Body > Common Shoulder Surgeries > Shoulder Stabilisation

Arthroscopic Shoulder Stabilisation

This is keyhole surgery, usually performed under a combination of general anaesthetic and a nerve block. It may be performed as a day procedure, but patients may also remain in hospital overnight to ensure they are comfortable.

Usually, the cartilage of the shoulder (labrum) acts like a suction cup, increasing the strength and stability of the ball and socket-like shoulder joint. This cartilage can be damaged from trauma or spontaneous dislocations, and are often the result of sporting accidents. 

The operation involves reattachment and tightening of the torn labrum and ligaments of the shoulder (see picture). This is usually done using sutures and small bone anchors.

An arthroscope is used to view and guide the surgery performed through the second incision. If necessary, the surgeon may decide to perform an open repair through a larger incision.

After the surgical repair is completed, the incisions are sutured and dressed, and the arm is placed in a sling to protect the repair. You may require this sling for 4-6 weeks, depending on your specific injury.  The sling needs to be used at all times (except during exercise) during this period, unless advised otherwise by your surgeon or physiotherapist. 

Exercises

  • After your shoulder operation it is very important to perform exercises to regain your mobility, and later strength.
  • Don’t lift your arm without assistance for 2-6 weeks, as per advice from your surgeon and physiotherapist, otherwise the repair can be compromised.
  • Only perform exercises taught to you by your physiotherapist or surgeon.
  • Don’t use the muscles in the operated shoulder to raise the arm away from your side, even in the sling.
  • Exercises should be performed 3-5 times a day.  It may be helpful to take pain medication 30-40 minutes prior to exercise (as prescribed by your doctor).

Swelling

  • You may have considerable swelling around your shoulder after surgery.
  • Apply ice for a maximum of 20 minutes following exercises or as required.
  • Ice (crushed, cubes, frozen peas, gel pack etc.) should be wrapped in a towel and placed directly on the shoulder, over the waterproof dressing.

Pain

  • Immediately after your surgery, pain at rest and with movement is expected.
  • Take your medication and use ice regularly to keep your pain mild-moderate (<4/10).
  • Many people develop pain around the neck, upper back and down the arm which is normal, but if you are concerned please call your physiotherapist.
  • If you develop worsening tingling or numbness, please call your physiotherapist.

Sling

  • The sling is for protection for the first 2-6 weeks after the operation.
  • Ensure your elbow is in the corner of the sling, with your hand well-supported inside the sling.
  • Your arm should rest comfortably in the sling, with the entire weight of the arm supported and with your hand at the level of your chest.
  • Wear the sling both day and night (including sleeping).
  • Only remove the sling for showering, and when doing the prescribed exercises.

Driving

  • No driving for 2-6 weeks to ensure the repair site heals well.
  • Await instructions from your surgeon or physiotherapist to commence driving.