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Shoulder

Shoulder Stabilization

Shoulder stabilization surgery is performed to address shoulder instability, a condition where the shoulder joint is prone to dislocation or subluxation (partial dislocation). Shoulder instability typically results from repeated dislocations, trauma, or underlying joint laxity.

Shoulder stabilization surgery aims to restore the normal anatomy and function of the shoulder to prevent future dislocations. There are two main approaches to shoulder stabilization surgery: open surgery and arthroscopic surgery.

Open shoulder stabilization surgery involves making a larger incision to directly access the shoulder joint. This traditional method allows Dr. Cinque to visualize the structures of the shoulder in detail, and assess the shoulder capsule, ligaments, and labrum. Any tears or detachments are repaired using sutures or anchors.

The capsule may be tightened if it’s overly loose, a procedure known as capsular shift. If necessary, bone augmentation procedures (like the Latarjet procedure) can be performed to transfer a portion of bone to the front of the shoulder socket, providing additional stability.

  1. Allows for direct visualization and more precise handling of complex repairs, especially in cases of severe instability.
  2. More effective for certain conditions, such as large bone defects in the shoulder socket (glenoid) or severely torn ligaments.

  1. Longer recovery time and rehabilitation compared to arthroscopic surgery.
  2. Larger incision results in more scarring.
  3. Increased risk of postoperative stiffness due to the more invasive nature of the procedure.

Patients typically need a longer recovery period and may require extensive physical therapy to restore the shoulder’s range of motion and strength. Full recovery can take six months to a year, depending on the severity of the initial instability and the extent of the surgical repair.

Arthroscopic shoulder stabilization is a minimally invasive procedure that uses small incisions and a camera (arthroscope) to guide the surgical instruments. This method is increasingly preferred for many patients due to its reduced recovery time and minimal scarring. Small incisions are made around the shoulder to insert the arthroscope and surgical instruments

Dr. Cinque can see inside the shoulder joint on a monitor and repairs the torn or stretched ligaments and labrum using sutures or anchors. If needed, the capsule is tightened to improve joint stability, similar to the open capsular shift.

  1. It is minimally invasive which is less traumatic to soft tissues which creates less postoperative pain and smaller scars.
  2. Minimally invasive shoulder stabilization is less traumatic which means a shorter recovery time and quicker return to daily activities compared to open surgery.
  3. There is a lower risk of complications like stiffness.

  1. It may be less effective for severe instability cases, particularly those involving significant bone loss or extensive tissue damage.
  2. There is a higher risk of recurrence of shoulder instability in some patients compared to open surgery, especially if the original injury was severe.

Patients typically experience a shorter recovery period, with many returning to light activities within a few weeks. Physical therapy is still essential to regain full shoulder function, with full recovery usually achieved within 4-6 months.

The choice between open and arthroscopic shoulder stabilization surgery depends on several factors, including the severity and type of shoulder instability, the patient’s activity level, and the surgeon’s expertise.

  • Arthroscopic surgery is often preferred for patients with less severe instability, especially those without significant bone loss or complex ligament injuries. It is also more suitable for those seeking a shorter recovery period and minimal scarring.
  • Open surgery is usually recommended for patients with complex or recurrent shoulder instability, significant bone defects, or those who have failed previous arthroscopic stabilization.

Ultimately, the decision should be made in consultation with Dr. Mark Cinque who specializes in shoulder procedures, as he can best assess the specific condition and recommend the most appropriate surgical approach.

Contact Dr. Mark Cinque at Scripps to schedule a consultation today

At a Glance

Mark Cinque, MD

  • Board-certified, fellowship-trained orthopedic surgeon
  • Orthopedic Residency: Stanford University, Fellowship: The Steadman Clinic
  • Authored over 100 peer-reviewed publications
  • Learn more
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