{"id":844,"date":"2023-06-02T18:51:10","date_gmt":"2023-06-02T15:51:10","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=844"},"modified":"2026-03-09T11:36:59","modified_gmt":"2026-03-09T09:36:59","slug":"exarthrima-omou","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/exarthrima-omou\/","title":{"rendered":"Shoulder dislocation"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p class=\"has-large-font-size\"><strong>Shoulder dislocation<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Dislocated-shoulder2.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ce\u03bc\u03bf\u03c5\" class=\"wp-image-5467\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Dislocated-shoulder2.jpg 1200w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Dislocated-shoulder2-768x512.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Dislocated-shoulder2-18x12.jpg 18w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">A <strong>dislocated shoulder<\/strong> is an injury in which your upper arm bone (humeral head) pulls out of the socket of your shoulder blade.  Most dislocations are the result of an injury. Acute dislocations need to be reduced urgently under sedation. One shoulder then see a shoulder surgeon to decide further management.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5\">What is a dislocated shoulder?<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5\">What causes a shoulder dislocation?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2-\u03ce\u03bc\u03bf\u03c5\">What are the symptoms of a dislocated shoulder?<\/a><\/li><li class=\"\"><a href=\"#\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><\/li><li class=\"\"><a href=\"#\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03bf\u03be\u03ad\u03bf\u03c2-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2-\u03ce\u03bc\u03bf\u03c5\">What is the acute treatment for a dislocated shoulder?<\/a><\/li><li class=\"\"><a href=\"#\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03b1\u03c3\u03c4\u03ac\u03b8\u03b5\u03b9\u03b1\u03c2-\u03ce\u03bc\u03bf\u03c5\">How is shoulder instability treated?<\/a><\/li><li class=\"\"><a href=\"#\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7-\u03ce\u03bc\u03bf\u03c5-\u03c7\u03c1\u03cc\u03bd\u03bf\u03c2-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2\">What happens after shoulder arthroscopy?<\/a><\/li><li class=\"\"><a href=\"#faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5\">What is a dislocated shoulder?<\/h2>\n\n\n\n<p class=\"translation-block\">The shoulder is one of the body\u2019s most mobile joints, which makes it susceptible to dislocation. The shoulder joint comprises the arm bone (humerus) and shoulder blade (scapula). Those two are held together in a ball-and-socket mechanism, in which various muscles, tendons and ligaments also contribute. A dislocated shoulder is an injury in which your upper arm bone (humeral head) pulls out of the socket of your shoulder blade. If this happens or you suspect it has, you should seek prompt medical attention so that a medical professional sets your shoulder back into place. Most people recover within a few weeks. However, once you had a dislocated shoulder, your joint may become unstable, making you prone to further dislocations. This condition is called recurrent shoulder instability.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"565\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5-1024x565.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ce\u03bc\u03bf\u03c5 \u03c3\u03ba\u03af\u03c4\u03c3\u03bf\" class=\"wp-image-2779\" style=\"border-radius:20px;width:694px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5-1024x565.jpg 1024w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5-300x165.jpg 300w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5-768x424.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5.jpg 1124w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03bf-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03ce\u03bc\u03bf\u03c5\">What causes a shoulder dislocation?<\/h2>\n\n\n\n<p class=\"translation-block\">Most dislocations occur through the front of the shoulder (anterior dislocation), but your shoulder may also dislocate to the back (posterior dislocation), or rarely downward (luxatio erecta). A dislocation may also be complete, or be partial (subluxation), which is more subtle.<\/p>\n\n\n\n<p class=\"translation-block\">Once a shoulder has dislocated, it is vulnerable to repeat episodes. When the shoulder is loose and slips out of place repeatedly, you develop a condition called recurrent shoulder instability. This is caused by an injury to a structure called the <strong>labrum<\/strong>. The labrum is the cartilage rim of the socket of the shoulder blade (glenoid) and represents the bumper of the socket. During the first dislocation, this bumper gets injured and does not heal properly, it scars down and makes the socket shallower. This makes it easier for the shoulder joint to dislocate the next time an injury occurs, or even with trivial injury. This is typically referred to as the <strong> Bankart lesion<\/strong>. Another lesion that occurs with shoulder dislocation is the <strong>Hill-Sachs lesion<\/strong>. This is an impaction injury or depression of the humeral head, as it catches in the front of the glenoid. This lesion also has therapeutic implication, as it may engage on socket easily, causing recurrent dislocations. \nIn a minority of patients, the shoulder can become unstable without a history of injury or repetitive strain. In such patients, the shoulder may feel loose or dislocate in multiple directions. This is called <strong>multidirectional instability<\/strong>. These patients have naturally loose ligaments throughout the body.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"612\" height=\"612\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0392\u03bb\u03ac\u03b2\u03b5\u03c2-\u03bc\u03b5\u03c4\u03ac-\u03b1\u03c0\u03cc-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-visual-selection.jpg\" alt=\"\" class=\"wp-image-6140\" style=\"border-radius:20px;width:567px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0392\u03bb\u03ac\u03b2\u03b5\u03c2-\u03bc\u03b5\u03c4\u03ac-\u03b1\u03c0\u03cc-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-visual-selection.jpg 612w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0392\u03bb\u03ac\u03b2\u03b5\u03c2-\u03bc\u03b5\u03c4\u03ac-\u03b1\u03c0\u03cc-\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-visual-selection-12x12.jpg 12w\" sizes=\"(max-width: 612px) 100vw, 612px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>The lesions above predispose to recurrent instability, with patients prone to increasingly easier subluxation or dislocation episodes. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2-\u03ce\u03bc\u03bf\u03c5\">What are the symptoms of a dislocated shoulder?<\/h2>\n\n\n\n<p>Symptoms may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> Severe pain<\/li>\n\n\n\n<li>Bruising and swelling<\/li>\n\n\n\n<li>Obvious deformity and loss of contour of the shoulder (shoulder visibly out of joint)&nbsp;<\/li>\n\n\n\n<li>Pins &amp; needles, as well as weakness near the shoulder, if your nerves get injured<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/h2>\n\n\n\n<div class=\"wp-block-uagb-image alignleft uagb-block-e2796351 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-left\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/MRI-Bankart-Tear.jpg ,https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/MRI-Bankart-Tear.jpg 780w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/MRI-Bankart-Tear.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/MRI-Bankart-Tear.jpg\" alt=\"\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ce\u03bc\u03bf\u03c5 - \u03b2\u03bb\u03ac\u03b2\u03b7 Bankart se MRI\" class=\"uag-image-1974\" width=\"269\" height=\"256\" title=\"\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p style=\"margin-top:1.7rem;margin-right:var(--wp--preset--spacing--40);margin-bottom:0;margin-left:0\" class=\"translation-block\">The diagnosis of a dislocated shoulder is usually obvious on plain x-rays. In cases of recurrent instability, an MRI scan or MRI arthrogram may be ordered to assess the extent of the soft tissue damage. If there is suspicion of bone loss in the socket, or there are associated fractures in conjunction with the dislocation, a CT scan may be useful as well. In patients over 40-45 years, an <a href=\"https:\/\/drgpanagopoulos.com\/en\/yperichos-myoskeletikou\/\" target=\"_blank\" data-type=\"page\" data-id=\"922\" rel=\"noreferrer noopener\">ultrasound<\/a> might be useful, to rule out rotator cuff tears.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03bf\u03be\u03ad\u03bf\u03c2-\u03b5\u03be\u03b1\u03c1\u03b8\u03c1\u03ae\u03bc\u03b1\u03c4\u03bf\u03c2-\u03ce\u03bc\u03bf\u03c5\">What is the acute treatment for a dislocated shoulder?<\/h2>\n\n\n\n<p class=\"translation-block\">If you suspect a shoulder dislocation, you shoulder seek immediate medical attention at the closest emergency department. The doctor will examine you, confirm the diagnosis with x-rays, and set your shoulder back into the joint by pulling it with a process called closed reduction. This is usually done under gentle conscious sedation. In some patients, closed reduction under sedation might not work, especially if their muscles go into spasm. In these patients, closed reduction under general anaesthetic may be necessary. Once the shoulder is back in place, any severe pain stops almost immediately. The doctor will order another X-ray to make sure the reduction was successful. Either way, after your shoulder is popped back into the joint, your arm will be placed into a sling for a few weeks. You will then get physical therapy for strengthening. This rehabilitation helps prevent future shoulder dislocations.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03b1\u03c3\u03c4\u03ac\u03b8\u03b5\u03b9\u03b1\u03c2-\u03ce\u03bc\u03bf\u03c5\">How is shoulder instability treated?<\/h2>\n\n\n\n<p>Treatment of shoulder dislocation after initial reduction depends on different factors:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Age at first dislocation<\/li>\n\n\n\n<li>Total number of dislocations<\/li>\n\n\n\n<li>Associated lesions (cuff tears, fractures, glenoid or humeral bone loss)<\/li>\n\n\n\n<li>Profession or sports activities<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"696\" height=\"433\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7-visual-selection.jpg\" alt=\"\" class=\"wp-image-6138\" style=\"border-radius:20px;width:599px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7-visual-selection.jpg 696w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u0395\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1-\u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03ce\u03c0\u03b9\u03c3\u03b7-visual-selection-18x12.jpg 18w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">The way shoulder instability will need to be treated long-term depends on different factors, the most important being <strong>age<\/strong>. After the age of 25, a trial of conservative management is reasonable in most patients. This includes typically physical therapy and a home exercise program to strengthen your muscles. Most patients will be fine with this treatment modality and will not dislocate again. Surgery is reserved for those patients who get a further dislocation (recurrent dislocation). Things change for younger patients (&lt;25 years). Studies have shown that the younger the age, the higher is the risk of recurrent dislocation. In those patients, surgery can be offered even after the first dislocation.<\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-dd19bf3f alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n\n<div class=\"wp-block-uagb-container uagb-block-7e0e47b9\">\n\n<div class=\"wp-block-uagb-image uagb-block-746ab7ac wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Bankart-lesion.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Bankart-lesion.jpg\" alt=\"\u0392\u03bb\u03ac\u03b2\u03b7 Bankart \u03ba\u03b1\u03c4\u03ac \u03c4\u03b7\u03bd \u03b1\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03cc\u03c0\u03b7\u03c3\u03b7\" class=\"uag-image-2840\" width=\"204\" height=\"165\" title=\"\" role=\"img\"\/><\/figure><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-afeb0370\">\n\n<div class=\"wp-block-uagb-image uagb-block-f9f41607 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anchor-placement-during-Bankart-repair.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anchor-placement-during-Bankart-repair.jpg\" alt=\"\u03a4\u03bf\u03c0\u03bf\u03b8\u03ad\u03c4\u03b7\u03c3\u03b7 \u03b1\u03b3\u03ba\u03c5\u03c1\u03ce\u03bd \u03b3\u03b9\u03b1 \u03b1\u03c3\u03c4\u03ac\u03b8\u03b5\u03b9\u03b1 \u03ce\u03bc\u03bf\u03c5\" class=\"uag-image-2841\" width=\"215\" height=\"170\" title=\"\" role=\"img\"\/><\/figure><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-fb85d79f\">\n\n<div class=\"wp-block-uagb-image uagb-block-89f8b97e wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Bankart-repair.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Bankart-repair.jpg\" alt=\"\u0391\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7 \u03ce\u03bc\u03bf\u03c5 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 - \u03b1\u03c3\u03c4\u03ac\u03b8\u03b5\u03b9\u03b1\" class=\"uag-image-2842\" width=\"203\" height=\"166\" title=\"\" role=\"img\"\/><\/figure><\/div>\n\n<\/div>\n\n<\/div><\/div>\n\n\n\n<p class=\"translation-block\">Surgery is typically performed with <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroskopisi-omou\/\" data-type=\"page\" data-id=\"924\" target=\"_blank\" rel=\"noreferrer noopener\">shoulder arthroscopy<\/a> and is called arthroscopic Bankart repair. This procedure is performed under general anaesthetic +\/- regional block. Dr Panagopoulos will insert a camera and tiny instruments through 2 or 3 small 4mm incision around your shoulder and repair the damage (Bankart lesion) with suture-anchors. If an engaging Hill-Sachs lesion is found during the procedure, that would also be amended at the same time with a suture-anchor (remplissage procedure). In the rare cases that bone loss is present in the front of the socket, another procedure, such as an arthroscopic bone block procedure (modified Eden-Hybinette) or an open <strong>Latarjet procedure<\/strong> may be necessary. All the above are typically day procedures, and the patients can go home the same day if they wish. Dr Panagopoulos will discuss all therapeutic options with you during your visit in the office.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"666\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/rsw_1280-17-e1645878458608-2.jpg\" alt=\"Martial arts - \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ce\u03bc\u03bf\u03c5\" class=\"wp-image-5469\" style=\"border-radius:20px;width:644px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/rsw_1280-17-e1645878458608-2.jpg 1000w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/rsw_1280-17-e1645878458608-2-768x511.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/rsw_1280-17-e1645878458608-2-18x12.jpg 18w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7-\u03ce\u03bc\u03bf\u03c5-\u03c7\u03c1\u03cc\u03bd\u03bf\u03c2-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2\">Recovery<\/h2>\n\n\n\n<p>Physiotherapy is crucial for an optimal outcome. Full range of motion is obtained first, followed by strengthening to pre injury levels. Return to sports may vary from 3 to 6 months. <\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1697654571978\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What is a dislocated shoulder?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>A dislocated shoulder is an injury in which your upper arm bone (humeral head) pulls out of the socket of your shoulder blade.\u00a0<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697654626130\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What causes a shoulder dislocation?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>In most cases, a shoulder dislocation is causes by a traumatic event -&gt; anterior traumatic shoulder dislocation. Sometimes, a dislocation can occur in individuals with hyper mobility -&gt; multidirectional instability.  <\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697654744219\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What is the immediate treatment?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>An acute dislocation is an emergency, that should be treated with urgent closed reduction under sedation.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697654929277\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">When do I need shoulder arthroscopy?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 Patients &lt;25 years after the 1st dislocation<br>\u2013 All patients with recurrent instability<br>\u2013 Concomitant rotator cuff tear<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1746002995872\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">When do we try physiotherapy first?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>In patients &gt;25 years, a trial of conservative management is usually indicated first, with surgery reserved for those who have a second episode.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1746003154256\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">When do I need a more complex surgery?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Patients who have had recurrent episodes or have bone loss of the glenoid or humerus, may need a more complex procedure, like a Latarjet.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/maps.app.goo.gl\/BEmxqgDN1X6dZg5c8\" target=\"_blank\" rel=\"noreferrer noopener\">Solonos 31, Kolonaki 106 71<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-57cd5a88\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-49841691 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\"><path d=\"M285.6 444.1C279.8 458.3 264.8 466.3 249.8 463.4C234.8 460.4 223.1 447.3 223.1 432V256H47.1C32.71 256 19.55 245.2 16.6 230.2C13.65 215.2 21.73 200.2 35.88 194.4L387.9 50.38C399.8 45.5 413.5 48.26 422.6 57.37C431.7 66.49 434.5 80.19 429.6 92.12L285.6 444.1z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Marousi<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/goo.gl\/maps\/pEhC2FhtNRm1PczT8\" target=\"_blank\" rel=\"noreferrer noopener\">Kifisias 58 Ave, 151 25<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5aebfae2 default uagb-is-root-container\">\n\n<div class=\"wp-block-uagb-container uagb-block-32057e61\">\n\n<div class=\"wp-block-uagb-info-box uagb-block-e662ea13 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 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85.49 21.49 64 48 64H464zM294.4 339.2L320.8 319.4C320.3 324.9 320 330.4 320 336C320 378.5 335.1 417.6 360.2 448H64C28.65 448 0 419.3 0 384V176L217.6 339.2C240.4 356.3 271.6 356.3 294.4 339.2zM640 336C640 415.5 575.5 480 496 480C416.5 480 352 415.5 352 336C352 256.5 416.5 192 496 192C575.5 192 640 256.5 640 336zM540.7 292.7L480 353.4L451.3 324.7C445.1 318.4 434.9 318.4 428.7 324.7C422.4 330.9 422.4 341.1 428.7 347.3L468.7 387.3C474.9 393.6 485.1 393.6 491.3 387.3L563.3 315.3C569.6 309.1 569.6 298.9 563.3 292.7C557.1 286.4 546.9 286.4 540.7 292.7H540.7z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Email<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"mailto:info@drgpanagopoulos.com\" target=\"_blank\" rel=\"noreferrer noopener\">info@drgpanagopoulos.com<\/a><\/p><\/div><\/div>\n\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-89ee7e6f alignfull uagb-is-root-container\"><div 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\u03c3\u03c5\u03bc\u03b2\u03b1\u03af\u03bd\u03b5\u03b9 \u03cc\u03c4\u03b1\u03bd \u03b7 \u03ba\u03b5\u03c6\u03b1\u03bb\u03ae \u03c4\u03bf\u03c5 \u03b2\u03c1\u03b1\u03c7\u03b9\u03bf\u03bd\u03af\u03bf\u03c5 \u03c6\u03b5\u03cd\u03b3\u03b5\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b8\u03ad\u03c3\u03b7 \u03c4\u03b7\u03c2, \u03c7\u03ac\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7\u03bd \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03b1\u03c6\u03ae \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c9\u03bc\u03bf\u03b3\u03bb\u03ae\u03bd\u03b7 \u03c4\u03b7\u03c2 \u03c9\u03bc\u03bf\u03c0\u03bb\u03ac\u03c4\u03b7\u03c2. \u03a4\u03b9\u03c2 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03c6\u03bf\u03c1\u03ad\u03c2, \u03c4\u03bf \u03b5\u03be\u03ac\u03c1\u03b8\u03c1\u03b7\u03bc\u03b1 \u03ce\u03bc\u03bf\u03c5 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1 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