Shoulder dislocation & instability
A shoulder that has come out of joint, or one that feels loose and likely to. We assess the cause and the best way to make it stable and confident again.
The shoulder is the body's most mobile joint, which also makes it the most prone to slipping out of place. Instability ranges from a full dislocation to a shoulder that simply feels loose or keeps partially slipping (subluxation).
What are the symptoms?
- The shoulder coming fully out of joint (dislocation), often needing help to relocate
- A feeling that the shoulder is loose, slipping, or about to "go"
- Apprehension or pain when the arm is raised and rotated outwards
- Repeated episodes, sometimes with less and less force each time
What causes it?
Instability often follows a first dislocation from a fall or sporting injury, which can stretch or tear the supporting structures (such as the labrum). Some people are naturally more flexible, which can also contribute.
How is it diagnosed?
Mr Corner will examine the shoulder to assess its stability and may arrange an MRI scan (sometimes with dye) to see the labrum and ligaments in detail.
Treatment options
Without surgery
A structured physiotherapy programme to strengthen the muscles that control the shoulder is often the first step, particularly for looseness without a clear tear.
Stabilisation surgery
If the shoulder keeps dislocating, keyhole surgery can repair the torn labrum and tighten the supporting structures. In cases with bone loss, a bone-block procedure (such as a Latarjet) may be recommended.
What to expect during recovery
After stabilisation you'll wear a sling for a period to protect the repair, then follow a graded rehabilitation programme — see our rehabilitation protocols — to rebuild strength, control and confidence before returning to sport.
Frequently asked questions
If I've dislocated once, will it happen again?
It can, particularly in younger, active people. Assessment and the right treatment — physiotherapy or stabilisation surgery — significantly reduces that risk.
Is stabilisation surgery keyhole?
Most stabilisations are done arthroscopically (keyhole). Where there is significant bone loss, an open bone-block procedure may be advised.
Take the first step towards a pain-free shoulder or elbow
Book online, call 07590 880438, or send an enquiry. Mr Corner sees patients at Spire Harpenden and One Stop Healthcare, Hemel Hempstead.