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Your surgery will be done as an outpatient procedure, which means you come
to
the hospital and go home on the same day as the operation. Your
operation
is done under regional anesthesia, which means the shoulder is frozen,
and you are given intravenous sedation. No general
anesthesia is required. The
procedure is done arthroscopically, which
means a few small incisions are made
about the shoulder, which are less than 1
cm in length each. The labrum
is repaired to the glenoid bone by suturing
it. A small suture anchor (1
cm x 3.5 mm piece of plastic) is inserted
into the bone and sutures attached
to the anchor are passed through the labrum
tissue. A knot is tied, repairing
the labrum securely to the bone, which
stabilizes the shoulder and repairs the
labrum. If your shoulder is
unstable and the labrum is not torn, the shoulder
capsule will be tightened to
prevent future instability with the use of multiple
sutures placed
arthroscopically.
After surgery, your arm is placed in a shoulder immobilizer (sling), which
you
use for 4 weeks. It is recommended that you sleep in the sling for
a
total of 6 weeks after surgery, but you only have to wear it during the day
for
4 weeks after surgery. Physical therapy starts at 4 weeks, and you
begin
to regain range of motion. Full range of motion is regained by 2-3
months
after surgery, although it can take longer for some cases.
Light
weight-training can usually begin at 2 months after surgery, and full
return
to all activities is usually at 6 months after surgery.
Risks of surgery include,
but are not limited to, anesthesia, infection,
re-operation, stiffness, recurrent
instability, nerve or blood vessel injury
and pain.
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