Shoulder

Reverse Shoulder

Reverse shoulder surgery is a procedure commonly performed to address shoulder instability caused by a Bankart lesion, which is a tear or detachment of the labrum surrounding the shoulder socket (glenoid). This injury often occurs following a shoulder dislocation. During reverse shoulder surgery, the surgeon typically utilizes arthroscopy, making small incisions and using a camera for visualization. The torn labrum is then reattached to the glenoid using sutures or anchors, restoring stability to the shoulder joint. The primary goal of reverse shoulder surgery is to prevent recurrent shoulder dislocations and enhance overall shoulder function.

Key things to know before the surgery

Before undergoing reverse shoulder surgery, individuals should understand several key considerations to ensure informed decision-making. A comprehensive evaluation by an orthopedic surgeon is essential to determine the necessity of the procedure, typically indicated for shoulder instability caused by a Bankart lesion. It's crucial to comprehend the nature of the shoulder injury, the surgical procedure, and potential alternatives. Reverse shoulder surgery is often recommended after a shoulder dislocation to prevent recurrent instability. Patients should discuss with the surgeon the expected outcomes, potential risks, and the postoperative recovery process, including rehabilitation. Realistic expectations regarding the recovery timeline and the commitment required for postoperative rehabilitation are vital. While reverse shoulder surgery offers benefits in stabilizing the shoulder, individuals should actively participate in decision-making, maintain clear communication with the healthcare team, and gain a comprehensive understanding of the procedure and its implications for a successful recovery journey.

Surgery Overview

Reverse shoulder surgery is a meticulous procedure aimed at addressing shoulder instability caused by a Bankart lesion. Typically performed arthroscopically, the surgeon makes small incisions and uses a camera for visualization. After identifying the torn labrum, which is the ring of cartilage surrounding the shoulder socket, the surgeon carefully reattaches it to the glenoid using sutures or anchors. This process restores stability to the shoulder joint and aims to prevent recurrent dislocations. The use of arthroscopy allows for minimal invasiveness and quicker recovery. The surgeon may assess and address any additional damage to surrounding structures during the procedure. The success of reverse shoulder surgery hinges on factors such as the extent of the labral tear, surgical technique, and the patient's commitment to postoperative rehabilitation, which includes exercises to strengthen the shoulder and improve range of motion.

After Surgery

After undergoing reverse shoulder surgery, postoperative care is crucial for a successful recovery. Patients should diligently follow the surgeon's instructions, including prescribed medications, wound care, and scheduled follow-up appointments. Managing postoperative pain and swelling may involve medication and the use of ice. Adherence to the prescribed rehabilitation program is essential, involving a gradual progression of exercises to regain strength, flexibility, and stability in the repaired shoulder. Physical therapy plays a central role in guiding patients through the recovery process. It's imperative to follow any restrictions on shoulder movement outlined by the healthcare team and avoid activities that may strain the healing joint. Regular monitoring for signs of infection, implant stability, or unusual pain is important, and any concerns should be promptly communicated to the healthcare provider. Successful recovery after reverse shoulder surgery requires active participation in rehabilitation, patience, and clear communication with the healthcare team to address any questions or uncertainties throughout the postoperative