Shoulder

Rotator Cuff Repair

The rotator cuff is a group of muscles and tendons that form a cuff over the shoulder joint. These muscles and tendons hold the arm in its joint and help the shoulder joint to move. The tendons can be torn from overuse or injury.

Rotator cuff repair is a surgical procedure to repair a torn tendon in the shoulder. The procedure can be done with a large open incision or with shoulder arthroscopy, making use of smaller incision, also known as key-hole surgery

Shoulder Instability Repair

Shoulder instability is a problem that occurs when the structures that surround the shoulder joint do not work to maintain the ball within its socket. If the joint is too loose, it may slide partially out of place, a condition called subluxation (partial dislocation of the shoulder joint). If the joint comes completely out of place, this is called a shoulder dislocation.

Instability of the shoulder joint can be in one direction, eg anterior instability (out the front), posterior instability (out the back) or in more than one direction (known as multidirectional instability). The most common form of instability seems to be anterior and is probably because the joint capsule is at its weakest at the front of the joint.

If any of the above conservative treatment options fail, there are surgical options that can be considered depending on the cause of the instability.

If the cause of the shoulder instability is a loose shoulder joint capsule, then a procedure to tighten the capsule of the shoulder may be considered.

If the problem is due to a tearing of the ligaments around the shoulder, called the labrum, then a procedure called a Bankart repair can be performed to fix this ligament.

Proximal Biceps Tenodesis

Proximal biceps tenodesis is a surgical procedure used to treat a tear or inflammation in the tendon that connects the biceps muscle to your shoulder. This procedure is typically used when the biceps tendon causes pain in and around the shoulder. Inflammation and wear and tear to the tendon due to injury, overuse, and aging are some of the common reasons for this type of shoulder pain

AC Joint Repair

The acromioclavicular (AC) joint is the meeting point of the acromion and clavicle bones, often indicated with a visible bump in the area. The acromioclavicular (AC) joint is often injured in members of physical contact sports or as a result of a fall or other trauma, which may cause the acromion to move or separate from the clavicle, or cause the ligaments to be stretched or torn. Surgery for AC joint injuries may involve removing the end or restoring the position of the clavicle to relieve pain and allow the patient to resume normal functioning of the joint.

Pectoralis Major Repair

The pectoralis major muscle, more commonly known as the “pec,” is a large muscle located on the chest wall. A pectoral tear is typically seen when the arm is externally rotated or extended while it is being contracted. An injury to the pectoral muscle or tendon is marked by chest muscle pain, commonly a sharp, sudden pain located in the front of the shoulder joint. The pain is followed by bruising, swelling and a possible visible deformity. A partial pectoral tear may heal with non-surgical measures, such as rest, ice, modified activities, sling usage, anti-inflammatory medications and a physical therapy program. Full-thickness (complete) tears often require a surgical repair to alleviate chest muscle pain and to restore full shoulder function. A surgical pectoralis major repair requires a surgeon to reattach the torn muscle and tendon to the humerus  utilizing anchors and strong sutures.

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