Advanced shoulder Labrum repair Bangalore

Expert Care for SLAP Tears and Bankart Lesions by Dr. Pradyumna

If you are experiencing shoulder instability, catching sensations, or deep pain after a sports injury, you may require a Labral Reconstruction. As a premier shoulder surgeon in Bangalore, Dr. Pradyumna specializes in minimally invasive arthroscopic repairs that get you back to your active lifestyle faster.

What is Shoulder Labrum Reconstruction?

Shoulder Labrum Reconstruction is a surgery to repair the torn labium in the shoulder. The torn labrum is usually caused by shoulder dislocation or by a chronic shoulder instability. Shoulder labral surgery such as shoulder bankart repair, labral debridement and SLAP repair are techniques used to treat this condition.

Labrum repair surgery is a procedure recommended for treating tears of the labrum, which is a rim of cartilage that attaches around the shoulder joint and provides stability. The surgeon uses sutures to reattach the labrum to its normal position around the shoulder joint. The surgeon also tightens up junctures in the shoulder capsule, as well as loosens soft tissues supporting the biceps tendon, which overlaps the edge of the labrum leading to the shoulder bone when the arm is raised. All this serves to stabilize the shoulder joint and restore strength and range of motion.

Types of Labral Tears We Treat

• SLAP Tears: (Superior Labrum from Anterior to Posterior) Often found in athletes and overhead throwers.
• Bankart Lesions: Typically occurs after a shoulder dislocation, where the lower part of the labrum is torn.
• Posterior Labrum Tears: Less common, usually seen in bench presser shoulders.

Who needs Shoulder Labrum Reconstruction?

Bankart injuries are common among contact sports and repetitive overhead activities, as well as a result of falls on the shoulder. Bankart tears make the shoulder joint unstable; it may dislocate multiple times, feel loose, have a loss of strength and cause pain or clicking. In more serious cases involving extreme instability, there can be paralysis, loss of sensation and severe pain.

Shoulder instability is a common shoulder problem with age that can result from injury or degeneration. Some of the possible symptoms include weakness, pain, stiffness, muscle spasms, and difficulty moving the arm.

Tests and Diagnosis for Shoulder Labrum Reconstruction

Your doctor will conduct a series of tests and examinations to detect the symptoms of a labral tear. The doctor may suspect a labral tear based on your symptoms and medical history. If a labral tear is suspected, the doctor may recommend an X-ray, CT scan or MRI scan. A diagnosis can also be confirmed through shoulder arthroscopy.

What are the treatments for Shoulder Labrum repair?

Non-surgical Treatment

If conservative treatment fails to relieve shoulder instability, shoulder reconstruction surgery may be required.

Surgical Treatment

The shoulder joint is a ball and socket joint. Due to injury or wear and tear, the ligaments holding the joint in place may get stretched or torn leading to instability of the joint. This can result in pain and loss of motion in the shoulder. Shoulder reconstruction procedure is done only if the problem does not respond to non-operative treatments like physical therapy, anti-inflammatory medications, injections, etc. In this procedure, any damaged ligaments are repaired so that normal movement and stability can be restored. Surgeon may use tiny pinpointed incisions (arthroscopy) or large surgical incisions through which arthroscopic instruments are placed to perform this surgery.

After shoulder Labrum repair surgery, you will be immobilized in a sling for 4 to 6 weeks to facilitate healing. You may have slight pain after surgery for which pain medications are prescribed. Apply ice packs on the shoulder to reduce swelling. You can use a pillow under the shoulder while lying in bed.

Shoulder Labrum repair Post-operative precautions

Following the surgery, your shoulder is immobilized with a sling for a few days.

Avoid heavy lifting and driving during the first six weeks.

You will be given specific instructions regarding activity and a rehabilitation program of strengthening exercises.

After shoulder labrum reconstruction, common treatments include ice, electrical stimulation, massage therapy and other hands-on techniques.

Passive range of motion exercises are also initiated in the postoperative phase.

Active range of motion exercises are started about 6 weeks after the repair.

Athletes can return to sports in about three months.

What are the risks & complications?

Some common complication associated are

• Nerve injury
• Wound infection
• Tear of the repair
• Shoulder stiffness
• Recurrence of instability
• Poor positioning of anchor suture
• Failure of the repair