Orthopaedic Surgeon Questions Shoulder dislocation

Does a shoulder dislocation always require a surgery?

My shoulder dislocated while playing a volleyball. My dad tried popping it back in, but now I'm in even more pain. I think I'm going to need to go to the hospital, would I need surgery for this?

8 Answers

Not after first one; usually a couple weeks in a sling, and then PT; if that becomes a recurrent occurrence, then yes.
The most important aspect of the shoulder dislocation is to make sure that it is well reduced, which will require a chest X-ray. Once it’s confirmed to be well reduced, the arm should be immobilized in a sling for 1 to 2 weeks depending on your age, and then rehabilitated with physical therapy, most of which can be done by the patient. So for you, I would recommend an X-ray first and foremost.
If the shoulder is truly dislocated, then it needs to be “reduced” or put back in the socket. This does not usually need open surgery and can usually be done by manipulating the shoulder.
Not always. You should confirm your shoulder is reduced (in socket). If you are over 21, there is low likelihood of repeat dislocation. The younger you are, the more likely you are to have repeat dislocation without surgery.
Surgery for a shoulder dislocation is somewhat related to age
The younger you are , the more likely a recurrent dislocation can occur due to a labral year
An mri is helpful in determining this
Pain relief and muscle relaxation is required. Go to the ER.
If you have had more than one dislocation, then you probably need surgery, Surgery is rarely required to put a shoulder back in place.
You need a good x-ray study to determine that your shoulder is back in place. If you are under age 28, there is a good chance that your shoulder will require a surgical repair to prevent repeated dislocations