Thread Tools Display Modes
Old 01-21-2013   #11
nessles's Avatar
Colorado Springs, Colorado
Paddling Since: 2007
Join Date: Sep 2011
Posts: 75
I've been subluxing anteriorly for the past two years and just had arthroscopic surgery (labral repair - the tear was 6-1)5 months ago. Since I had repeated anterior subluxations my experience may be different than yours, but the surgery would be similar.

My boating hit a plateau for the two years when these subluxations were happening since there was always a possibility my shoulder might pop out in the middle of a rapid rendering me useless. It happened quite often playboating (flatwheels) but only once creeking, and that was the tipping point. Finally it got to the point where if I put my shoulder in a compromising position while sleeping it would pop out.

When I get around to it I'll post some info on my website about my experience with the surgery and follow up. Long story short the surgery was the best choice I could have made and I wish I did it a little earlier. Not only will it prevent arthritis later on (if you wait too long it is possible to wear down the ball part of the shoulder joint so much that a bone graft is necessary - unlikely but possible), but you regain confidence in sports where having proper shoulder function is critical.

5 months out I'm running fine, have done some easy kayaking, am back on the bike, and really just need to do more weight training to strengthen my shoulder muscles again. Feels better than my other shoulder.

Let me know if you have any specific questions.

- John
Fluid Glass Network

nessles is offline   Reply With Quote
Old 01-21-2013   #12
Salt Lake City, Utah
Join Date: Jun 2010
Posts: 11
Different Experience

I have dislocated both of my shoulders, and subluxed my left shoulder regularly for several months after the initial dislocation. Admittedly I haven't regained my confidence paddling (there is always the lingering feeling that if I flip over I may not be able to get back up), but in everything else that I do I feel like my stability is back to at least 90% of what it was before.
The main reason that I caution you on getting surgery as your first option is that each time you get the surgery it becomes harder to do it again. I was told my a shoulder specialist that you basically get two shots to get the surgery right and after that your shoulder will be compromised for life. My understanding is that the labrum is cartilage so your body *will not* heal/ rebuild it. As such you only have so much material there to staple together.
I'll admit that my opinion is influenced by the fact that 2 of the 5 people who I know have had the surgery lost stability (both subluxation and dislocation) after a short while (a couple months, and two years) without experiencing a mechanism that should have re-injured the shoulder. I wish that I could link to a study rather than saying "studies have shown" without any evidence, but one of my doctors (a non-surgeon) said that for folks under 30 are very likely to dislocate their shoulder again after surgery.

Stay safe out there

Websta' is offline   Reply With Quote
Old 01-21-2013   #13
nessles's Avatar
Colorado Springs, Colorado
Paddling Since: 2007
Join Date: Sep 2011
Posts: 75
Originally Posted by Websta' View Post
II wish that I could link to a study rather than saying "studies have shown" without any evidence, but one of my doctors (a non-surgeon) said that for folks under 30 are very likely to dislocate their shoulder again after surgery.
Did a college sports science paper on some of this a while back and saw similar statistics to this in peer-edited journals:

"The incidence of recurrence of either a partial or complete dislocation that is treated non-surgically is largely dependent on the patient's age. In patients under 20 years old who experience a traumatic dislocation, the recurrence rate is as high as 95 percent a phenomenon that is probably related to natural looseness in the joint and return to activities that place stress on the joint. Among patients age 40 and older the recurrence rate drops dramatically, to about 15 percent, owing to a natural tightness in the joints that develops with age and changes in activity level.

Recurrence rates in patients who undergo surgery vary depending on the patient's level of activity. However, overall the results are quite good, with a general recurrence rate of less than 5 percent for those with surgical treatment of traumatic dislocation. Among patients with multidimensional, loose-jointed lax shoulders, the rate is closer to 10 percent."

Shoulder Conditions and Treatments: Shoulder Dislocation/Instability

So surgery does drastically improve chances of preventing a recurrent injury, but as with anything things can go wrong.

- John
Fluid Glass Network
nessles is offline   Reply With Quote
Old 01-22-2013   #14
burnor's Avatar
Boise/Hokitika (New Zealand), Idaho
Paddling Since: 2006
Join Date: May 2010
Posts: 46
So to answer your question...

Posterior dislocations or subluxations are rare in anybody because anatomically the way the humerus generally sit's in the "socket" is not generally as amenable to dislocating posteriorly, much less the way the way it is supported by the rotator cuff. However it is impossible to know the prevalence in kayakers... there 's not a whole lot of cash in relation to kayak related health studies. If I was to guess... it's probably still rare, but I'm sure it's higher than the general population given the stresses in weird positions we put our shoulder's through.

It's really hard to say for sure your likelihood of repeat dislocation or further instability.... it depends on many factors, just as there is not one factor in stabilizing your shoulder. We know your labrum is not helping... but how about the rotator cuff.... PT and working with it will eventually tell you if it's going to continue to be a problem. I think a trial of PT and a good eval by a PT as well will help identify is there are remaining issues. Make sure your PT knows your concerns as well... they also have very good evaluation skills (better than me). I have not heard of repetitive posterior shoulder dislocations... but then again I don't see them all that frequently. I'm not sure if the fact that you had a uncommon injury... translates to a repeat injury remaining uncommon to you personally. It seems logically to make sense that it would be less common... but medicine is often far from logic, I would base any decision making on the shoulder itself and a professional's eval of it.

But the good news is what I'm not hearing... if you did fully dislocate, then it wasn't too bad because I hear no mention of a Hills-Sachs lesion....this is when the edge of the glenoid puts a nick in the humeral head. Common with full posterior dislocation.
burnor is offline   Reply With Quote
Old 01-22-2013   #15
jonny water's Avatar
Geologist, Colorado
Paddling Since: 1991
Join Date: Oct 2003
Posts: 583
I used to dislocate my shoulder all the time. Probably more of a subluxation, but I am no medical expert. It used to come out towards my back and I was always able to put it back in myself, within about 5-10 seconds. It came out probably 30 or more times. I never went to the doctor and I probably never tore anything, but I will never know. It was so loose that it would come out of socket when driving passenger and the person took a turn too quickly.

That said, I did my own PT and swam a lot. I also relearned how to roll, the right way, keeping my elbows low and close to my body.

After that, it never happened again, and I have no problems or pain.

Proper roll technique, your elbow should not be more than about 6 inches from your ribs/midsection.

jonny water is offline   Reply With Quote

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Similar Threads
Topic Thread Starter Forum Replies Last Post
shoulder relocations Whitewater Kayaking 0 04-06-2011 08:02 AM
Shoulder Dislocation and Surgery TR and workout rg5hole Whitewater Kayaking 1 03-08-2010 01:57 PM
shoulder dislocation rivermountaingnar42 Whitewater Kayaking 16 05-05-2009 12:55 PM
shoulder dislocation, need advice,encouragement newpotato Whitewater Kayaking 11 07-06-2006 02:44 PM
SHOULDER HELP PLEASE boof512 Whitewater Kayaking 7 03-11-2005 10:26 PM

» Classified Ads
Perception's Corsica...

posted by ARraces

Perception's Corsica Overflow WHITEWATER Kayak....

Fred the Fuse 48

posted by kayaklifeislife

My first boat the Wavesport Fuse 48 I'm just putting it on...

whitewater kayaks

posted by leatherneck

2012 Fluid Solo Expedition kayak. Boat is in good shape....

Powered by vBadvanced CMPS v3.2.3

Our Communities

Our communities encompass many different hobbies and interests, but each one is built on friendly, intelligent membership.

» More about our Communities

Automotive Communities

Our Automotive communities encompass many different makes and models. From U.S. domestics to European Saloons.

» More about our Automotive Communities

Marine Communities

Our Marine websites focus on Cruising and Sailing Vessels, including forums and the largest cruising Wiki project on the web today.

» More about our Marine Communities

Copyright 2002-2012 Social Knowledge, LLC All Rights Reserved.

All times are GMT -6. The time now is 01:20 AM.

Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2016, vBulletin Solutions, Inc.