So I'm seriously considering a new shoulder surgery. One that the doc says will allow me to do full contact sports like boxing or MMA. He said even with this crazy amount of "action" that I only have a 15% chance of pulling it out again using this procedure.The down side is the 6 weeks in a "cast" and the 6 months of rehab with no Karate. The more I read about it, the more I want to do it though. It sounds like it's come a long way since I had my first one 10 years ago. They no longer to "open" sugery. They do Arthroscopic (little tube, little holes, little pain, little camera) surgery these days.
The doc basically said he would tighten it all down in there and limit my range of motion a bunch so it doesn't pull out anymore. Sounds good to me. I hate how far my arm goes back anyway. Everytime it's back that far the damn thing snaps out with the pressure of anything more than a high 5 from a friend.To put my silly shoulder problem into perspective: I was trying to grab the blanket that was behind and under me last night on the couch and almost dislocated the damn thing. Sucks :(
Yup.. the more I think about it.. the more I want it.. I think i'm in.. :) Here comes 6 months of kicks :)
Amazing read on the surgery I am contemplating:
http://www.orthopedictechreview.com/issues/julaug05/pg36.htm
Some Fun Info:
In a prospective study, Arciero et al5 observed that there was 80% recurrence of instability in a nonoperative group, compared with only 14% recurrence in a group with arthroscopically stabilized shoulders.
Recurrence rates after open Bankart repair are reported to be around 4%.6
The SLAP lesion is a specific injury to a part of the shoulder joint called the labrum. The shoulder joint is a ball-and-socket joint, similar to the hip; however, the socket of the shoulder joint is extremely shallow, and thus inherently unstable. To compensate for the shallow socket, the shoulder joint has a cuff of cartilage called a labrum that forms a cup for the end of the arm bone (humerus) to move within. This cuff of cartilage makes the shoulder joint much more stable, yet allows for a very wide range of movements (in fact, the range of movements your shoulder can make far exceeds any other joint in the body). A SLAP lesion is a tear of this labrum.
4 comments:
I don't know dude... I would be worried about losing range of motion. I've noticed I've regained some after my shoulder surgury a few years ago. But now it is starting to ache and pop a bit from time to time.
Still, it is a lot better than it was. And still is better. It used to be impossible for me to sleep with my arm under my pillow (like I do) but after I went through therapy and it was better, that hasn't been a problem since.
If it is constantly a bother, I say do it, just make sure you know the downside as well.
OMG so true. I haven't slept with my arm under my pillow for 10 years. I love that feeling. I sleep with my arm like it was in a sling. Kinda blows.
Eff range of motion for me. As soon as it gets past 80 degrees up I pull it in to my side anyway because of the high likelyhood of it popping out.
Did you do arthoscopic or the hack/slash surgery? Have you had any problems in Karate?
If your serious about martial arts losing the range of motion could have an effect on your forms. When I busted up my shoulder I ended up declining the surgery and instead went through intensive PT. My shoulder feels fine now with no ill effects, and I've been training in Sambo.
Ultimately the choice is yours.
I had arthoscopic. I have a bit of pain that comes and goes. But I do not regret the surgury at all. It is at least 10 times better than it was. After surgery though, the recoup sucks. But with you being as active as you are, I say go for it. Thats why I did it. I didnt want to live with a bum shoulder because I'm too active. I wouldn't have been able to enjoy myself. I haven't had any problems with my karate with it. The only problems I've had are with lifting too much at once. But even those are minor.
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