A total shoulder replacement is an open procedure that involves replacing the shoulder joint with a specially designed prosthesis.
A total shoulder replacement may be recommended for patients suffering severe osteoarthritis in the glenohumeral joint.
A reverse total shoulder replacement may be considered inpatients suffering severe joint arthritis with irreparable rotator cuff tears or patients with a deficient rotator cuff suffering superior migration of the humeral head. Another consideration for a reverse total shoulder replacement may include a mal-union of a proximal humeral fracture or an irreparable proximal humeral fracture.
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.
Dr Cutbush repairs all rotator cuff tears arthroscopically.
Whether the rotator cuff repair is performed open or arthroscopically the shoulder needs to be rested following the surgery and typically patients are immobilised in a sling for 6 weeks. The reason for the period of immobilisation in the sling is that the tendon needs heal to the bone. Sutures are used whether an open or arthroscopic procedure is performed to tie the tendon back down onto the bone. The sutures can be broken, or they can pull out from either the bone or from the tendon if the shoulder is overused. Strength does not return to the shoulder until the tendon starts to heal back onto the bone. This typically takes 6 weeks for significant healing to occur.
Arthroscopic surgery involves the use of anchors which are screwed into the bone. These anchors have sutures attached to them which are then passed with specialised instruments through the rotator cuff tendons. As this is occurring the surgery is being watched on a small video camera inserted into the joint. Once these sutures are placed through the tendon, the tendon is tied back down in contact with the bone.
The most modern techniques involve double-row repairs. This is when two rows of anchors are used to securely re-attach a footprint of the tendon onto a large surface area of bone. This then allows for healing to occur over a greater area and the potential for a stronger healing process.
Frozen Shoulder affects 2% of the population at some time in their life.In people with diabetes, up to 20% may develop Frozen Shoulder.
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. All joints in your body have a joint capsule. The capsule is a flexible thin membrane that lines the shoulder joint. This inflammation is painful, and patients often experience severe aching pain, which can keep them awake at night.
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 irreparable rotator cuff repairs. Previously for many of these patients, there has not been suitable treatment alternatives available.