shoulder surgery; JainMD

[fdp]

Hi JainMD,
If a surgeon is considering doing two separate surgeries,
1) rotator cuff repair
2) shoulder stabilization
which surgery would be performed first and why?  How long
would the surgeon wait before doing the second surgery?

Thanks!
Glo

[JainMD]

Hi,
The surgeons if planned to do second operation, would not wait between two different procedures.
Both procedures would be simultaneous and would be done one after the other.
As the patients are under anesthesia hence they don’t take time off while doing surgery.
Keep me informed if you have any queries.
All the best.
Bye.

[fdp]

Thank you.

[JainMD]

Hi,
For recurrent posterior instability which is not responding to conservative management the option is surgery.
For symptomatic recurrent posterior instability the surgeons would be doing Posterior capsulorrhaphy (Suture of a tear in a capsule, especially to prevent recurring dislocation), Posterior bone block procedures (glenoid bone stock deficiency), Rotational osteotomy of the proximal humerus (excessive retrotorsion of the proximal humerus) and Posterior glenoid osteotomy (abnormal glenoid retroversion).
These are the list of procedures that they would be deciding to do after opening the joint capsule.
I think they would be doing the shoulder stabilization first and then go on to do rotator cuff repair.
All units all over the world follow their own protocol depending upon their own research and experience.
Keep me informed if you have any queries.
Bye.

[fdp]

Posterior instability that has not responded to year-long conservative treatment.

[JainMD]

Hi fdp,
I would like to tell you about rotator cuff repair.
Repair of rotator cuff includes side-to-side repair of tendons with repair of tendon to bone. This procedure is almost always accompanied by subacromial decompression and acromioplasty.
Regarding shoulder instability operation, is the surgery for anterior shoulder instability or recurrent posterior instability?
Keep me informed.
Bye.