Type of Surgery
Last updated: 02/17/2009
Exercises are usually started on the day following surgery with instructions from a physical therapist, five times daily, including assisted flexion and external rotation of the arm. The other arm is used to support the arm that underwent surgery until...
it can perform the exercises alone. The patient is allowed to perform many activities of daily living as tolerated, but without lifting anything heavier than a glass or plate. If a patient can not comply with restricted use of the shoulder, the arm is kept in a sling for three weeks. Otherwise, a sling is used only for comfort between exercise sessions and to protect the arm when the patient is out in public and at night while sleeping. Driving is allowed as early as two weeks after surgery, if the shoulder can be used comfortably, especially if the patient's car has automatic transmission. At eight to 10 weeks, the patient can usually resume light, low-risk activities, such as swimming and jogging. If involved in sports, the patient may return to training at three months. Hospital physiotherapy is rarely prescribed and only in cases of delayed rehabilitation or shoulder stiffness.
A Bankart procedure, also known as a Broca-Perthes-Bankart procedure, is a surgical technique for the repair of recurrent shoulder joint dislocations. In the procedure, the torn ligaments are re-attached to the proper place in the shoulder joint, with the goal of restoring normal function.
The shoulder is the junction of three bones: the upper arm bone (humerus), the collarbone (clavicle), and the shoulder blade (scapula). The shoulder joint (glenohumeral joint) is the result of the head of the humerus bone fitting in the cavity of the shoulder blade (glenoid cavity), the joint being held together by the labrum, a rim of soft tissue that surrounds the glenoid. As a result of excessive force being applied to the arm, the head of the humerus may be forced out of the glenoid cavity (dislocation), and the supporting ligaments of the shoulder joint may be torn. These ligaments may heal so that the shoulder regains its stability. However, sometimes the ligaments do not heal, making the shoulder unstable and painful. This condition is referred to as traumatic instability of the shoulder, traumatic glenohumeral instability, or a Bankart lesion.
The goal of a Bankart procedure for traumatic glenohumeral instability is the safe and secure re-attachment of the torn ligaments to the tip of the glenoid from which they were detached. The surgery has the advantage of allowing patients to resume many of their activities of daily living while the repair is healing. The surgery also minimizes the unwanted joint stiffness associated with such injuries.
New procedures like minimally invasive procedures are often subject to scrutiny, but I think that one of the biggest problems facing these innovative procedures is for people to understand exactly what we do.
-Dr. Michael Perry, Laser Spine institute
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