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Shoulder Surgery

Shoulder Surgery

shoulder painTotal Shoulder Replacement

A total shoulder replacement is a very effective treatment for end stage arthritis. The ball and socket joint is replaced with a metal head and plastic socket. These procedures are usually performed as an outpatient basis. After about 10-days in a sling, the patient will begin therapy.

Shoulder Replacement

Shoulder replacement surgery is a less common joint replacement than knee or hip surgeries, but the goals are the same: reduce pain and increase mobility and use. During the surgery, all or part of the shoulder joint can be replaced, depending on the patient’s diagnosis and condition.

There are several different kinds of shoulder joint prostheses available. Most are made with metal and plastic and are attached with a special type of bone cement or a “press fit” into healthy bone.

Various kinds of arthritis, shoulder injury and fracture, regular wear and tear with age, and long-term effects of serious rotator cuff tears all may require shoulder replacement.

Man playing tennisReverse Shoulder Replacement

Reverse shoulder replacement surgery is necessary in some cases because of anatomy issues or in patients with completely torn rotator cuffs with severe arm weakness, severe arthritis and rotator cuff tearing, and those who had a previous shoulder replacement that failed.

In reverse total shoulder replacement, the socket and ball prosthetics are switched. That means the ball is attached to the shoulder bone and a socket is attached to the upper arm bone. This allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.

There are several different kinds of shoulder joint prostheses available. Most are made with metal and plastic and are attached with a special type of bone cement or a “press fit” into healthy bone.

What is Recovery Like?

In general, patients wear a sling for two to four weeks after surgery. Your doctor will tell you when you can stop using the sling and when you can expect to drive. Physical therapy and rehabilitation begin soon after the surgery and are important parts of a full recovery. You will have exercises to do at the rehab site and exercises to do at home. Being diligent about this work will help you gain the best result from surgery.

Shoulder Arthroscopy

What is labrum repair?

The head of the upper arm bone rests in the glenoid, a socket in the shoulder blade. The socket is padded with a soft fibrous tissue rim called the labrum that helps stabilize the joint and serves as an attachment site for several ligaments. When the labrum is torn or damaged, it can cause pain and difficulty with movement.

In many cases, physical therapy, rest and medication may solve the problem. In some cases, repair is needed. Labrum repair is usually done through arthroscopy, which uses a tiny camera and tools inserted through small incisions around the shoulder area.
What are the causes and symptoms of a shoulder labrum tear?

Damage to the labrum in the shoulder socket occurs from acute trauma like falling on an outstretched arm, a blow to the shoulder, a sudden pull or jerk or repetitive shoulder motion. Athletes who throw or lift heavy weights are also at risk.

Symptoms of labrum tears can include pain, often with reaching overhead; a feeling of popping, catching, grinding or instability; and decreased strength and range of motion.

rotator cuffAm I a candidate?

After a full medical history, physical exam and certain tests, you and your physician will discuss if you are a candidate for surgery. Some health conditions or medications may prevent you from having this type of surgery.

What does labrum repair involve?

Your physician may begin treatment with anti-inflammatory medication, rest and rehabilitation exercises. If these conservative measures are insufficient, you may need surgery. During arthroscopic surgery, the doctor makes small incisions around the area. Then the doctor inserts a tiny camera and small instruments which help remove the torn areas and correct any tears and additional ligament problems. The procedure is done under anesthesia, which always has a small amount of risk. Your doctor will discuss any risks before surgery.

“I have extensive experience in shoulder arthroscopy as well as in the development of rotator cuff repair techniques and shoulder anchors to help perform shoulder surgery with ease and improved results.”

– Dr. Pedro Piza, orthopaedic surgeon, sports medicine, hip, knee and shoulder reconstruction specialist.

young woman cheeringWhat is recovery like?

After surgery, you will need to keep your shoulder in a sling for several weeks, usually three to four. Your physician will also prescribe some exercises to do at home as you begin to heal. When the sling is removed, your physical therapy will increase to include more range of motion and other exercises. It is usually three to four months before the shoulder is totally healed.