Shoulder Instability & Stabilization Surgeon in San Juan Capistrano CA
Frequent dislocations of the shoulder joint can lead to chronic shoulder instability. Surgery to stabilize the shoulder may be recommended when conservative treatment options fail. Dr. Sohn provides diagnosis and individualized nonoperative and operative treatments for the shoulder including Shoulder Instability & Stabilization in San Juan Capistrano CA . Dr. Sohn also provides the highest level of care during and after surgery. Contact Dr. Sohn’s office for an appointment today!
By Roger C. Sohn, MD
Overview
Shoulder instability is a condition in which the ball of the shoulder joint (the humeral head) moves out of the socket (glenoid) more easily than normal. This may occur as a partial displacement (subluxation) or a complete dislocation. Recurrent episodes can lead to pain, weakness, loss of function, and apprehension with everyday or athletic activities.
Instability typically results from injury to the structures that normally stabilize the shoulder, including:
- The labrum
- The surrounding ligaments
- The rotator cuff
- The bone of the socket or humeral head
Repeated dislocations increase the risk of progressive damage and recurrent instability.
When Is Shoulder Stabilization Surgery Considered?
Initial treatment often includes rest, activity modification, and physical therapy. Surgery may be recommended when:
- Instability persists despite appropriate nonoperative care
- Dislocations or subluxations recur
- Imaging shows structural damage unlikely to heal without surgery
- The shoulder cannot be trusted during work, sports, or daily activities
The goal of surgery is to restore stability while preserving motion and function.
Shoulder Stabilization Surgery
Shoulder stabilization surgery is performed to reduce the risk of recurrent instability and improve shoulder function. In many cases, this can be done arthroscopically, using small incisions and a camera to visualize the joint.
During arthroscopic stabilization:
- The labrum is repaired and reattached to the socket as needed
- Ligaments may be tightened to improve stability
- Associated injuries, such as rotator cuff pathology, are addressed at the same time
The specific procedure is based on the patient’s anatomy, imaging findings, and activity level.
Arthroscopic Technique
Arthroscopy is a minimally invasive surgical technique performed through small incisions (portals) around the shoulder. A fiber-optic camera provides a detailed view of the joint, allowing precise evaluation and treatment of damaged tissue.
Small instruments are used to repair torn tissue and secure it with sutures and anchors. Arthroscopic surgery generally results in less postoperative pain, smaller scars, and a quicker initial recovery compared to traditional open procedures when appropriate.
Postoperative Care & Rehabilitation
After surgery:
- A sling is typically worn for 4–6 weeks
- Early motion is guided to protect the repair
- Strengthening begins gradually over time
- Return to sports or high-level activity usually occurs between 4 and 9 months, depending on the procedure and demands of the activity
Adherence to the rehabilitation plan is essential to achieving a stable, functional outcome.
Benefits of Shoulder Stabilization
- Reduced risk of recurrent dislocation
- Improved shoulder stability and confidence
- Restoration of function for daily and athletic activities
- Minimally invasive options in appropriate cases
Risks and Complications
As with any surgery, potential risks include infection, stiffness, recurrent instability, nerve or blood vessel injury, and long-term risk of arthritis. These risks are reviewed in detail prior to surgery.
Next Steps
If you are experiencing recurrent shoulder instability or have been advised that surgery may be appropriate, we are happy to discuss your options and help you decide on the best course of treatment.
You may call our office to schedule a consultation or request an appointment online. For patients already evaluated and ready to proceed, our team can assist with surgical scheduling, imaging review, and preoperative planning.