Arthroscopic shoulder stabilisation

The shoulder is the most mobile joint in the body, but also the least stable. After a first dislocation (the shoulder "comes out" of its socket), the structures that hold it in place, such as the labrum and the capsule, may remain damaged. The shoulder then becomes unstable: it dislocates again, sometimes with simple movements, or gives a feeling of apprehension. Stabilisation surgery repairs these structures. Arthroscopically, the surgeon reattaches the labrum and tightens the capsule onto the bone using small anchors. When the bone of the socket (glenoid) is worn, or after a failed first operation, a bone block procedure may be recommended: a small piece of bone is fixed to the front of the socket to act as a barrier. This can be done through an open incision or arthroscopically. Surgery is mainly discussed for young, active people, athletes, or after several dislocations. The choice of technique depends on age, the sport played and the damage seen on CT or MRI. At Clinique Pasteur Tunis, the operation is performed by an orthopaedic surgeon in the operating theatre, with a short hospital stay. Rehabilitation is arranged from discharge and followed until you return to your activities.