Reverse Shoulder Replacement
Reverse Shoulder replacement is an alternative surgery for patients who have torn their rotator cuffs and have developed severe arthritis or who have had a previous total shoulder replacement that has failed to relieve their pain. Rotator cuff is the group of four tendons that join the head of the humerus (arm bone) to the deeper muscles and provides stability and mobility to the shoulder joint.
The surgery is done under regional or general anaesthesia. An incision is made over the affected shoulder to expose the shoulder joint. In normal procedure, metal ball is placed at end of upper arm bone and the socket into the shoulder bone.
Shoulder arthroscopy is a surgical procedure in which an arthroscope is inserted into the shoulder joint. The benefits of arthroscopy are smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.
Arthroscope is a small fibre-optic viewing instrument made up of a tiny lens, light source and video camera. The television camera attached to the arthroscope displays the image of the joint.
Biceps Tendon Repair
The biceps muscle is located in front of your upper arm. It helps in bending your elbow as well as in rotational movements of your forearm. Also, it helps to maintain stability in the shoulder joint. The biceps muscle has two tendons, one of which attaches it to the bone in the shoulder and the other attaches at the elbow. The biceps tendon at the elbow is called the distal biceps tendon and if there is a tear in this tendon, you will be unable to move your arm from the palm-down to palm-up position. Once the distal biceps tendon is torn, it cannot regrow back to the bone and heal by itself. Permanent weakness during rotatory movements of the forearm may occur if the tendon is not repaired surgically.
There are several procedures to accomplish reattachment of the distal biceps tendon to the forearm bone. Some techniques require two incisions while in others one incision may be sufficient.
Arthroscopic Rotator Cuff Repair
The rotator cuff is a group of tendons in the shoulder joint providing support and enabling a wider range of motion. A major injury to these tendons may result in a tear of these tendons and the condition is called a rotator cuff tear. It is one of the most common causes of shoulder pain in middle-aged adults and older individuals. It may occur with repeated use of the arm for overhead activities, while playing sports or during motor accidents. Rotator cuff tears cause severe pain, weakness of the arm, and crackling sensation on moving the shoulder in certain positions. There may be stiffness, swelling, loss of movements, and tenderness in the front of the shoulder.
Arthroscopic Labral Repair
Labrum repair is a surgical technique recommended for treating labrum tear. The labrum is a triangular, fibrous, rigid cartilage structure lining the ball-and-socket joint of the shoulder. It provides cushioning support to these two joints. It also deepens the socket and helps to stabilise the joint.
Repetitive use of shoulders or injuries that occurs during accidents, trauma, or sports activities may cause a labral tear. The labral tear causes pain and discomfort. You may have catching sensation, instability, weakness, clicking or locking sensation when moved, stiffness, and restricted movement. Injury to the labrum causes the tissue to slide out of the socket (subluxation) or it may completely move out of the socket (dislocation).
Your shoulder joint is a ball and socket joint made up of the upper arm bone, the shoulder blade and the collarbone. The head of the upper arm bone fits into the socket of the shoulder joint known as the glenoid cavity. The outer edge of the glenoid is surrounded by a strong fibrous tissue called the labrum.
A superior labrum anterior and posterior tear or SLAP tear is an injury to the labrum. This injury may also involve the biceps tendon, which is attached to the top part of the labrum. The injury occurs from repeated use of the shoulder while throwing or a fall onto the shoulder. A SLAP tear can be treated through an arthroscopic surgical procedure called a SLAP repair.
AC Joint Reconstruction
The acromioclavicular joint (AC joint) is one of the 3 joints in the shoulder and connects the clavicle (collarbone) to the scapula (shoulder blade). The AC joint is held with 4 main ligaments, the superior (above the joint) and inferior (below the joint) ligaments, the coracoclavicular ligaments, and the coracoacromial ligament.
Coracoclavicular ligaments are the ligaments that connect the coracoids process (bony prominence on the scapula) and the clavicle. Coracoacromial ligament connects the acromion to the coracoid process. Injury to AC joint causes separation and the tear of ligaments.