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Rotator Cuff
Repaid/Impingement
Your shoulder is the most flexible joint in your body. It allows you to place and rotate your arm in many positions. This flexibility also makes your shoulder susceptible to instability and injury.
HOW THE NORMAL SHOULDER WORKS
SHOULDER PROBLEMS AND TREATMENTS
IMPINGEMENT AND PARTIAL ROTATOR CUFF TEARS
FULL THICKNESS ROTATOR CUFF TEARS
OPEN SURGICAL REPAIR
ARTHROSCOPIC SURGICAL REPAIR
SHOULDER REPLACEMENT
WHEN CAN I DRIVE AND RETURN TO WORK?
WHAT CAN I EXPECT AFTER SURGERY?
SIGNS OF INFECTION:
HOW THE NORMAL SHOULDER WORKS
The shoulder is a ball-and-socket joint. It is made up of three bones: the upper arm bone (humerus), shoulder blade (scapula) and collar bone(clavicle).
The ball at the top end of the arm bone fits into the small socket of the shoulder blade to form the shoulder joint. The socket is surrounded by a soft-tissue rim. A smooth, durable surface on the head of the arm bone, and a thin inner lining of the joints allows the smooth motion of the shoulder joint.
The upper part of the shoulder blade projects over the shoulder joint. One end of the collarbone is joined with the shoulder blade by the acromioclavicular joint; the other end of the collarbone is joined with the breastbone by the sternoclavicular joint.
The joint capsule is a thin sheet of fibers that surrounds the shoulder joint. The capsule allows a wide range of motion yet provides stability.
The rotator cuff is a group of muscles and tendons that attach your upper arm to your shoulder blade. The rotator cuff covers the shoulder joint and joint capsule. The muscles attached to the rotator cuff enable you to lift your arm, reach overhead, and take part in activities such as throwing or swimming. A sac-like membrane between the rotator cuff and the shoulder blade cushions and helps lubricate the motion between these two structures.
SHOULDER PROBLEMS AND TREATMENTS
Bursitis or Tendinitis can occur with overuse and repetitive activities causing rubbing or squeezing (impingement) of the rotator cuff under the acromion and in the acromioclavicular joint.
TREATMENT:
Initially these problems are treated by modifying the activity which caused the symptoms of pain and with physical therapy.
IMPINGEMENT AND PARTIAL ROTATOR CUFF TEARS
Partial thickness rotator cuff tears can be associated with chronic inflammation and the development of spurs on the underside of the acromion or the acromioclavicular joint.
If conservative treatment fails, surgery is needed to remove the spurs on the underside of the acromion and to repair the rotator cuff.
FULL THICKNESS ROTATOR CUFF TEARS
This is most often the result of impingement, partial thickness rotator cuff tears, heavy lifting or falls.
TREATMENT:
If conservative treatment fails, surgery may be necessary to repair full thickness rotator cuff tears. Arthroscopic techniques allow shaving of spurs, evaluation of the rotator cuff and repair of some tears. Both require extensive rehabilitation to restore the function of the shoulder.
INSTABILITY
This occurs when the head of the upper arm bone is forced out of the shoulder socket and can happen as a result of sudden injury or from overuse.
The two basic forms of shoulder instability are subluxation and dislocation.
A subluxation is partial or incomplete dislocation.
A dislocation is when the head of the arm bone slips out of the shoulder socket.
OPEN SURGICAL REPAIR
Repeat dislocation usually requires this surgery and may require a short stay in the hospital.
ARTHROSCOPIC SURGICAL REPAIR
This is done on an outpatient basis.
Both surgeries require extensive rehabilitation.
SHOULDER REPLACEMENT
This surgery would either replace the head of the bone or the entire socket and would be discussed if your surgeon felt you were a candidate for this type of surgery.
WHEN CAN I DRIVE AND RETURN TO WORK?
This will depend on the type of surgery and work you perform. Your surgeon will advise you at the time of your first post surgical visit. Most surgeons can give a general estimation when surgery is discussed.
WHAT CAN I EXPECT AFTER SURGERY?
After surgery, some pain, tenderness and stiffness is normal.
SIGNS OF INFECTION:
Increased swelling and redness at incision site
Change in color, amount, odor of drainage
Increased pain
Fever greater than l00.5 degrees
Repaid/Impingement
Your shoulder is the most flexible joint in your body. It allows you to place and rotate your arm in many positions. This flexibility also makes your shoulder susceptible to instability and injury.
HOW THE NORMAL SHOULDER WORKS
SHOULDER PROBLEMS AND TREATMENTS
IMPINGEMENT AND PARTIAL ROTATOR CUFF TEARS
FULL THICKNESS ROTATOR CUFF TEARS
OPEN SURGICAL REPAIR
ARTHROSCOPIC SURGICAL REPAIR
SHOULDER REPLACEMENT
WHEN CAN I DRIVE AND RETURN TO WORK?
WHAT CAN I EXPECT AFTER SURGERY?
SIGNS OF INFECTION:
HOW THE NORMAL SHOULDER WORKS
The shoulder is a ball-and-socket joint. It is made up of three bones: the upper arm bone (humerus), shoulder blade (scapula) and collar bone(clavicle).
The ball at the top end of the arm bone fits into the small socket of the shoulder blade to form the shoulder joint. The socket is surrounded by a soft-tissue rim. A smooth, durable surface on the head of the arm bone, and a thin inner lining of the joints allows the smooth motion of the shoulder joint.
The upper part of the shoulder blade projects over the shoulder joint. One end of the collarbone is joined with the shoulder blade by the acromioclavicular joint; the other end of the collarbone is joined with the breastbone by the sternoclavicular joint.
The joint capsule is a thin sheet of fibers that surrounds the shoulder joint. The capsule allows a wide range of motion yet provides stability.
The rotator cuff is a group of muscles and tendons that attach your upper arm to your shoulder blade. The rotator cuff covers the shoulder joint and joint capsule. The muscles attached to the rotator cuff enable you to lift your arm, reach overhead, and take part in activities such as throwing or swimming. A sac-like membrane between the rotator cuff and the shoulder blade cushions and helps lubricate the motion between these two structures.
SHOULDER PROBLEMS AND TREATMENTS
Bursitis or Tendinitis can occur with overuse and repetitive activities causing rubbing or squeezing (impingement) of the rotator cuff under the acromion and in the acromioclavicular joint.
TREATMENT:
Initially these problems are treated by modifying the activity which caused the symptoms of pain and with physical therapy.
IMPINGEMENT AND PARTIAL ROTATOR CUFF TEARS
Partial thickness rotator cuff tears can be associated with chronic inflammation and the development of spurs on the underside of the acromion or the acromioclavicular joint.
If conservative treatment fails, surgery is needed to remove the spurs on the underside of the acromion and to repair the rotator cuff.
FULL THICKNESS ROTATOR CUFF TEARS
This is most often the result of impingement, partial thickness rotator cuff tears, heavy lifting or falls.
TREATMENT:
If conservative treatment fails, surgery may be necessary to repair full thickness rotator cuff tears. Arthroscopic techniques allow shaving of spurs, evaluation of the rotator cuff and repair of some tears. Both require extensive rehabilitation to restore the function of the shoulder.
INSTABILITY
This occurs when the head of the upper arm bone is forced out of the shoulder socket and can happen as a result of sudden injury or from overuse.
The two basic forms of shoulder instability are subluxation and dislocation.
A subluxation is partial or incomplete dislocation.
A dislocation is when the head of the arm bone slips out of the shoulder socket.
OPEN SURGICAL REPAIR
Repeat dislocation usually requires this surgery and may require a short stay in the hospital.
ARTHROSCOPIC SURGICAL REPAIR
This is done on an outpatient basis.
Both surgeries require extensive rehabilitation.
SHOULDER REPLACEMENT
This surgery would either replace the head of the bone or the entire socket and would be discussed if your surgeon felt you were a candidate for this type of surgery.
WHEN CAN I DRIVE AND RETURN TO WORK?
This will depend on the type of surgery and work you perform. Your surgeon will advise you at the time of your first post surgical visit. Most surgeons can give a general estimation when surgery is discussed.
WHAT CAN I EXPECT AFTER SURGERY?
After surgery, some pain, tenderness and stiffness is normal.
SIGNS OF INFECTION:
Increased swelling and redness at incision site
Change in color, amount, odor of drainage
Increased pain
Fever greater than l00.5 degrees