Recurring Shoulder Dislocation

A shoulder dislocation or subluxation occurs when the humerus pops out of its socket, either partially or completely. As the body’s most mobile joint, able to move in many directions, the shoulder is most vulnerable to dislocation and instability.  Dislocation causes pain and unsteadiness in the shoulder, as well as swelling, numbness, weakness and bruising.

When recurring shoulder dislocations or instability affect with the comfort and security of the shoulder, repairing the ligaments and labrum usually restores shoulder joint stability.  The surgery uses arthroscopic techniques that may involve reattaching loose or torn ligaments to the joint such as in Bankart repairs which have a success rate of 80-90 percent.

When patients have segments of bone broken or worn away from the front of the shoulder their shoulder is highly unstable.  If a large segment of bone is missing from the front of the shoulder then it needs to be reconstructed.  The Arthroscopic Latarjet procedure is the best way to reconstruct the bone.

The advantage of the Arthroscopic Latarjet procedure are:

  • Less complications
  • Reduced pain and discomfort for patients in the initial postoperative period
  • Bone block can be positioned with great accuracy
  • Similar success to the open surgery procedure

Talk with Dr. Sigman to see if your shoulder instability can be alleviated by using the Arthroscopic Latarjet procedure.

Dr. Scott Sigman is one of a limited number of surgeons in North America that has been specially trained and uses the Arthroscopic Latarjet procedure for recurrent shoulder instability.

EXPAREL®

Dr. Scott Sigman uses EXPAREL to reduce opioid reliance and consumption.  EXPAREL can provide a non-opioid pain control in the first few days after surgery when patient’s postsurgical pain is the highest.  When using EXPAREL, there is no need for catheters, pumps, or other delivery devices.

Dr. Scott Sigman is a consultant for Pacira Pharmaceuticals, Inc., and has partnered with them on an initiative to use opioid alternatives in the surgical setting.