Shoulder instability is a shoulder that slips partly or fully out of its socket. Dr. Bishai treats shoulder instability and dislocation in Troy, beginning with therapy to strengthen the joint and offering surgical options when the shoulder keeps giving way despite non-surgical care.
Shariff Bishai diagnoses and treats shoulder instability / dislocation in Troy, from the first visit through recovery.
Who treats shoulder instability / dislocation in Troy?
Shariff Bishai is a board certified orthopedic surgeon who treats shoulder instability / dislocation in Troy, MI. Fellowship trained at Plancher Orthopaedics and Sports Medicine (orthopedic sports medicine fellowship). Dr. Bishai sees patients at the practice in Troy; appointments can be requested through this site.
What is Shoulder Instability / Dislocation?
The shoulder is a ball-and-socket joint, and the socket is shallow, which gives the shoulder wide motion but also makes it prone to dislocation.
Instability means the ball moves too far within or out of the socket. A full dislocation is when the ball comes all the way out; a partial slip that goes back on its own is called a subluxation.
Instability often starts with a first dislocation from a fall or a sports collision. That first event can stretch or tear the soft tissues that normally hold the joint in place, which makes later slips more likely. Some people have naturally loose ligaments, the bands that connect bone to bone, and develop instability without a single injury.
Signs include the shoulder feeling loose or like it may give way, repeated slipping with certain arm positions, pain, and a sense of apprehension when the arm is raised and rotated outward.
How is Shoulder Instability / Dislocation diagnosed, and what does the visit involve?
Shoulder instability is diagnosed with a history, an exam, and imaging.
Dr. Bishai will ask how the shoulder first slipped and in what positions it happens now, then test how far the joint moves and check for apprehension when the arm is placed in the at-risk position. X-rays show the bones and reveal a dislocation or fracture. An MRI or a specialized MRI with contrast, called an MR arthrogram, shows tears in the labrum, the rim of cartilage that deepens the socket, and in the ligaments. A CT scan is used when bone loss needs to be measured. These findings guide whether therapy alone or a stabilization procedure fits.
What can I expect over time?
After a first dislocation, many shoulders settle and grow steadier as the muscles around the joint are strengthened through the therapy described above.
Some shoulders keep slipping, particularly in younger, active people, so the natural course varies from person to person. It helps to check back with Dr. Bishai if the shoulder keeps giving way, slips again, or feels unstable during everyday activities, since repeated slips may point toward a stabilization procedure.
What do patients ask most?
Will my shoulder keep dislocating?+
Do I need surgery after a shoulder dislocation?+
What is the difference between a dislocation and a subluxation?+
How long does recovery take after shoulder stabilization surgery?+
What are the treatment options?
- 01A short period of rest and, after a dislocation, help returning the joint to place by a clA short period of rest and, after a dislocation, help returning the joint to place by a clinician.
- 02Physical therapy to strengthen the rotator cuff and shoulder-blade muscles that stabilizePhysical therapy to strengthen the rotator cuff and shoulder-blade muscles that stabilize the joint.
- 03Activity changes to avoid positions that trigger slipping while strength is rebuiltActivity changes to avoid positions that trigger slipping while strength is rebuilt.
- 04Surgical stabilization, which repairs or tightens the torn tissue, considered for repeatedSurgical stabilization, which repairs or tightens the torn tissue, considered for repeated dislocations, younger active patients, or bone loss that makes the joint unstable.
How do payments work?
Contact the office to confirm insurance participation.
Fellowship trained at Plancher Orthopaedics and Sports Medicine (orthopedic sports medicine fellowship). Sees patients in Troy.
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