Arthroscopic Shoulder Instability Treatment in Pittsburgh, PA
Shoulder instability is a painful condition that develops when the shoulder joint capsule, ligaments, and/or labrum become overstretched or torn. As a result, the joint loosens, allowing the humeral head to slide partially or completely out of its socket. Surgery may be considered to reduce the risk of recurrent shoulder dislocations.
The optimal surgical approach can vary based on several individual factors, such as the extent of the injury and the patient’s age and activity level. In many cases, shoulder instability surgery can be performed arthroscopically. To visualize and access the shoulder joint, the surgeon inserts a tiny camera and specialized surgical tools through small incisions.
Arthroscopic Approaches to Shoulder Stabilization
Some specific types of arthroscopic shoulder instability treatment include:
A Bankart Repair
When the shoulder dislocates, fibers in the joint capsule may pull on the labrum, causing its anterior (front) portion to tear. Also known as an arthroscopic labral repair, a Bankart repair involves re-anchoring and suturing the torn piece of cartilage to reinforce and stabilize the shoulder joint.
The Remplissage Technique
Sometimes, a shoulder dislocation creates a divot in the upper arm bone called a Hill-Sachs defect, which can increase the risk of recurrent dislocations. The arthroscopic Remplissage technique involves filling in the dent with a portion of the rotator cuff tendon. To further enhance the stability of the shoulder joint, the Remplissage technique may be performed in conjunction with a Bankart repair.
Open Approaches to Surgical Stabilization
In some cases, open surgery with bone grafting may be more appropriate than arthroscopic shoulder instability treatment. For instance, if the bone at the front of the shoulder socket has become chipped or worn away due to repeated dislocations, a surgeon may utilize an open Latarjet technique to obtain pieces of bone and muscle from another part of the patient’s shoulder, then attach the graft to the damaged area to help prevent the upper arm bone from sliding out of its socket.
Consult With an Expert Among Experts in Pittsburgh
Christopher C. Schmidt, MD, is a board-certified orthopaedic shoulder surgeon who specializes in the surgical treatment of shoulder instability. Dr. Schmidt is highly skilled and experienced in performing both arthroscopic and open procedures to stabilize the shoulder joint.
If you’d like to discuss arthroscopic or open shoulder instability treatment with Dr. Schmidt, contact his office in Pittsburgh, PA, at (877) 471-0935 to schedule an appointment.