Hey, my name is Brian I'm a 30 year old police officer and I've been trolling this site for a little while today and its been really helpful. I'm looking for a little advice with my current situation. I had a Bankart repair done back in January 2012 to repair my labrum and hills sachs lesion after a car accident at work where my shoulder dislocated and had a few recurrent subluxations before the surgery. The surgery went "well" according to the OS. Fast forward to December 2014, my should dislocated while tackling a subject. My OS ordered a CT scan and said I would need a Latarjet Procedure done. I went ahead with the surgery and now I'm about 6 months post op and my doc wanted to send my back to work. I advised him that I'm having some pain/discomfort in the back and side of my shoulder, a snapping feeling where it feels like something is getting caught and sliding over while moving and a loose feeling in the joint. He was perplexed with what was going on and said he had to do some "research" and in to get an MRI and CT scan in the mean time.
The MRI stated I have a small superior labrum tear, the humeral head is mildly sublimated, high grade loss of articular cartilage, subluxation in the bicipital groove, and chronic Hill Sachs fracture. The CT scan said I have osteophyte formation/proud bone at the anterior inferior gleaned resulting in 3mm articular offset, widening of the joint space and slight subluxation of the humeral head.
Saw him after the reports were passed on to him and he still doesnt exactly know whats going on and reccomended a second opinion, which I am seeing later today. He said he thinks he may have to go back in and tighten me up but wants the second set of eyes to confirm his guess. Also said a third surgery could be career ending for me.
My question to the forum members is what questions should I ask, I have been reserved with my questions but I want to know if they send me back to work that my should will be up to the task at hand and those what if scenarios that can occur. Thanks for any help you guys can provide.
I also had the latarjet in 2007 after a couple failed labrum repairs. I had no problems since until this January when I felt a sudden loss of sensation and strength in the armpit area. I still have some catching sensations like you stated and sharp, sudden pain with it in the front, back and armpit areas. I too did an MRI-a and CT Scan and all it showed was a 1cm fragment in the front. I highly doubt this is the only thing wrong. It's weird because I get the pain/catching sensation right at the beginning or a workout, reaching behind my back, or if I try to lift heavy like I used to. I got a second opinion because my original ortho blew me off and the 2nd opinion said he will go in with a scope and look around. I am about to get a 3rd opinion just to be safe.
My reccomendation is get another opinion, but make sure they have some familiarity with the latarjet because it's a pretty complicated procedure that not alot of orthos perform. My 2nd ortho flat out told me that if there was something wrong with the latarjet he won't touch it and he would refer me to one that did.
Thanks for the input. So I got the second opinion the other day and her performed the "jerk test" which i never had done before and was positive for it. He says i have classic posterior instability. He gave me two options. 1- get a surgery to tighten everything up but run the risk of nerve damage, loss of ROM, and that's if they can get to it with the scar tissue there. 2- retire, and live with it because I can live a somewhat normal life with it but not as a cop. He did say he can't guarantee going back to work even with a third repair.
How did my original doctor miss it when I've been complaining of being loose and pain?
So i posted all that about 10 months ago and finally got some second opinions on my own without workers comp. all of the specialists said that I have multi directional instability and recommend artho surgery to correct the posterior instability that I am now having. One doc said to go with thto artho first that way if it fails he can do an open after that as another option.
Does anyone else have experience with MDI, this would be my third surgery. I feel like it could have been fixed right the first time but with the workers comp doctors it was botched.