GoDubai
  
  
  
  
Citylife > Press Release
  Home Contact us Add to Favourites
Most Recent Postings
More Press Releses
Featured Sections

Event Finder
A daily roundup of exhibitions, promotions and other events in Dubai and the rest of the Emirates.
Submit an Event
Latest Dubai Press Releases >>

 
  Share

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.



Posted by : GoDubai Editorial Team
Viewed 6966 times
Posted on : Sunday, December 30, 2018  
Replication or redistribution in whole or in part is expressly prohibited without the prior written consent of GoDubai.com.
Previous Story : Two couples blessed with baby girls on New Year at RAK Hospital
Next Story : Profeta - Premium Range of Halal Vitamins and Supplements for Men, Women and Children
Email this article Print this article

Share this article with your friends and followers
NewsVine

Comments

Back to Top  
Most Viewed Press Release posted in the last 7 days
Celebrate Mother's Day with the perfect gift from Sawalef Perfumes
The essence Guide to a Mother's Day done right!
Get Kylie Minogue's Youthful Complexation with The Organic Pharmacy's Rose Diamo...
Dubai Festival City Mall picks the perfect gifts to say thank you to all mums th...
Zoho sees over 100% market growth in the UAE, announces initiatives for the region
Visa partners with Starbucks & Hardee's to help promote the use of Apple Pay in ...
Desigual ‘Not the Same' Since 1984
Trade-in Your Old Device for a brand new Galaxy S10
Splash launches Regional Designer Collaborations
Step up your make-up game for Spring/Summer '19 with Lottie London
A major presence of the French cosmetics industry at Beauty World Middle East in...
Michael Michael Kors Spring 2019: Middle East Edit
Fit and Fabulous – now a possibility with HONOR technology
TREND ALERT: Denim | Marks & Spencer
Giti Tire Celebrates New Beginnings with Opening of First Middle East Flagship S...
Hucklebones create charming pieces for girls filled with easy-going elegance for...
HP Raises the Bar for Exciting and Secure Devices with Cutting Edge PC Innovations
Lulu Promotes Food Is Great Britain: A British Food Festival
Cole Haan Delivers True Performance Footwear With the Release of the Zerøgr...
Ericsson and UNESCO launch new global AI skill development initiative for youth
Malabar Gold & Diamonds actively participated in UAE National Sports Day conduct...
LG's Smart Kitchen Appliances Help Families Eat Healthy, Stay Fit and Waste Less
It just keeps getting better: Nokia 3.1 gets a fresh slice of Android 9 Pie
Olivia Burton presents Sunlight Florals/Mothers and daughters collection
Coach presents Park Collection
Meet HP Tango! The Home Printer Reinvented
Etisalat AGM approves Full-year 2018 dividends of 80 fils per share
Volvo Cars celebrates 60 years of sharing safety knowledge with open-for-all dig...
Epson's latest A4 business inkjets help businesses print more for less
HUGO BOSS Watches INTENSITY Collection
MOTIONGATE™ Dubai launches special treat for moms to celebrate Mother's Day on ...
Smiles, and Medals, All Round After Double Success for Team GB Siblings at World...
Jaguar F-Pace: 300 Sport and Chequered Flag Special Editions Join Award-winning...
Italian Design Day returns to Dubai with the theme Internet of Things
Fintech will radically improve financial health of people in the Gulf, say experts
New 2019 Cadillac CT6 makes its Middle East debut
IKEA X TOM DIXON X YOU
Emirates Foundation's Think Science Fair kicks off in Fujairah
Finnovex ME to focus on disruptive innovations in banking and finance sectors
Dubai Cares' latest edition of Volunteer Emirates 2019 draws support for the Nat...
The S Hotel Al Barsha to Debut at Arabian Travel Market
Saudi Arabia and Huawei sign 5 MoUs at the Saudi-Chinese Investment Forum
Applications now open for visiting students to take part in summer research at N...
Moms Eat Free on Mother's Day
Top Tips on choosing the perfect Coffee Table
Manzil and Repton school Dubai collaborate on sustainable art project
Ministry of Health launches 3rd phase of Heart Experts Programme
Team GB Cycling Star Kiera Byland Takes Gold Medal in Her First Race at World Ga...
Dubai Customs concludes 24th edition of Carpet & Art Oasis 2019
Tommy Hilfiger Two-Tone Time Collection