Major Leaguer Lee Jung-hoo also underwent shoulder dislocation surgery, when should I get it?
Feb 03, 2025
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Famous baseball player Lee Jung-hoo received attention after surgery. Shoulder dislocation is caused by strong impact and excessive use of sports. If you don't go to the hospital and solve it alone, your condition may get worse, and if it recurs repeatedly, surgical treatment may be required. I summarized the dislocation of the shoulder with Kim Myung-seo, an orthopedic surgeon at Gangdong Kyunghee University Hospital.
◇Shoulder dislocation caused by net rupture of shoulder joint...There are many cases caused by exercise such as basketball, baseball, tennis, etc
Shoulder dislocation refers to the loss of the joint itself due to damage to the ligaments of the shoulder joint and the surrounding muscles. The first dislocation occurs when the joint and the net, a tissue that surrounds the outside of the shoulder joint and stabilizes the shoulder, are torn. Recurring dislocation can be prevented if the ruptured joints and spines recover well. However, since the joint and the tail itself are structures that are slow to self-recover due to poor blood circulation, inadequate initial treatment often leads to habitual shoulder dislocation.
There are various causes of shoulder dislocation, but it is most often caused by injury during exercise. In particular, conflicts between players frequently occur in sports such as basketball, soccer, and baseball, which can cause collisions with fences. In the past, it was limited to athletes, but in recent years, as the sports-active population has increased, it is also seen in the general public, so caution is needed. In addition, it can occur even when strongly shocked, such as falling on an icy road, falling, and traffic accidents, which can require special attention in winter.
◇Feels like my shoulder is missing, pain occurs when I move my arm...The diagnosis depends on the joint and the area of the net rupture
When the shoulder is dislocated, it feels like the shoulder has fallen out and entered again, or this unstable feeling causes symptoms of lifting the arm or not moving. If initial dislocation occurs and instability intensifies due to poor treatment, dislocation may occur even when stretching or sleeping, and severe problems occur due to anxiety caused by dislocation in daily life. The most basic diagnosis of shoulder dislocation is to examine the patient directly. After that, X-ray will confirm the lesion, and shoulder MRI or MR arthrography will be performed to evaluate the degree of damage to the joint and tail and damage to the rotator cuff tendon.
The diagnosis of dislocation of the shoulder depends on the joint and the site of the net rupture. When the upper joint and the net are ruptured, it is diagnosed as SLAP lesion, and when it is ruptured to the lower joint and net, it is diagnosed as Bankart lesion.
Slap lesions occur more in sports that use more shoulders than in daily life, mainly baseball pitching movements, and tennis, and although dislocation does not occur in the actual shoulder, damage can continue to the base of the biceps along with the upper joint and spine, causing shoulder pain, especially in young patients who like sports activities. When actual dislocation occurs, bancart lesion can rupture up to the anterior and inferior joints, leading to unstable shoulders.
If shoulder instability occurs due to repeated dislocations, shoulder dislocations can easily occur in everyday life, such as lifting heavy objects, touching the floor with arms while falling, or stretching, causing many inconveniences to patients.
◇Slap lesion requires conservative treatment, and bancart lesion requires surgical treatment
Slap lesion is a symptom mainly complained of shoulder jam and pain during exercise, and most of them can be improved sufficiently with conservative treatment including medication and exercise therapy. However, if continuous conservative treatment is not effective in relieving pain, surgical treatment through arthroscopy may also be considered. On the other hand, bancart lesion often leads to habitual dislocation or shoulder joint instability when dislocation is repeated without an accurate diagnosis after the first dislocation. In this case, even conservative treatment does not improve anxiety caused by dislocation in daily life, so surgical treatment is often performed.
◇In the event of the first occurrence, it should be re-adjusted through medical staff...Repeated, corrected with arthroscopic surgery
Shoulder dislocation is the first occurrence, and the missing shoulder is quickly re-fitted to restore function. At this time, care should be taken to re-adjust the shoulder directly or with the help of others. In the process of direct fitting, major shoulder tissues such as rotator cuff tendons, nerves or blood vessels may be damaged, and fractures may also be accompanied, especially in elderly patients. If the shoulder is missing, it is recommended to visit a nearby hospital to conquer the missing shoulder, and then check for any accompanying damage through accurate examination.
If shoulder dislocation occurs repeatedly, surgical treatment is performed if the surrounding ligaments or tissues are seriously damaged. In most patients, surgery is performed to seal and restore ruptured structures through arthroscopy, and anxiety can be improved through surgery and proper rehabilitation. However, in some cases, if habitual dislocation is old and the joint itself is removed from its position, worn out due to wear and tear, or if bone defects occur in the joint and bone due to further progression, it may lead to major operations such as transfer of the oropharynx or implantation of pelvic bones. After surgery, it is generally necessary to wear an assistive device for 4 to 6 weeks, and after that, rehabilitation exercise is gradually started. In the case of dislocation surgery, it is very important to restore the range of joint motion through correct rehabilitation exercise after surgery, increase the strength of the rotator cuff tendon, and restore shoulder joint function.
It is important to be careful not to cause shoulder dislocation from the beginning, but prevention is not easy because it is often unpredictable. However, after the first dislocation, special care should be taken not to progress to recurrent dislocation.
Professor Kim Myung-seo said, `It is important to receive sufficient conservative treatment, such as applying assistants, after the first dislocation, and to refrain from intense sports activities during the recovery period, and to be careful in movements that can cause a dislocation again, such as falling or throwing a ball in daily life. This is because if re-distortion occurs after the first dislocation and leads to habitual dislocation, there is a high possibility that surgical treatment will be performed", he explained.
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This article was translated by Naver AI translator.
