& Capsule Repair
The Shoulder Is One of the Most Movable Joints in the Body
While the shoulder has a high range of motion, it is an unstable joint
because of that exact reason. It is easily subject to injury because the
ball of the upper arm is larger than the shoulder socket that holds it.
Because the bones provide little inherent stability to the shoulder joint,
it is highly dependent on surrounding soft tissues such as capsule ligaments
and the muscles surrounding the rotator cuff to hold the ball in place.
Some shoulder problems arise from the disruption of these soft tissues
as a result of injury or from overuse or underuse of the shoulder. Other
problems arise from a degenerative process in which tissues break down
and no longer function well.
Treating Shoulder Conditions Involving Surrounding Muscles & Tendons
For shoulder conditions involving the surrounding muscles and tendons,
such as a torn or diseased rotator cuff or a labral tear, a minimally
invasive shoulder arthroscopy procedure is usually recommended. Orthopedic
surgeons perform arthroscopic ligament and capsule repair through a tiny
incision into which a small scope is inserted to observe the inside of
Arthroscopic techniques involving the shoulder are relatively new and highly
technical. They are best performed by a surgical team that performs this
surgery often. At HOI, you will find that the orthopedic surgeons and
the entire team are trained in leading edge shoulder surgery.
Performing Surgery to Correct Bankhart Lesions
Your orthopedic surgeon may determine that a recurrent dislocating shoulder
or shoulder separation is an injury severe enough to require surgery.
Injuries where part of the ligaments and capsule of the shoulder are pulled
away from the bone are called Bankhart lesions.
Surgical techniques are aimed at fixing this problem and also at tightening
up the ligaments of the shoulder that have been stretched or torn by the
dislocation. Repairing the torn capsule and ligament back to the bone
is called a Bankhart repair, and tightening the capsule of the shoulder
is called a capsular shift. All of these procedures can be done with arthroscopic
What to Expect After a Procedure
When your shoulder surgery is arthroscopic, the size of the surgical scar
will be smaller and the amount of pain after the operation will be less.
Rehabilitation will be quicker as well. The amount and type of movement
that you will be allowed to do following surgery will depend on the procedure
that was done. Usually, at least six weeks of recovery time are required.
In general, activities will be limited and gradually increased until the
range-of-motion and strength in the repaired shoulder is equal to that
of the other arm. In some cases, you may be able to return to light work
within a few days. During your recovery period, you will be asked to conform
to an exercise program set by the Hoag physical therapy team and your
doctor as you continue to strengthen the shoulder.
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