FAQs on Arthroscopic Labral Repairs in Shoulder
Arthroscopic labral repair in shoulder is the most performed surgical process to treat shoulder labrum tears of which the common example is SLAP lesion. Arthroscopic Surgery allows faster and better labrum repair using less-invasive procedure and restoration of strength to the shoulder joint. Offering faster recovery, the method is widely used to treat shoulder labrum tears in athletes and sports persons.
What is arthroscopic labral repair in shoulder?
Arthroscopic labral repair in shoulder is a type of shoulder arthroscopy used to repair tears in the labrum of the shoulder. Though most of the labral tears heal with non-surgical treatment, the procedure is an alternative to repair severe labral injury and restore full joint function.
Arthroscopic shoulder labral repair ensures complete restoration of the damaged labrum and prevent shoulder instability by shifting stretched tissues in a less-invasive method.
What is shoulder arthroscopy?
Arthroscopy is a minimally invasive method that helps in the performing “a surgical procedure inserting a small a fiber-optic camera through small incisions.” In case of shoulder arthroscopy, the camera is put into the shoulder joint through a small opening to see the state of damaged tissues. Specialized equipment are inserted through another incision to repair or remove damaged tissues. It is commonly used to treat and repair labral tears, rotator cuff injury, bicep tendon injury, frozen shoulder syndrome, and subacromial decompression impacting the shoulder.
What is shoulder labrum tear?
Labrum is a fibrous tissue found in the shoulder socket. It completely surrounds the glenoid and acts as a shock observer while facilitating shoulder movement. Labral tears occur when the labrum is partially or completely torn or damaged due to shoulder dislocation, injury, direct trauma, degeneration, or repetitive activity. This results in shoulder joint pain, instability, and restricted use.
There are three types of labral tears that occur in the shoulder joint.
- SLAP tears where the bicep muscle is attached to the joint
- Bankart tears associated with shoulder dislocation
- Posterior labral tears near the rotator cuff
Who is a candidate for arthroscopic labral repair in shoulder?
You should consider arthroscopic labral repair in shoulder only when
- the labral injury is serious enough to impact your shoulder strength and movement severely
- failure of non-surgical treatment to repair the labral tear
- labral injury is frequent and bothering
How is arthroscopic labral repair in shoulder performed?
The patient is administered a nerve block. Then he or she was placed under general anesthesia. A small incision is made in the shoulder and a tiny fiber-optic camera is placed through it to make a comprehensive assessment of labrum damage. Other small incisions are made in the shoulder to insert specialized surgical equipment. Both repairing and tendon release are performed using these instruments.
When the labral tear occurs at the top of the joint socket, surgeons release the bicep tendons to reduce pain and popping sensation. Labral debridement is carried out to trim or knock of torn parts in case of SLAP lesions. For tears, the labrum is sewn back or its attachment with bone is restructured using suture anchors. All incisions are stitched and the shoulder was wrapped in a splint.
How long does arthroscopic shoulder labral repair take?
Arthroscopic labral repair in shoulder takes between 45 minutes to an hour. Patients are kept under observation for another hour or two and then discharged.
Do I need to stay at the hospital after arthroscopic labral repair in shoulder?
Patients are discharged within one or two hours following the procedure. However, they are barred from drive home immediately after the surgery and must make alternative arrangements to reach home.
Do I need rest after arthroscopic labral repair in shoulder?
Take rest for two to three days after the surgery. Wear a sling for at least a week to keep your shoulder joint off from any pressure. Use pain and nausea medication, if required, for a few days. No shower is allowed for three days.
What kind of rehabilitation is needed following arthroscopic labral repair in shoulder?
The rehab process depends on the type of procedure. Have post-operative physical therapy and follow general rehab guidelines as told by your doctor. Your physical therapy may include gentle mobility workouts in the second and third weeks. Then it progresses to strengthening exercises. You can do full range of motions with strength and flexibility only after the sixth week. Apply ice pad frequently for the first three days.
How long is the recovery period following arthroscopic labral repair in shoulder?
For at least a week following the arthroscopic labral repair in shoulder, patients are required to keep wearing a sling and limit shoulder joint movements. Recovery takes one to six months. Patients can start physical therapy from the second week after approved by their orthopedic surgeons. Patients return to normal activities in six to eight weeks. However, they have to wait for few weeks before participating in high intensity sports.
You can have light workouts in the second week and strengthening exercises after four to six weeks. Patients recover completely in four to six months.
What are the restrictions following arthroscopic labral repair in shoulder?
- Keep wearing a sling for at least a week
- Limit your shoulder movements for a week
- Ensure your dressed shoulder is clean and dry for at least the first three days
- Take shower only after 72 hours
- Avoid forward flexion, abduction, and shoulder rotation for three to four weeks
- Apply ice pad frequently in the first 72 hours
- Do not scrub your incisions
- Meet your surgeon after a week
What are the potential complications of arthroscopic labral repair in shoulder?
Rare complication may be associated with the surgery. It includes bleeding, injury to nerves and blood vessels, infection, inflammation, need for secondary surgery, and temporary stiffness. All these complications can be avoided by expert surgeons.
What are benefits of arthroscopic labral repair in shoulder?
Arthroscopic labral repair in shoulder is minimally invasive and highly effective. It has above 95% success rate in restoring shoulder joint strength and functions.
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