Shoulder Procedures

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 doctor to clearly view. Arthroscopy is used to treat disease conditions and injuries involving the bones, cartilage, tendons, ligaments, and muscles of the shoulder joint.

Rotator cuff repair is a surgery to repair an injured or torn rotator cuff. It is usually performed arthroscopically on an outpatient basis. An arthroscope, a small, fiber-optic instrument consisting of a lens, light source, and video camera. The camera projects images of the inside of the joint onto a large monitor, allowing your doctor to look for any damage, assess the type of injury and repair it. Large rotator cuff tears may require open surgery.

REGENETEN Bioinductive Implant is a medical device employed for the treatment of rotator cuff tears following a shoulder injury. Standard rotator cuff repair techniques that involve stitching the rotator cuff tendon to the shoulder bone are connected with potentially lengthy rehabilitation and considerable lifestyle interruption. Consequently, many patients prefer to refrain from surgery until their pain is severe and daily routines are affected.

Anterior cable tears are universally identified in ARCR. Three patterns of medial displacement severity correlated with injury to a crucial insertion zone (C1) at the anterior footprint. The degree of anterior cable disruption at the anterior footprint and displacement was commonly disproportionately greater than the injury to the supraspinatus.

Biologic treatments to enhance and augment the healing and strength of Rotator Cuff repairs Are advancing. These treatments are termed “Bioinductive” because they are stimulating the biology of healing the tendon to its bone insertion. Rotium is a engineered bioinductive scaffold only 0.6mm thick that is composed of manufactured fibers made of 3 different substances. The 3 different substances and the configuration of the weave promote a healing environment At the bone tendon repair site that helps restore a more normal bone tendon interface. This type of healing is stronger than healing by fibrovascular scar which is only 1/5th of the original bone tendon interface strength.

Proximal biceps tenodesis is the surgical reattachment of a torn proximal biceps tendon, which connects the upper part of your biceps muscle to the shoulder.

Before Arthroscopic Rotator Cuff Techniques were developed, Surgeons would place suture through bone tunnels to repair the tendon back to the bone insertion. This technique was called Transosseous technique. This was a proven technique with long success history. However, it required a large open incision and that the Deltoid be partial split or detached to complete the procedure.

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.

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.

Superior capsular reconstruction is a surgical procedure performed to restore shoulder stability in irreparable rotator cuff tears.

The shoulder joint is stabilized by the joint capsule and rotator cuff. Tears to the rotator cuff can cause severe pain and impairment. When defects in the underlying upper joint capsule add to the instability caused by rotator cuff tears, it cannot be repaired with conventional treatments.

InSpace Biodegradable Implantable Balloon is a new treatment option for the treatment of massive irreparable rotator cuff tears of the shoulder. It involves implantation of a biodegradable balloon spacer called InSpace Balloon or ISB into the subacromial space of the shoulder to help heal ruptured or torn rotator cuff muscles.

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.

A SLAP repair is an arthroscopic shoulder procedure to treat a specific type of injury to the labrum called a SLAP tear.

AC joint repair is a surgical procedure performed to repair damaged or torn ligaments and tendons of the acromioclavicular (AC) joint. Depending on the severity of the injury, the surgery can be done through tiny keyhole incisions arthroscopically, or as open surgery through a relatively larger skin incision.

An arthroscopic frozen shoulder release is a minimally-invasive shoulder surgery performed to relieve pain and restore normal function using a special instrument called an “arthroscope”.

Common Misconceptions About Injections Injections are safe, powerful tools for treating and healing many shoulder problems. I have performed over one thousand shoulder injections and witnessed how they safely help many patients get well. Amazingly, patients who have never had injections have many misconceptions about this powerful treatment.

Rest plays an important role in restoring shoulder health and shouldn’t be taken lightly. Usually, a sling is worn to keep the arm immobile and stable. You should try to avoid using the injured arm as straining the injured shoulder may lead to future complications. Physical rest can also help keep inflammation under control.