability depends on the severity of the injury, the individual’s age, overall health, and activity level, and the underlying cause of the instability. Conservative treatments such as rest and a short period of immobilization, physical therapy, and non-steroidal anti-inflammatory medications may be effective in reducing symptoms in some cases.
In more severe cases or where non-surgical (conservative) management fails, Shoulder Stabilisation Surgery will be necessary to repair damaged ligaments and other soft tissue structures. This is usually performed using Arthroscopy (key-hole procedure). In cases where there is loss of bone, a bone transfer procedure (e.g, Latarjet) may be necessary with screws or buttons and sutures.
At Total Orthopaedic Care & Surgery, our preferred method for the Latarjet procedure is the use of buttons and sutures to stabilise the bone transferred.
Latest button stabilization technique
Recovery and Rehabilitation
Rehabilitation after surgery typically involves physical therapy to restore strength, range of motion, and function in the shoulder joint. It is important to work closely with your orthopaedic specialist to develop a treatment plan that is appropriate for your individual needs and goals. With proper treatment and rehabilitation, most people with shoulder instability can return to their normal activities within a few weeks to months.
If you suspect you have shoulder instability, make an appointment with an orthopaedic specialist at Total Orthopaedic Care & Surgery for a detailed assessment of your condition.
