Shoulder Procedures

The shoulder is an active joint is prone to injuries and may also get affected by conditions such as arthritis, which results in impaired functioning and related discomfort. The traditional method of treatment for such conditions is shoulder joint replacement. However, advances in technology have resulted in a superior alternative technique known as shoulder resurfacing.

The acromioclavicular (AC) joint is one of the joints present within your shoulder. It is formed between a bony projection at the top of the shoulder blade (acromion) and the outer end of the clavicle (collarbone). The joint is enclosed by a capsule and supported by ligaments.

Subacromial decompression is a surgical procedure performed for the treatment of a condition called shoulder impingement. In shoulder impingement, the degree of space between the rotator cuff tendon and shoulder blade is decreased due to irritation and swelling of the bursa or due to development of bone spurs. Subacromial decompression opens this space by removing the bony spurs or any inflamed or swollen bursa enabling free shoulder movement.

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Failed shoulder surgery is a surgery that did not meet expectations and resulted in recurring pain or other unwanted symptoms. All surgeries are associated with risks, some have a higher risk than others. The most commonly reported failed shoulder surgeries include rotator cuff repairs and shoulder stabilization for shoulder instability.

Total shoulder replacement is the replacement of the head of the humerus (upper arm bone) and the glenoid cavity (cavity of the shoulder blade) into which the humerus fits, with artificial prostheses to relieve pain, swelling, and stiffness caused due to damage of cartilage at the articulating surfaces.

Total shoulder replacement surgery is performed to relieve these symptoms. In this surgery, the damaged articulating parts of the shoulder joint are removed and replaced with artificial prostheses. Replacement of both the humeral head and the socket is called a total shoulder replacement.

Conventional surgical methods such as total shoulder joint replacement have been shown to be significantly ineffective in the treatment of rotator cuff arthropathy. Reverse total shoulder replacement is an advanced surgical technique specifically designed for rotator cuff tear arthropathy, a condition where you suffer from both shoulder arthritis and a rotator cuff tear.

Shoulder joint replacement is a surgical procedure that replaces damaged bone surfaces with artificial humeral and glenoid components to relieve pain and improve functional ability in the shoulder joint.

The sternoclavicular joint is the joint between the breastbone (sternum) and the collar bone (clavicle). The SC joint is one of the 4 joints that complete the shoulder and is the only joint that links the arm to the body. Like any other joints, the SC joint is covered by articular cartilage that helps the bones slide effortlessly against each other during arm and shoulder movement. Tough connective tissue known as ligaments surrounds the SC joint providing stability and strength.

The sternoclavicular (SC) joint is the joint between the breastbone (sternum) and the collar bone (clavicle). Injuries to this joint are called sternoclavicular joint injuries and can include stretching or tearing of the ligaments. It is usually caused due to severe trauma or a direct blow to the side of your body such as in motor vehicle accidents or contact sports.

A SLAP tear can be treated through an arthroscopic surgical procedure called a SLAP repair.

The labrum can sometimes tear during a shoulder injury. A specific type of labral tear that occurs when the shoulder dislocates is called a Bankart tear. This is a tear to a part of the labrum called the inferior glenohumeral ligament and is common in the young who sustain a dislocation of the shoulder. A Bankart tear makes the shoulder prone to repeat dislocation in patients under 30 years of age.

Traumatic injury to the shoulder or overuse of the shoulder by excessive throwing or weightlifting can cause a labral tear. In addition, the aging process may weaken the labrum, leading to injury secondary to wear and tear.

The shoulder joint provides a wide range of movement to the upper extremity, but overuse or trauma can cause instability to the joint. The Latarjet procedure is a surgical procedure performed to treat shoulder instability by relocating a piece of bone with an attached tendon to the shoulder joint.

Shoulder instability is a chronic condition that causes the frequent dislocation of the shoulder joint. A dislocation occurs when the end of the humerus (the ball portion) partially or completely dislocates from the glenoid (the socket portion) of the shoulder. A partial dislocation is referred to as a subluxation while a complete separation is referred to as a dislocation.

Arthroscopy is a minimally invasive diagnostic and surgical procedure performed for joint problems. Shoulder arthroscopy is performed using a pencil-sized instrument called an arthroscope. The arthroscope consists of a light system and camera that projects images of the surgical site onto a computer screen for your surgeon to clearly view. Arthroscopy is used to treat disease conditions and injuries involving the bones, cartilage, tendons, ligaments, and muscles of the shoulder joint.

Distal clavicle excision is a procedure which involves removal of the outer end of the clavicle (collarbone) to treat shoulder pain and disability due to arthritis or impingement.

A capsular release of the shoulder is surgery performed to release a tight and stiff shoulder capsule, a condition called frozen shoulder or adhesive capsulitis. The procedure is usually performed arthroscopically through keyhole-size incisions.

A tear in the pectoralis major muscle occurs when the tendon attaching the muscle to the upper arm bone is damaged as a result of trauma or injury. In the case of a rupture, operative treatment is employed for repairing the torn muscle in active and young patients irrespective of the chronicity of the injury. The most commonly used techniques to repair a pectoralis major tear are suture anchors and bone tunnel procedures.

Throwing injuries of the shoulder are injuries sustained as a result of trauma by athletes during sports activities that involve repetitive overhand motions of the arm as in baseball, American football, volleyball, rugby, tennis, track and field events, etc. Throwing injuries are mostly seen in the shoulder and elbow and can occur due to improper techniques, training errors, muscle imbalance, and overuse of muscles.

A Mumford distal clavicle excision is a surgical procedure which involves excision or resection of the outer (distal) end of the clavicle, also called the collar bone.

ORIF/open reduction and internal fixation is a surgical procedure employed for the treatment of a clavicle fracture not amenable to non-surgical conservative treatment.