Shoulder surgery

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Shoulder surgery is a way of treating an injured shoulder. Many operations have been developed to repair damaged muscles, connective tissue, or joints that can arise from a traumatic or excessive injury to the shoulder.

Video Shoulder surgery

Shoulder sprain

• Dislocated shoulders can be treated with:
• Artroscopy Repair
  • improvement of Glenoid labrum (anterior or posterior)
• In some cases, arthroscopic surgery is not sufficient to repair an injured shoulder. When the dislocated shoulders are too much and tired, the ball and socket do not line up properly. The socket is worn and the ball will never sit in it the same. After many dislocations the shoulder bone will begin to break down and disappear. When this happens, other operations must be performed. This operation is called Laterjet operation. This procedure involves transferring the coracoid with muscles attached to the area that is lacking on the front of the glenoid. It replaces the missing bone and the transferred muscle also acts as an additional muscle strut that prevents further dislocation. It is an open surgery and requires an overnight stay at the hospital. Usually recovery is 4-6 months.
• Rehabilitation
  • Recovery depends on many factors, such as where the tear is, how severe and how good the surgical repair is. It is believed that it takes at least four to six weeks for the labrum to reattach to the shoulder blades (scapula), and perhaps four to six weeks to become strong. Labrum is a cartilage ring on the edge of a shallow socket on the shoulder blade where the head of the upper arm bone is usually fitting and rotating. Once the labrum has healed to the edges of the shoulder blades, it will see the stress gradually so as to gather strength. It is important not to hurt back when healing. How much movement and arm flexibility are allowed after surgery also depends on many factors, and it is up to the surgeon to tell you your limitations and how quickly to progress. Due to the variability of the injury and the type of repairs performed, it is difficult to predict how quickly a person can return to activity and exercise after repair. This type of exercise is also important, since contact sports have a greater chance of hurting labrum improvements. However, most patients have full shoulder function after labrum repair, and most patients can return to previous exercise levels without restriction. []
  • capsular ligament repair (repair Bankart)
  • repair of biceps head length or SLAP lesions
  • tighten the shoulder capsule (capsulorrhaphy or capsular shift)
• Open Repair (for dislocation with fracture, etc.)
• Surgical Bicep Tenodesis
  • Treatment of shoulder surgery due to potential bicep tendonitis or labrum tear or otherwise known as a SLAP rupture. The long bicep head passes over the shoulder joint and attaches to the labrum. During the biceps tentative procedure, the surgeon cuts the biceps tendon attachment from the labrum and returns it to the bone of the humerus with a tack. By doing this, reduced pressure from the labrum significantly reduces the pain. This operation is performed to reduce bicep inflammation and can be implemented in correspondence with SLAP lesion surgery. Recovery of about 4 - 8 months depends on the individual and requires physical therapy.

Maps Shoulder surgery

Separate shoulders

Separate shoulders can be treated with:

• Weaver-Dunn Procedure
• Weaver-Dunn with additional fixations (stitches, anchor stitches, autograft tendons) to replace coracoclavicular ligaments. Note: various methods have been used to anchor the clavicle in place while the surgery is cured. This includes
  • Dacron graft/loop
  • Bosworth screw
  • Kirschner Cable
  • Hook plate
• Anatomic Repair, or any repair using the allograft tendon without sacrificing the korakoacromial ligament.
• Arthroscopic Weaver-Dunn
• Transfer the tendon and distal end of the coracoid process to the clavicle

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Sternoclavicular separation

Sternoclavicular separation can be treated.

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Tendinitis, bursitis, and sputter syndrome

Tendinitis, bursitis, and impingement syndrome can be treated with tendon repair and Mumford procedures or acromioplasty.

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The rotator cuff is torn

A cuff rotator cuff can be treated with an arthroscopic rotator cuff repair.

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Fracture

A shoulder fracture can be treated with an open internal reduction (ORIF).

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Shoulder arthritis (glenohumeral joint)

Shoulder arthritis may be treated with total shoulder replacement, hemiarthroplasty (half-replacement), or inverted shoulder implant (for arthritis with large rotator cuff tear).

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Arthritis or osteolysis of the acromioclavicular joint

Arthritis or osteolysis of the acromioclavicular joint may be treated with the Mumford procedure (open or arthroscopic).

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See also

• Shoulder problem
• Separate shoulders
• Fracture of the clavicle
• Arthroscopy
• Arthritis
• Articular humerus capsule (shoulder joint)
• The Glenoid Cavity
• Glenoid labrum

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References

• 2. http://www.rothmaninstitute.com/specialties/treatments/biceps-tenodesis
• 3. http://www.drgartsman.com/biceps-tenodesis/

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External links

• American Orthopedic Surgery Academy - Shoulder Surgery

Source of the article : Wikipedia