Madinah – Mouwasat Hospital
Mouwasat Hospital in Madinah has recorded a remarkable medical achievement in the Department of Orthopedic Surgery, following the successful performance of a complex and advanced arthroscopic procedure to treat a chronic injury of the shoulder joint.
The procedure was performed on a patient in his early thirties who had been suffering from chronic shoulder pain, weakness, and instability in the right shoulder.
Medical Case Details
The patient had previously sustained an old shoulder dislocation and underwent a surgical procedure five years ago to repair torn shoulder tendons. However, his condition did not improve, and the pain persisted, with symptoms progressing to significant muscle weakness and reduced range of motion in the shoulder and arm.
Following a thorough clinical examination and detailed radiological assessment, the diagnosis revealed a neglected complete tear of the subscapularis tendon with associated muscle atrophy due to the prolonged duration of injury.
Surgical Evaluation and Treatment Plan
The medical team, led by Dr. Ahmed Al‑Shazly, Consultant Orthopedic Surgeon, explained the details of the condition to the patient, discussed the available treatment options, and outlined the expected outcomes.
Based on the complexity of the case and the degree of functional impairment, it was decided to proceed with advanced arthroscopic surgical intervention.
Arthroscopic Shoulder Repair Surgery
The patient underwent a highly delicate surgical procedure that lasted approximately three hours, which included:
- Arthroscopic release of adhesions within the shoulder joint
- Biceps tendon tenodesis (Biceps Tendon Tenodesis)
- Latissimus dorsi tendon transfer (Latissimus Dorsi Transfer) to compensate for the damaged subscapularis muscle
This complex procedure required a high level of surgical expertise and technical precision due to the chronic nature of the injury and the presence of muscle atrophy.
Recovery And Rehabilitation After Arthroscopic Surgery
By the grace of God, the patient was discharged from the hospital in good health and without any complications.
During the first postoperative follow‑up the next day, clinical assessment showed a clear improvement in the shoulder’s range of motion.
Physiotherapy sessions were initiated four weeks after surgery. Upon completion of the full rehabilitation program, the patient successfully regained approximately 80% of shoulder muscle strength and range of motion.
Mouwasat’s Commitment to Excellence in Orthopedic Surgery
This type of advanced surgical procedure reflects the high level of precision and modern technology available at Mouwasat Hospitals, as well as the specialized expertise of its orthopedic and joint surgery teams. It further underscores the hospital’s dedication to providing the highest standards of medical care, contributing to improved patient outcomes and quality of life.