Total shoulder replacement
Total shoulder replacement, also known as total shoulder arthroplasty, is a major surgical procedure in which your orthopedic surgeon replaces the damaged ball and socket joint of the shoulder with a metal replacement ball on a plastic surface on the socket.
This procedure is often performed to treat severe, ongoing pain caused by degenerative conditions such as osteoarthritis or serious injury. With the right help from a skilled orthopedic surgeon, patients undergoing total shoulder arthroplasty can experience full recovery, find relief from pain, and restore their range of motion so they can participate in the activities they love.
Talk to one of our orthopedic surgeons to see if your condition warrants a possible total shoulder replacement.
Reverse shoulder replacement
Sometimes, the rotator cuff in a shoulder can be damaged beyond repair. This can also lead to a painful condition known as cuff tear arthropathy, which is a form of shoulder arthritis. When these conditions happen, a traditional total shoulder replacement is not an effective form of treatment. The alternative is called a reverse shoulder replacement.
A reverse shoulder replacement uses different muscles to help the arm move than what are used normally. Since the rotator cuff muscle can’t function, the design of this implant takes advantage of other muscles – such as the deltoid muscles in the shoulder – to move the arm instead.
You may be a candidate for reverse shoulder replacement if you have cuff tear arthropathy or a severe fracture of the proximal humerus. If so, your orthopedic surgeon at OSI can walk you through the process and help you understand what the treatment will entail and how it will help you.
Rotator cuff repair
The rotator cuff in your shoulder helps you raise and rotate your arm. It is a vital part of your arm’s full range of motion, and when it is torn or damaged, your mobility will become impaired. You may also experience significant weakness and/or pain.
Rotator cuff surgery is usually required if nonsurgical techniques don’t relieve the pain. There are two options: a surgeon can reattach the torn tendon in the case of a full tear; or, a surgeon can perform a debridement (trimming or smoothing the tendon) in the case of a partial tear.
Rotator cuff repair is often done through arthroscopic surgery. Arthroscopic surgery for the shoulder helps to address injuries to your shoulder joint and the surrounding tissues by using a tiny camera – called an arthroscope – through a small incision into your shoulder so the surgeon can examine the tissue and the joint. If repairs are necessary, they can be made via a series of additional incisions. This is a minimally-invasive way to repair the damage to your rotator cuff.
Talk to a trained orthopedic surgeon at OSI to learn more about rotator cuff repair and how it may benefit you and give you the improved mobility you deserve.
The labrum is a ring of cartilage that site on the rim of your shoulder socket. It helps promote stability in your shoulder and also support the joint in movement. A labral tear can cause problems with stability and mobility, as well as pain. Athletes are particularly vulnerable to torn labrums, but anyone who has experienced trauma to the shoulder – such as falling down stairs or getting into a car accident – can suffer from this injury.
Labral tears may stop hurting with intervention, such as anti-inflammatory medication, cortisone injections, and physical therapy. But sometimes, surgery is required in order to repair the tissue back to the bone.
Labral repair surgery is usually performed with minimally invasive arthroscopic surgery in which surgeons operate through small incisions in the shoulder with the aid of a small camera inserted into the joint. This results in a faster recovery time and fewer complications from the surgery.
An OSI orthopedic surgeon can diagnose your injury and give you advice on whether or not labral repair surgery is needed.
The shoulder is a complex mechanism that is as susceptible to fracture as any other bone-based mechanism. Shoulders usually become fractured through traumatic events, such as accidents or falls, but a fracture can also develop over time through overuse.
Our surgeons are skilled at diagnosing and treating fractures of the shoulder, whether they require nonsurgical or surgical intervention. If your shoulder fracture requires surgery to fully heal, our surgeons have years of experience and training that will put you in the best position to recover.
Superior capsular reconstruction
In the event of an irreparable rotator cuff tear that can’t otherwise be fixed by surgery, an orthopedic surgeon may have to use what is called superior capsular reconstruction to restore mobility and reduce pain.
Using an arthroscopic scope (a small camera placed into the shoulder via an incision), the orthopedic surgeon will debride the damaged rotator cuff tissue and then reconstruct the superior capsule, which lines your shoulder joint. The superior capsule can perform a similar function as the rotator cuff, enabling an improved range of motion even though the rotator cuff is inoperable.
Superior capsular reconstruction isn’t for every case, and your orthopedic surgeon will have to determine whether it is appropriate for your particular situation. But it can be a viable alternative to an injury that otherwise would be very difficult to treat. Talk to your orthopedic surgeon to learn more.