Shoulder and upper limb procedures

For tears and tendon problems in the muscles and tendons that move and stabilise the shoulder. Most are performed arthroscopically.

• Biceps tenodesis

  Reattaching the long head of the biceps tendon lower down the arm.

• Distal biceps repair

  Repair of the biceps tendon where it attaches at the elbow.

• Excision of calcium

  Removing calcific deposits from within the cuff tendons.

• Pec major repair

  Repair of a ruptured pectoralis major tendon.

• Rotator cuff repair

  Reattaching torn tendons to bone through keyhole incisions.

For arthritis, and for shoulders where the rotator cuff can no longer be repaired. Which type suits you depends on the state of the cuff and the socket.

• Anatomic total shoulder replacement

  Replacing both ball and socket, for arthritis with an intact cuff.

• Reverse total shoulder replacement

  For arthritis with an irreparable rotator cuff, working through the deltoid instead.

For shoulders that dislocate or partly slip out. Age, sport and how much bone has been lost all change which operation is right.

• Arthroscopic Bankart repair

  Keyhole repair of the torn labrum at the front of the socket.

• Latarjet and labral repair

  Bone block transfer where bone has been lost from the socket.

• Remplissage

  Filling a dent in the ball of the shoulder to stop it catching on the socket.

• Stabilisation

  Repair of the capsule and ligaments that hold the shoulder in place.

• Sternoclavicular joint stabilisation

  For instability where the collarbone meets the breastbone.

For pinching at the top of the shoulder, stiffness, and problems in the joint where the collarbone meets the shoulder blade.

• ACJ excision

  Removing the worn end of the collarbone at the acromioclavicular joint.

• Acromioplasty

  Making room above the cuff tendons to relieve impingement.

• Frozen shoulder release

  Releasing the tightened capsule when stiffness has not settled with time.

• Os acromiale surgery

  For an acromion that has not fused, causing pain and impingement.

• Scapula resection

  For painful grating between the shoulder blade and the chest wall.

Broken bones around the shoulder, nerve problems, and reconstructions after earlier surgery or injury.

• Brachial plexus exploration

  Surgery on the bundle of nerves that supplies the arm.

• ORIF: scapula, clavicle and humerus

  Open reduction and internal fixation of fractures around the shoulder.