World Library  
Flag as Inappropriate
Email this Article

Shoulder surgery

Article Id: WHEBN0008837985
Reproduction Date:

Title: Shoulder surgery  
Author: World Heritage Encyclopedia
Language: English
Subject: Shoulder surgery, Rotationplasty, Ostectomy, Broström procedure, Laminoplasty
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Shoulder surgery

Shoulder surgery
Intervention
ICD-9-CM 81.80-81.83, 81.23

The shoulder is the most complex and unstable joint in the body and it can get injured easily. Shoulder surgery is a means of treating injured shoulders. Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or overuse injuries to the shoulder.

Dislocated shoulder

A dislocated shoulder can be treated with:

  • Arthroscopic repairs
  • Rehabilitation
    • The recovery depends upon many factors, such as where the tear was located, how severe it was and how good the surgical repair was. It is believed that it takes at least four to six weeks for the labrum to re-attach itself to the scapula bone (shoulder blade), and probably another four to six weeks to get strong. The labrum is a ring of cartilage on the rim of a shallow socket in the scapula into which the head of the upper arm bone normally fits and rotates. Once the labrum has healed to the rim of the shoulder blade, it should see stress very gradually so that it can gather strength. It is important not to re-injure it while it is healing. How much motion and strengthening of the arm is allowed after surgery also depends upon many factors, and it is up to the surgeon to let you know your limitations and how fast to progress. Because of the variability in the injury and the type of repair done, it is difficult to predict how soon someone can to return to activities and to sports after the repair. The type of sport also is important, since contact sports have a greater chance of injuring the labrum repair. However, a vast majority of patients have full function of the shoulder after labrum repair, and most patients can return to their previous level of sports with no or few restrictions. [[2]]
    • repair of the capsular ligaments (Bankart repair)
    • repair of the biceps long head anchor or SLAP lesion
    • tightening of the shoulder capsule (capsulorrhaphy or capsular shift)
  • Open Repairs (for dislocations with fractures, etc.)
  • Bicep Tenodesis Surgery
    • Surgical treatment of the shoulder due to potential bicep tendonitis or a tear of the labrum otherwise known as a SLAP tear. The long head of the bicep passes through the shoulder joint and attaches to the labrum. During a biceps tenodesis procedure, the surgeon cuts the attachment of the biceps tendon from the labrum and reattaches it to the humerus bone by tacks. By doing this, pressure is relieved from the labrum significantly reducing pain. This surgery is performed to alleviate bicep inflammation and can be implemented in correspondence to a SLAP lesion surgery. Recovery is approximately 4 – 8 months depending on the individual and requires physical therapy.

Separated shoulder

A separated shoulder can be treated with:

Sternoclavicular separation

Sternoclavicular separation can be treated.

Tendonitis, bursitis, and impingement syndrome

Tendonitis, bursitis, and impingement syndrome can be treated with tendon repair and the Mumford procedure or acromioplasty.

Rotator cuff tear

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

Fracture

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

Arthritis of the shoulder (glenohumeral joint)

Arthritis of the shoulder can be treated with total shoulder replacement, hemiarthroplasty (half a replacement), or a reverse shoulder implant (for arthritis with large rotator cuff tear).

Arthritis or osteolysis of the acromioclavicular joint

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

See also

References

  1. ^ http://www.orthop.washington.edu/?q=patient-care/articles/sports/shoulder-scope.html
  2. ^ http://www.hopkinsortho.org/labrum_tear.html
  3. ^ [1]
  • 2. http://www.rothmaninstitute.com/specialties/treatments/biceps-tenodesis
  • 3. http://www.drgartsman.com/biceps-tenodesis/

External links

  • American Academy of Orthopaedic Surgeons - Shoulder Surgery
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.