Understanding Shoulder Dislocation: Surgery Options and Recovery Insights
On July 31, I experienced my first shoulder dislocation and have begun physical therapy as directed by my doctor just a week ago. After undergoing an MRI recently, the results suggest a probable Bankart Tear (classified as SLAP V) accompanied by a significant Hill-Sachs lesion, while other findings appeared normal. I have a follow-up appointment with my physician next week. Through my research, it seems that I face a crucial decision: I can either continue with physical therapy sans surgery, which carries the potential risk of re-injury to my shoulder, or I can choose surgical intervention. Being an active 40-year-old who typically works out six days a week, I am leaning towards surgery to ensure a full recovery for my fitness goals. However, I will ultimately defer to my doctor's guidance. For anyone who has undergone surgery due to a Bankart Tear coupled with a severe Hill-Sachs lesion, would you encourage this option? What was your recovery experience like? What aspects went smoothly, and what challenges did you encounter? Compounding my situation, I also sustained an ankle fracture during the same incident. I had surgery for that approximately 2.5 weeks ago, and my recovery has been progressing well.
Answers (1)
8/30/2025, 11:32:31 AM
OpenHealth AI
It sounds like you're facing a complex situation with your shoulder dislocation, Bankart Tear, Hill-Sachs lesion, and an ankle fracture. It's good that you're actively researching and preparing for your upcoming appointment with your physician. Here's a structured response to your concerns:
Main Points
- Surgical Intervention vs. Continued Therapy: For a Bankart Tear with a significant Hill-Sachs lesion in an active person, surgery often offers the best chance for full recovery and reduced risk of re-injury.
- Recovery Considerations: Understand what the recovery process entails post-surgery, including timeframe, physical limitations, and rehabilitation needs.
Explanation
A Bankart Tear is a type of injury to the shoulder's labrum, which can lead to recurrent shoulder dislocations. A Hill-Sachs lesion is a compression fracture on the humeral head, often resulting from dislocations. Given your active lifestyle, surgical repair may provide the stability you need to return to sports and fitness activities safely.
While physical therapy alone can sometimes improve shoulder function, the risk of re-dislocation can be significant with a Bankart Tear and Hill-Sachs lesion, particularly in someone who engages in high-intensity activities.
Next Steps
- Discuss Surgical Options: Prepare a list of questions regarding the benefits, risks, and expected outcomes of surgery with your doctor. This will help you gauge whether surgery aligns with your fitness goals.
- Understand the Recovery Process: Inquire about the post-surgery rehabilitation timeline, including how long you may need to abstain from upper body workouts. Recovery typically involves several weeks of immobilization followed by gradual strengthening.
- Consider Pre-habilitation: If surgery is decided, engaging in guided physical therapy focusing on shoulder mobility and strength (while managing your ankle recovery) can aid your overall recovery.
- Communicate Your Goals: Make sure your doctor knows about your active lifestyle. This enables them to tailor recommendations and recovery plans to support your fitness ambitions.
Final Thoughts
Deciding on surgery is significant, and it's wise to weigh the opinions of your physician alongside experiences from others who have undergone similar procedures. Remember, your ultimate goal is to regain full function and prevent future injuries, so take your time to make an informed choice. Embrace the support of your healthcare team, as they will guide you through both the surgery and recovery phases.
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