Atlanta Bone and Joint Specialists
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    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Matt Crook, PA-C
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
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        • Vanessa
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      • Emory Decatur Hospital
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    • Joint Replacement Center >
      • Hip >
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Matt Crook, PA-C
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
  • Locations
  • Appointments
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Bianca
        • Tabatha
        • Meagan
        • Sandra
      • Billing >
        • Buffie
        • Jennifer
        • Vanessa
      • Scheduling >
        • Andrea
        • Farrah
        • Holly
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Melissa
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Hip >
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery

Shoulder Dislocations and Labral Tears

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Experts in stopping shoulder dislocations from recurring.

Anatomy

The shoulder is comprised of a bony socket called the glenoid.  Around the glenoid is a rim of softer cartilage called the labrum.  The labrum functions to increase the size of the joint so that the shoulder remains stable in the extremes of motion.  This soft tissue is usually firmly attached to the glenoid bone.  When the shoulder pops out of place, the soft tissue is peeled off the bone and a labral tear occurs.
Picture
Image showing the glenoid labrum firmly attached to the glenoid.
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Image showing a tear in the glenoid labrum. At the base, the tear has separated the tissue of the labrum from the bony glenoid.

Imaging

The first imaging studies are usually X-Ray.  Our doctors will look for bone loss, like the Hill-Sachs lesion, when looking at X-Rays. 
Picture
Image of X-Ray showing a normal shoulder and a dislocated shoulder. This dislocated shoulder is usually put back in place in the Emergency Department or in the Office.
An MRI will routinely be ordered to look for a torn labrum.  The image sequence will show a gap in the labrum, indicated below with the red.
Picture
In this image, the if the humeral head moves forward and pops out, it can tear the labrum (white) and lead to a tear (red).

Shoulder Dislocation

Shoulder injuries occur when the arm is in certain positions and "pops" out of the socket.  Generally, patients are taken to the emergency room when this happens and will have their shoulder relocated.  Unfortunately, even the shoulder is put back in place, something more likely than not had to tear in order for the shoulder to pop out.  Most cases involve the glenoid labrum in the front- which is called the Bankart lesion.
Picture
A Bankart Lesion, also known as a labral tear, is when the soft labrum is detached from the bone. This occurs when the humerus dislocates.

Treatment Plans

Most shoulder dislocations do not have to be repaired for people who dislocate one time.  However, data shows that patients under the age of 21 who dislocate their shoulder have an extremely high rate of re-dislocation and has lead sports physicians to fix first time dislocators if they are in the under 21 age group.  If you are over the age of 40, shoulder dislocations are associated not only with a labral tear but also a rotator cuff tear.  Diagnosis is made by injecting dye in the shoulder and looking at the joint in 3D with an MRI.   Once a diagnosis is made, our doctors will discuss what plan is best for you after evaluating age, job, sports played and any other decisions that factor in repairing the tear.

Surgical Treatment: Arthroscopic Labral Repair

Picture
Image showing drill holes that are created to place anchors.
Picture
Image showing how anchors are placed into the bone with sutures coming from them. These will be later tied around the soft torn labrum to repair it.
Picture
Image showing a final repair of the torn labrum. The stitches are sinched down and the bumper is repaired to prevent re-dislocation.

Rehabilitation

Depending on the repair and tissue quality, most people report being back to 100% around 4-6 months after surgery.  The rehabilitation process is long, starting with simple motion and progressing to strengthening activities.  Most patients start physical therapy around 4-6 weeks after surgery.  Outcomes are extremely good, with success rates greater than 95%!
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A patient being rehabilitated after shoulder surgery. The rehabilitation is a long process but success rates are excellent!
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  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
  • Oral Contraceptive Birth Control

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​Call to Schedule Your Appointment Today
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Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM