Arthroscopic Stabilization Shoulder Surgery

Shoulder instability can be a frustrating and painful condition, especially if it leads to repeated dislocations. For many patients, particularly athletes or those with active lifestyles, arthroscopic stabilization shoulder surgery offers a minimally invasive solution to restore stability and function.

If you’re considering this procedure, our team at the practice of Benjamin W. Szerlip, DO, in Austin, Texas, is here to help. Contact us today to schedule a consultation and take the first step toward recovery!

What Patients Are Saying

“Got checked in and into my appointment on time. Dr. Szerlip was prompt and very informative, while allowing any questions I may have had to be addressed while explaining my condition. He explained both a rotator cuff repair and a replacement for me to choose what will be best for me. He wasn’t trying to pressure me to choose without looking at both options. He was very supportive of the procedure I decided on and very supportive.” — Dale C.

Understanding Shoulder Instability

The shoulder joint is the most mobile joint in the body, allowing for a wide range of motion. However, this mobility also makes it susceptible to instability. Shoulder instability occurs when the structures that keep the shoulder in place, the glenoid labrum, ligaments, and joint capsule, are damaged or stretched, leading to the humeral head slipping out of the glenoid socket.

This condition often results from traumatic injuries, such as a shoulder dislocation, or from repetitive overhead activities that strain the shoulder. Individuals with shoulder instability may experience pain, a feeling of looseness, or repeated dislocations.

A man with shoulder pain caused by a dislocation in Texas.

What is Arthroscopic Shoulder Stabilization?

Arthroscopic shoulder stabilization is a minimally invasive surgical procedure designed to repair and tighten the damaged structures of the shoulder joint. Using small incisions, a camera (arthroscope) and specialized instruments are inserted to visualize and treat the affected area. This technique allows for precise repair of the torn labrum and stretched ligaments, restoring stability to the shoulder.

One common arthroscopic procedure is the Bankart repair, which reattaches the torn labrum to the glenoid rim using suture anchors. In cases where there is significant bone loss or a bony Bankart lesion, additional procedures like the Latarjet may be considered to restore the glenoid socket’s integrity.

Reasons for Undergoing Shoulder Stabilization Surgery

Surgery is typically recommended for individuals who experience recurrent shoulder instability or dislocations that do not respond to non-surgical treatments. Specific indications include:

  • Recurrent dislocations or subluxations
  • Failure of conservative treatments like physical therapy
  • Presence of a torn labrum or Bankart lesion
  • Participation in contact sports or activities with a high risk of shoulder injury
  • Significant bone loss in the shoulder socket
 

Early surgical intervention can prevent progressive deterioration of the shoulder joint and reduce the risk of further damage to the rotator cuff and other soft tissue structures.

What Does Shoulder Stabilization Surgery Involve?

The procedure is performed under general anesthesia and typically takes about 1 to 2 hours. Small incisions are made around the shoulder to insert the arthroscope and surgical instruments. The surgeon will assess the extent of the damage and perform the necessary repairs, which may include:

  • Reattaching the torn labrum to the glenoid rim using suture anchors
  • Tightening the joint capsule to reduce laxity
  • Addressing any associated injuries, such as biceps tendon damage
 

In cases of significant bone loss, a Latarjet procedure may be performed, which involves transferring a piece of bone to the front of the glenoid to restore stability.

Recovery and Post-Operative Rehabilitation

Recovery from arthroscopic shoulder stabilization surgery involves several phases:

  1. Immobilization (2-4 Weeks): The arm is placed in a sling to protect the repair. Passive range-of-motion exercises may begin under the guidance of a physical therapist.
  2. Early Rehabilitation (Week 4-12): Gradual introduction of active range-of-motion exercises to restore mobility.
  3. Strengthening Phase (Week 6-12): Strengthening exercises will be introduced for the rotator cuff and surrounding muscles to support the shoulder joint.
  4. Advanced Rehabilitation (3-6 Months): Progressive strengthening and functional exercises tailored to the patient’s specific activities and goals.
 

Full recovery and return to sports or strenuous activities typically occur between 4 to 6 months post-surgery, depending on individual progress and adherence to the rehabilitation program.

Risks and Complications

While arthroscopic shoulder stabilization is generally safe, potential risks and complications include:

  • Infection
  • Bleeding
  • Nerve or blood vessel injury
  • Stiffness or loss of range of motion
  • Recurrent instability or dislocation
  • Need for revision surgery
 

Adhering to post-operative instructions and participating in a structured rehabilitation program can significantly reduce these risks.

Expected Outcomes of the Procedure

Most patients experience significant improvement in shoulder stability and function following arthroscopic stabilization surgery. Studies have shown high rates of return to sports and daily activities, with a low incidence of recurrent dislocations. Factors that contribute to successful outcomes include:

  • Early intervention before extensive damage occurs
  • Proper patient selection and surgical technique
  • Commitment to post-operative rehabilitation
 

While individual results may vary, the majority of patients report decreased pain, improved range of motion, and enhanced quality of life after the procedure.

Take the Next Step Toward Relief

If you’re experiencing shoulder instability or have suffered repeated dislocations, arthroscopic stabilization shoulder surgery may be the solution to restore your shoulder’s function and stability. Our team, led by Dr. Benjamin W. Szerlip in Austin, Texas, is dedicated to providing personalized care to help you regain control of your shoulder and return to the activities you love. Contact us today to learn more about your treatment options.