A total shoulder replacement is an open procedure which involves replacing shoulder joint with a specially designed prosthesis.
A reverse total shoulder replacement may be considered in patients suffering severe joint arthritis with irrepairable rotator cuff tears or patients with a deficient rotator cuff suffering superior migration of the humeral head.
Infection is a rare but serious complication of shoulder arthroplasty surgery. In the rare circumstance where infection does occur the shoulder prosthesis may need to be removed and a new replacement surgery performed after treatment with high dose antibiotics.
An acromioplasty involves shaving of the undersurface of the acromion. The acromion is a projection of bone extending from the shoulder blade out over the top of the shoulder joint and provides attachment for muscles around the shoulder including the trapezius and deltoid muscles.
Patients with calcific tendinitis and large calcium lumps can be treated with an arthroscopic excision of the calcium deposit. This may also be performed in conjunction with an acromioplasty.
A lat dorsi transfer is a procedure that involves transferring the lat dorsi tendon and possibly the teres major tendon from an internal rotator to an external rotator. This procedure is commonly used in conjunction with a reverse total shoulder replacement.
Shoulders that dislocate following traumatic injuries need to have the damaged and torn structures repaired. Many patients have only cartilage torn however, some patients have segments of bone broken or worn away from the front of the shoulder. If this is the case then the shoulder is frequently highly unstable.
Treatment for tendonitis can be difficult. Patients with tendonitis as part of bursitis and impingement can often be satisfactorily treated with steroid injection or physiotherapy. If this is unsuccessful in relieving the symptoms, then an arthroscopic acromioplasty and bursectomy may be considered.
The Arthroscopic Bankart Repair is an effective procedure to treat patients that have anterior shoulder instability. The majority of patients who suffer a traumatic anterior dislocation of their shoulder will tear the fibrocartilage labrum at the front of the shoulder.
The original Arthroscopic Latarjet procedure pioneered by Dr Lafosse ablates the anterior capsule and does not include repair of the anterior labrum.
Following non operative treatment for an arthritic AC joint, an AC joint resection may be discussed. This procedure is done as a keyhole operation and involves removing a segment of bone at the end of the clavicle (collarbone). Resection of a painful AC joint is very effective in relieving pain.
Acromioclavicular joint (ACJ) dislocations commonly occur following a fall or a blow onto the point of the shoulder. They are a common sporting injury. A prominent lump will usually be present on the point of the shoulder.
Arthroscopic repairs of rotator cuff tears are associated with a lower complication rate than that for open repairs. However, both techniques are subject to similar possible complications.
Frozen Shoulder is a condition that may occur spontaneously without apparent cause, or it may come on after an injury or surgery to the shoulder. The disease starts as an inflammation of the capsule of the shoulder.
Superior Capsular Reconstruction is a procedure that has been recently described in the medical literature. It is a procedure that is indicated for young patients with irrepairable rotator cuff repairs.