Treatment methods

We restore stability to your shoulder

The treatment for a shoulder luxation is always individual. Together with you, we clarify which is the best therapy for your shoulder luxation in a detailed discussion. 

Conservative treatment methods

Shoulder reduction

A shoulder reduction is necessary after a shoulder dislocation. Various techniques are available for this purpose. We attach particular importance to a gentle reduction. In order to guarantee this, a brief anaesthetic or what is known as “twilight sleep” is sometimes necessary. 

Following the shoulder reduction, your shoulder must first be immobilised. We will give you a sling bandage for this. In many cases, our shoulder specialists also perform a further MRI or CT examination. This is how we determine the extent of your injuries. After this, we decide on the further treatment of your shoulder dislocation together with you. 

Conservative therapy

The congenital form of instability is rarely operated on. Your treatment will focus on physiotherapeutic exercise and training programmes with shoulder blade-stabilising and muscle-building measures. Our specialists also use modern therapy methods such as EMS training (electromyostimulation). Here your muscles are not only trained with weights, but also stimulated with electrical impulses. Individual muscle sections can be specifically controlled.

Surgical treatment methods

Reconstruction of the acetabular rim by means of iliac crest chip plastic surgery

In this operation after shoulder dislocation, our shoulder specialists use a bone block from your pelvic brim. We use this piece of bone to reconstruct the front edge of your socket. The procedure enables us to restore your original anatomy. The use of this treatment method depends on many factors. Our shoulder experts will work closely with you on this. Your previous injuries, your sports profile and your everyday limitations are important here. We also perform the iliac crest operation arthroscopically or via a small skin incision (mini-open).

Latarjet operation

During the Latarjet operation, our shoulder experts transfer part of your shoulder-blade bone to your socket. This procedure is necessary if you have a major bone defect in the anterior socket. Our specialists use this procedure to restore the stability of your shoulder joint. Whether the Latarjet operation is appropriate for you is decided by our experts together with you in a detailed discussion. We perform this procedure arthroscopically or via a small skin incision (mini-open).

Arthroscopic shoulder stabilisation

Our shoulder experts assess the extent of your injury with the help of arthroscopy. To do this, we insert a micro camera into your joint via a small skin incision. In most cases, the acetabular labrum is detached from the glenoid cavity and there is a small defect in the posterior humeral head. We then return the acetabular labrum to its original position and weave threads through it. We fix these at the edge of the acetabular labrum with small “plugs” (thread anchors). An additional gathering of the overstretched joint capsule is also necessary.

Treatment of the posterior humeral head defect can usually be avoided. Only in exceptional cases do we correct the injury at this point. We suture the posterior tendon of your rotator cuff to the bone defect.