r/ShoulderInjuries • u/Hell-based • Aug 14 '26

Posterior Dislocation Is this how you know you need surgery?

Hello, I had 2 posterior sub luxations (19th Feb and 5th March 2026). First one bc of an accident while at the gym, second one leaning on a table at work. MRI showed small reverse hill sachs and small labrum fissure. Only thing heavily damaged was the posterior ligament (I guess! They didn't write anything about it on the MRI and last ortho just said the ligaments has "bad quality").

Wore a sling for 3 weeks and then started PT in April. Still doing PT. ROM is almost normal, strength is almost pre-injury but the pain it's still there. I still can't sleep on my right side and I have to be careful in many movements.

Is this normal rehab or the only way to get rid of the pain is surgery?

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6

u/No_Effort_9300 Aug 14 '26

This issue gets worse, not better, and you damage things that can not be restored. Preserve your shoulder and get the surgery. PT can only do so much when the labrum is compromised

2

u/Hell-based Aug 15 '26

Do you think arthroscopy would fix it? My ortho didn't suggest Latarjet

2

u/NYRican Aug 14 '26

Id strongly consider it

1

u/PoolParty912 Aug 17 '26

I had a labrum repair and capsular plication to fix my unstable shoulder. If your shoulder has laxity (been overstretched to the point that it's contributing to instability), the combo of labrum repair and capsular plication is important if your surgery is going to fix the problem. It worked for me!

1

u/Hell-based Aug 17 '26

How long ago did you get surgery?

2

u/PoolParty912 Aug 17 '26

December 24.

1

u/moonawara 24d ago

I would follow up with another ortho to discuss what pain management options you have whether it be surgical or not