Surgical treatment (Bankart procedure) of a dislocated shoulder
The shoulder joint is our most mobile joint, and it is supported by a complicated ligament and joint capsule construction to ensure that it remains in place. When a shoulder is dislocated, this support construction is damaged, exposing the shoulder to recurrent dislocations. Additionally, it may cause the arm to go suddenly lifeless, as the shoulder is momentarily partly dislocated.
The reconstructive operation is performed under regional and/or general anaesthesia, and generally using keyhole surgery through small incisions. The damaged structures are reattached using suture anchors.
The operated arm is supported for 3 weeks, so that the shoulder joint is propped into internal rotation. Active exercises of fingers, wrist, and elbow joint are begun immediately after the surgery, while ensuring that the arm stays in internal rotation. You may keep the sling for six weeks as pain management between movement exercises.
After the first 24 hours you can shower.
A) No infuson pump: remove the bandages before taking the shower. Redress the wound after showering.
B) If an infuson pump for local anaesthetic is used you need to keep the wound area dry. You can shower normally the day after the removal of the infuson pump ( three days after the operation). First remove the wound dressings.
The sutures will be removed after 7-12 days at your health centre, occupational health centre, or health clinic ( neuvola).You can go to the sauna the day after the removal.
Treatment of pain
The local anaesthesia of the shoulder is a part of the pain relief and lasts for several hours, even up to the evening. At the final stage of the surgery, a thin tube may be inserted into the shoulder. The tube is connected to a pain relief pump (see the guide for the pain relief system.)
Additionally, it is recommended that you take pain killers regularly for 3–4 days and after that when necessary.
The shoulder may be swollen after the surgery. Ice packs and pain killers reduce the swelling and pain, contributing to the recovery.
If you experience inflammatory symptoms (increasing pain, heavy swelling, warmth, redness, continuous wound discharge) or other problems, contact your health centre or treating unit.
- Day Surgery Unit
- Emergency Department
- Your own health centre or occupational health centre