Search DubaiPRNetwork.com

Home >> Healthcare & Medicine

Zulekha Hospital restores shoulder functions for a biking enthusiast with a minimal invasive procedure

Zulekha Hospital restores shoulder functions for a biking enthusiast with a minimal invasive procedure

Sunday, December 30, 2018/ Editor -  

Share

Home >> Healthcare & Medicine

Dubai, United Arab Emirates, 30 December 2018 –   42-year-old John Dingo Demadura Rojas, a resident of Dubai was biking in a mountainous area when he had an accidental fall and injured his left clavicle. 

In severe pain John was rushed to another hospital where he was advised to undergo an open surgery to restore the shoulder function. However, he approached Zulekha Hospital Sharjah for a second opinion and was keen on an alternative to the open procedure. The diagnosis revealed a grade 3 (complete) dislocation of the lateral end of the clavicle – left shoulder. It was observed that the joint between the clavicle and shoulder blade had disrupted owing to complete disruption of ligaments. This resulted in dislocation of one end of the collar bone. His shoulder movements were painfully restricted in all the planes and there was a palpable deformity over the superior aspect of the shoulder from the dislocated collar bone.

After a thorough assessment, considering John’s desire to restore his shoulder functions through a key hole surgery, Dr. Biju Pankappilly, Specialist Orthopedic Surgeon advised an arthroscopic assisted reduction of the joint with suspensory devices, along with a semitendinosus autograft augmentation for superior results. This is a biological augmentation for added stability and speeds-up the healing process.
 
During the arthroscopic surgery, small key holes were made around the shoulder through which an arthroscope was introduced into the shoulder joint to look for any additional intra articular pathologies inside the shoulder which are very common following a fall on the shoulder. Intraarticular injuries can be been easily missed if one resorts to an open surgery alone. The patient had a very small partial thickness rotator cuff tear which needed only debridement. Dissections had to be made around the Neuro vascular structures to aid in passing the tendon autograft through the key holes with specialised instruments –  this was the most difficult part of the surgery. A small 1.5 cm incision was made over the collar bone for the purpose of drilling and a suspensory device with suture tapes and titanium buttons on both the ends were inserted to hold the acromio clavicular joint in reduced position. Semi tendinosis tendon graft taken from his leg further supported the fixation. 

The patient said: “While I was worried about the incident keeping me away from my routine and sporting activities, it was an excellent experience to have had the procedure done through an arthroscopic technique. I have very little pain and I am confident I will be able to recover faster and have normal shoulder movements that will help me get back to my sporting activities in the weekends with family and friends.”

Dr. Pankappilly added: “Most people with low demands can be treated conservatively with such injuries as long as they do not mind a bony prominence from the dislocated collar bone over their shoulder and a dull ache at times. I would recommend surgery for people taking part in overhead sports, contact sports such as football or rugby, cyclists and manual labourers. Neglected injuries in this group of people may cause persistent pain and dysfunction in the shoulder and will affect their performance as they need overhead activities in their career.”

“Most surgeons perform the surgery as an open procedure. The results may be equally good but with a larger incision and dissection causing more postoperative pain to the patient and a delayed recovery time. Moreover arthroscopic surgery enables one to diagnose and treat any intraarticular pathology present. Patients who desire better cosmesis, less pain and a faster recovery will benefit more from an arthroscopic assisted procedure – this is what we did to help John.”

“The suspensory device plays a vital role in holding the reduced joint in position until the ligaments heal and the biological augmentation will make the construct much stronger speeding up the recovery. In an acute situation, one can opt not to have the tendon augmentation. However, in John’s case it was more than two weeks since his injury happened, which meant that the ligaments would have already started healing in an elongated position. This is why we decided to augment the reconstruction with a tendon graft,” he concluded.

The patient’s post operation X-ray shows excellent reduction of the dislocated acromioclavicular joint. John started his home physio sessions the day after the surgery and as time progresses he will be put on more aggressive regimes. If all goes well, John should be able to resume his biking activities in 3-4 months’ time.


Previous in Healthcare & Medicine

Next in Healthcare & Medicine


Home >> Healthcare & Medicine Section

Latest Press Release

Belinda Bencic upsets Petra Kvitova to win Dubai Duty Free Tennis Championships ...

Expo Centre in Didacta 2019 - Germany to promote for the International Education ...

Year of Tolerance logo inspires ADU's new Al Ain campus design

The Dubliners St. Patrick's Day

‘Take Water. Give Life'

Ireland Claims CSI2* Longines Grand Prix Win on Day 3 of President's Cup

Get closer- your makeup is invisible with Make Up For Ever's New Ultra HD Concea ...

Research finds increased sulfur metabolism is a likely survival mechanism for na ...

Pakistan International Airlines launches bi-weekly flights to Al Ain Internation ...

Galaxy S10 series now available for pre-order in the UAE

Modest Fashion Week Returns to Dubai for 2019

Three New Breitling Watches Commemorate an Aviation Legend: The Curtiss P-40 Wa ...

The Emirates A380 to take centre stage at the Saudi International Airshow

Dubai Customs ties strategy to the 8 principles of governance

Super Six as Pogacar picks up top spot in Portugal

Ibn Battuta Mall hosts Pink Caravan clinic to raise awareness about breast cance ...

Ras Al Khaimah Ruler to present inaugural Sheikh Saud bin Saqr Al Qasimi Interna ...

Splash launches Adaptive Collection for People of Determination

Key Trends of Spring/Summer 2019 and How to Wear Them

Lucky Number Five for UAE In FEI Longines Jumping Nations Cup™ Draw