Surgery for a dislocated surgery, worth it?

Ddavis
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Edited Date/Time 1/27/2012 2:31am
Is surgery after dislocating your shoulder worth it?


If I don't get surgery I can just do the physical therapy for it and build up the strength around the injury, and maybe be ready for Gold Cup in 8 weeks. or I can do surgery and be out for 4-6 months. What's recommended? Who's gotton surgery/didnt get surgery and was fine?
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Slow
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Watsonville, CA, USA
11/23/2010 7:44pm
you are young get it fixed right!
11/23/2010 7:46pm
I would try physical therapy and just do rehab on it up to the gold cup. If it feels good and strong and you know it won't have any problems(Your doctor gave you the okay), then race. If it's not then get surgery and get it back to 100%.
kaboom645
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11/23/2010 7:46pm
I didnt get it..... Glad I didnt b/c I was told I wouldnt be able to use my arm for atleast 1 year and it would be extreme pain during that time.. My shoulder isnt perfect but I dont have any issues with it anymore
JYZ566
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Saint Peters, MO, USA
11/23/2010 7:47pm
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.

The Shop

kaboom645
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11/23/2010 7:48pm
Personally I would go the non-surgery rehab route first and give it plent of time to heal... I say 1 year from now you are still having issues with it, get surgery
11/23/2010 7:54pm
try the non surgery way first, if it continues to dislocate then you need surgery, i dislocated my shoulder 12 times before the 1st surgery, and then when i ripped the repair off the bone it started popping again, the second operation has fixed it for good

but i would be more inclined to listen to trained surgeons than the members of this forum
Ddavis
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11/23/2010 7:55pm
JYZ566 wrote:
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.
Thanks alot, you said some good stuff right there that I didn't know previously.


Also thanks for everyone elses opinions.

I haven't seen my doctor yet, it's thanksgiving week so it's hard to get an appointment in but once I do ill get his opinion. My main doctor used to race motocross at Indian Dunes back in the day so he get's it.
GuyB
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Aliso Viejo, CA, USA
11/23/2010 7:59pm
Devin, remember you went through this with your wrist? Are you a doctor? Or do you just play one on the internet?

What does your doctor say? Have you had an MRI to find out what the real deal is?

Mine was dislocated, and wasn't getting better. I started on therapy, and it was pretty apparent that it was still way too sore for it to be just a dislocation. After an MRI, my doctor determined that I had a torn labrum, and surgery was pretty much my only option.

I had three months of physical therapy, and it's fine now...though the therapy wasn't fun.
GuyB
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11/23/2010 7:59pm
Oh, and your topic is pretty damn funny. Wink
lumpy790
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York, SC, USA
11/23/2010 8:22pm
Your guessing at this without visiting your DR yet? Chances are you will get therapy 1st.

I dislocated mine and went threw therapy several times....... lost count of how many times it popped out after that.

I had the old school bristow repair done and was back riding in 2 months. With modern ortho surgery I would not be surprised if rehab took less time.
11/23/2010 8:47pm
Ddavis wrote:
Thanks alot, you said some good stuff right there that I didn't know previously. Also thanks for everyone elses opinions. I haven't seen my doctor yet...
Thanks alot, you said some good stuff right there that I didn't know previously.


Also thanks for everyone elses opinions.

I haven't seen my doctor yet, it's thanksgiving week so it's hard to get an appointment in but once I do ill get his opinion. My main doctor used to race motocross at Indian Dunes back in the day so he get's it.
If you haven't seen your Dr yet then how do you know either way?

First off get an MRI to truely know what is wrong.

Second your not a pro so why destroy your body for the Gold Cup when your living doesn't depend on it? Your DR might get it, but in 15 years when your 30 and broken down from chasing the dream, you'll wish your DR didn't get it and gave you good advice instead.

Third and most important, please, PLEASE don't take any medical advice you might get here or any other board seiously, go to to your Dr.
MDMCG
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11/23/2010 9:02pm
Ddavis wrote:
Is surgery after dislocating your shoulder worth it? If I don't get surgery I can just do the physical therapy for it and build up the...
Is surgery after dislocating your shoulder worth it?


If I don't get surgery I can just do the physical therapy for it and build up the strength around the injury, and maybe be ready for Gold Cup in 8 weeks. or I can do surgery and be out for 4-6 months. What's recommended? Who's gotton surgery/didnt get surgery and was fine?
I had surgery after 8 years of subluxation's. You really should give more information to your injury, if you want any advice worth listening to.

Smile
MDMCG
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11/23/2010 9:04pm Edited Date/Time 11/23/2010 9:14pm
JYZ566 wrote:
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.
This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side.

Just to give you an idea, surgery is not recommended for an AC separation (grade I, II, or III), and is recommended for grade (IV, V, and VI). There are also labrum tears that result in intrensic weakness to the joint, which no amount of physical therapy, weight lifting, or anything else to the shoulder is going to get it back near 100%.

My wife also found the last statement a complete fallacy, considering that PT's spend a lot of their time doing exactly what you said, but in a safe and methodical manner that protect further injury and optimizes function. Considering the fact that she was a personal trainer prior to getting her doctorate in physical therapy, she might know a thing or two about both approaches to rehabilitation. In addition to this, there isn't a single sports medicine orthopedist that would recommend for this patient to forgo physical therapy. In a surgical case, PT is crucial to gaining function, strength, range of motion, etc of the joint. In a non-surgical case, it provides a safe and methodical approach to rehab'ing the shoulder and stabilizing the joint (unless there is a significant labrum tear).
http://www.steadman-hawkins.com/...eration/overview.asp

PS. Steadman Hawkins clinic is one of the most renowned orthopedic clinics in the world.
mxtryon231
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Beverly Hills, CA, USA
11/23/2010 11:29pm
I dislocated my surgery and got shoulder to fix it.
11/23/2010 11:33pm
Smashed my shoulder when i was 8 at starwest. Ruined all the nerves and muscle, couldnt lift my arm for a year. I had plenty of MRIs and scans with no luck. It still pops out every now and then(like if i sneeze while laying on my stomach wrong), but it usually goes back in with no problem.

Not sure what your situation is devin, but just try some rehab before you go full fledge surgery. I never got anything done, never really could due to the severe muscle and nerve damage(still have no feeling from top of shoulder to mid tricep/bicep), and my shoulder is still the same size as when i was 8. I got used to the weakness after riding, and got my back plenty strong enough to support anything that comes my way.
BM255
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Auckland, NZ
11/23/2010 11:54pm
I broke my collar bone and dislocated my shoulder in the same crash when I was 17, obviously I went to the hospital and they put it back into place. I then spent 4 weeks in a sling and after that did another 6 weeks of physio. I was completely fine after it healed and the physio got the strength back. I never had any issues with riding, however now I'm older (38) it gets a little stiff when doing gym work but nothing to worry about.
Thelen20
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Marshall, TX, USA
11/24/2010 4:53am
See a doc. If you tore your labrum get surgery, if you choose not to you are just delaying the inevitible
huck
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Mountain Home, AR, USA
11/24/2010 5:20am
Are you talking about a "dislocated" or "separated" shoulder?


I have a level 3/4...and choose not to have the surgery, after meeting with the shoulder doctor for the AR Razorbacks. I was 33 at the time, and choose to go the PT route. I'm glad I did. Other than a "bump" on my shoulder, I don't have any other issues....
ChuckC
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Los Angeles, CA, USA
11/24/2010 6:09am
Clavicle separation is no big deal as long as the bones are still touching. Like mentioned above, it just adds a bump on your shoulder. If you separated your shoulder, you can work out and help build the muscles to hold it in, but that will only do so much. I dislocated mine in 04 and never got it fixed. My trainer showed me the moves to build my shoulder and I thought I was good. I couldn't do some things, but it was pretty much fine. 5 years later I could raise my arms and it would come out. I went to the doctor and was told that the bottom socket of my scapula was gone. While my shoulder felt tight for the previous 5 years, it was loose inside and my humerus bounced around until it just ground the shoulder socket away. The Dr. was able to move another bone in my shoulder and screw it in place of the missing socket, tighten all the loose stuff and I am now good to go. Most docs say 6 months, but Dr. Sanders in Houston (www.sandersclinic.net), who also is a rider, can have you back on your bike in 3 months if you have the drive.



Roscoe33
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London, CA
11/24/2010 6:26am
Ddavis wrote:
Thanks alot, you said some good stuff right there that I didn't know previously. Also thanks for everyone elses opinions. I haven't seen my doctor yet...
Thanks alot, you said some good stuff right there that I didn't know previously.


Also thanks for everyone elses opinions.

I haven't seen my doctor yet, it's thanksgiving week so it's hard to get an appointment in but once I do ill get his opinion. My main doctor used to race motocross at Indian Dunes back in the day so he get's it.
UpTiTe wrote:
If you haven't seen your Dr yet then how do you know either way? First off get an MRI to truely know what is wrong. Second...
If you haven't seen your Dr yet then how do you know either way?

First off get an MRI to truely know what is wrong.

Second your not a pro so why destroy your body for the Gold Cup when your living doesn't depend on it? Your DR might get it, but in 15 years when your 30 and broken down from chasing the dream, you'll wish your DR didn't get it and gave you good advice instead.

Third and most important, please, PLEASE don't take any medical advice you might get here or any other board seiously, go to to your Dr.
You haven't seen a Dr. ?

thats like saying my motor makes funny sounds what is it ?

cjmx
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Fantasy
11/24/2010 6:30am Edited Date/Time 11/24/2010 8:24am
JYZ566 wrote:
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.
MDMCG wrote:
This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side. Just to give you an...
This is a completely false post. Not only from the medical side, but also from the physical therapy and rehabilitation side.

Just to give you an idea, surgery is not recommended for an AC separation (grade I, II, or III), and is recommended for grade (IV, V, and VI). There are also labrum tears that result in intrensic weakness to the joint, which no amount of physical therapy, weight lifting, or anything else to the shoulder is going to get it back near 100%.

My wife also found the last statement a complete fallacy, considering that PT's spend a lot of their time doing exactly what you said, but in a safe and methodical manner that protect further injury and optimizes function. Considering the fact that she was a personal trainer prior to getting her doctorate in physical therapy, she might know a thing or two about both approaches to rehabilitation. In addition to this, there isn't a single sports medicine orthopedist that would recommend for this patient to forgo physical therapy. In a surgical case, PT is crucial to gaining function, strength, range of motion, etc of the joint. In a non-surgical case, it provides a safe and methodical approach to rehab'ing the shoulder and stabilizing the joint (unless there is a significant labrum tear).
http://www.steadman-hawkins.com/...eration/overview.asp

PS. Steadman Hawkins clinic is one of the most renowned orthopedic clinics in the world.
Well said MDMCG! PT is the reason why I can still moto. My girlfriend has her DPT and would say the same thing as your wife.
mooch
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USA
Fantasy
11/24/2010 7:56am
JYZ566 wrote:
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time. If you just popped...
Surgery for a dislocated shoulder is not warranted UNLESS there's an AC injury (grade 2 sometimes, grade 3 most of the time.

If you just popped it out of place, and there is no bony impingements in the shoulder then rehab/exercise will be sufficient. If there is a bony impingent, avulsion, tendon injury/ligament injury (besides stretched) then shoulder surgery is kind of a waste in my opinon. Have you seen a sports medicine orthopedist?

In any case, I have dislocated both shoulders at one point in my life (not at the same time). After diligence in strength training/ mobilizing the shoulder girdle and generally packing on some muscle to support the joint, it has been a non-issue.

See a good ortho, pt is a waste of time and money (in my opinion). Research yourself and maybe get in contact with a good coach who specializes in strength and conditioning.
LoL...Here's a great example of why it's not a very good idea to get medical advice on a moto board !

yz763
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Altamonte Springs, FL, USA
11/24/2010 8:09am
ChuckC wrote:
Clavicle separation is no big deal as long as the bones are still touching. Like mentioned above, it just adds a bump on your shoulder. If...
Clavicle separation is no big deal as long as the bones are still touching. Like mentioned above, it just adds a bump on your shoulder. If you separated your shoulder, you can work out and help build the muscles to hold it in, but that will only do so much. I dislocated mine in 04 and never got it fixed. My trainer showed me the moves to build my shoulder and I thought I was good. I couldn't do some things, but it was pretty much fine. 5 years later I could raise my arms and it would come out. I went to the doctor and was told that the bottom socket of my scapula was gone. While my shoulder felt tight for the previous 5 years, it was loose inside and my humerus bounced around until it just ground the shoulder socket away. The Dr. was able to move another bone in my shoulder and screw it in place of the missing socket, tighten all the loose stuff and I am now good to go. Most docs say 6 months, but Dr. Sanders in Houston (www.sandersclinic.net), who also is a rider, can have you back on your bike in 3 months if you have the drive.



I had this same procedure 5-6 years ago. My bone graft dissolved and my shoulder still comes out, just not all the way. It comes out a bit, hits the screw then goes back in. From what my Dr. told me, we both have a kind of rare injury that has about a 50/50 success rate. I am in the process of getting this fixed, I just need to be able to take a month or so off and do it.
downandup
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In A Cave, CA, USA
11/24/2010 8:15am
DON'T DO IT! Unless something is torn in there, it is pointless to undergo the knife. Especially if you are young.
11/24/2010 8:16am
ChuckC wrote:
Clavicle separation is no big deal as long as the bones are still touching. Like mentioned above, it just adds a bump on your shoulder. If...
Clavicle separation is no big deal as long as the bones are still touching. Like mentioned above, it just adds a bump on your shoulder. If you separated your shoulder, you can work out and help build the muscles to hold it in, but that will only do so much. I dislocated mine in 04 and never got it fixed. My trainer showed me the moves to build my shoulder and I thought I was good. I couldn't do some things, but it was pretty much fine. 5 years later I could raise my arms and it would come out. I went to the doctor and was told that the bottom socket of my scapula was gone. While my shoulder felt tight for the previous 5 years, it was loose inside and my humerus bounced around until it just ground the shoulder socket away. The Dr. was able to move another bone in my shoulder and screw it in place of the missing socket, tighten all the loose stuff and I am now good to go. Most docs say 6 months, but Dr. Sanders in Houston (www.sandersclinic.net), who also is a rider, can have you back on your bike in 3 months if you have the drive.



hello brather,. what the hell did i read now?
how on earth your bottom socket was worn away? how many times you dislocated your shouldeR? i dislocated my shoulder 7 months ago, and havent got better since, im having troubles lifting weights or driving or anything, i want to fix my shoulder, how? i have done physical therapy and it didnt help, they plug that electric stmilator machine on your shoulder and give you some heat bag, and its over, it doesnt fix the tear inside, so whats going on?
aztecmx
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39
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ZW
11/24/2010 8:17am
At 22, I had a type 3 shoulder separation on my left side and a type 2 on the right side from a 50MPH low side to high side crash. Was supposed to have both sides operated on. Did the left side first, it required a new plastic (or whatever) joint. Nasty invasive surgery and recovery was literally a year before I could raise my arm above my head. Decided to use therapy on the right side. For a good decade I could pop my un-operated right shoulder out with something as simple shooting a basketball, but it's fine now. The surgically repaired left side is almost unreal - impossible to hurt in any way shape or form. If you are young, I'd recommend the surgery. If you are impatient and know yourself not to be able to allow the surgery to heal and recover properly, skip invasive procedures at all costs and go to therapy. So that's my two cents worth. Surgery requires patience for healing and recovery, but the net outcome should be great. Therapy will be quick but you are likely to be limited. Absolutely get at least two independent orthopedic opinions before any action!!!
11/24/2010 8:24am
to the guy who written this, i went to many doctors, and a one surgeon and they all have onething they share together is stupidity, especially the physio therapst im going to, he always caress on my shoulder in a gay way, and i dont want him anymore, , the mri results were bad too,they say, ther is a glenoid labrum tear, soft tissues tears, shift of scapulea (dont know what the means), bone spur, i cant take any of this, how to resum the sports i had before?
im sick now
its 7 months with little to no healing
11/24/2010 8:26am
yz763 wrote:
I had this same procedure 5-6 years ago. My bone graft dissolved and my shoulder still comes out, just not all the way. It comes out...
I had this same procedure 5-6 years ago. My bone graft dissolved and my shoulder still comes out, just not all the way. It comes out a bit, hits the screw then goes back in. From what my Dr. told me, we both have a kind of rare injury that has about a 50/50 success rate. I am in the process of getting this fixed, I just need to be able to take a month or so off and do it.
how do you protect your shoulder from dissolving of the bones?
is this common with the dislocation or a normal shoulder?

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