Saturday, April 13, 2024

Types Of Shoulder Surgery Procedures

Getting Treatment For Your Shoulder Problems

Shoulder Dislocation and Repair

If youâve tried conservative treatments for your shoulder pain with little to no success, it may be time to seek the help of trained professionals. And, NJ Spine & Orthopedic is equipped to help you get your life back.

By scheduling a consultation today, youâre assured that our dedicated team of orthopedic doctors will listen to your symptoms, thoroughly diagnose the problem, and discuss the most appropriate treatment options for you. If shoulder arthroscopy is advised, then our back surgeons at NJ Spine & Orthopedic will use the latest technology and equipment to ensure that you experience faster recovery times, minimal scarring, and the ability to get back to doing the things you love!

Potential Complications Of Shoulder Surgery

The risk of complications from shoulder surgery is low. However, complications may include:

  • blood vessel, nerve, or muscle damage
  • deltoid detachment, a complication of open surgery on the rotator cuff
  • failure of the repair to heal or to relieve symptoms
  • nerve damage, which can lead to numbness and tingling in the affected arm
  • problems with a newly replaced joint, such as wear and tear of a new joint requiring another replacement
  • stiffness and loss of range of motion, which is usually temporary and responds well to aggressive physical therapy
  • tendon re-tear, which is more common with larger tendon tears
  • weakness in your shoulder

Additional Shoulder Surgery And Treatment Techniques

In addition to arthroscopic shoulder repair, our EmergeOrtho shoulder experts offer:

  • Distal clavicle excision
  • Removal of loose pieces of cartilage or bone
  • Resection of the distal clavicle

No matter the type of shoulder injury youve suffered, EmergeOrtho has one of the most experienced, skilled, and caring orthopedic treatment teams in North Carolina. Our practice remains informed of the latest techniques and innovations to improve outcomes for patients, including minimally invasive total joint replacement and reconstruction.

To learn more about shoulder arthroscopy, request a consultation now.

Medical Advice Disclaimer

This website does not provide medical advice. The information on this website is not a substitute for professional medical advice, diagnosis, or treatment. For questions regarding a medical condition or treatment, seek the advice of your doctor or other qualified healthcare providers. Never disregard professional medical advice because of something you read on this website. If you need medical advice or treatment, to schedule an appointment.

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What Is The Anatomy Of The Shoulder

In order to understand your options for pain relief following shoulder surgery, its important to first understand the anatomy of the shoulder. The shoulder contains a number of bones, joints, muscles, and ligaments, which all work together to make the many shoulder movements possible. The shoulder joint, one of the bodys largest and most complex, is formed by the humerus and scapula, which fit together like a ball and socket. Another major joint in the shoulder area is the acromioclavicular joint, which joins the collarbone to the acromion, which is part of the scapula. An additional important component of the shoulder is the rotator cuff, a group of muscles and tendons that supports the shoulder and provides its wide range of motion.

What Happens After Shoulder Arthroscopy

Common Types of Shoulder Surgery

Shoulder arthroscopy is an outpatient procedure, meaning you can go home the same day. The entire process usually takes less than an hour.

Youll need to recover for an hour or two at the hospital after surgery. Your providers will offer pain medication if needed. After that, youll need a ride home. Its best if a family member or friend can spend the night with you.

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Arthroscopy For Impingement Syndrome

Impingement syndrome is sometimes called bursitis or rotator cuff tendonitis. It happens when the tendons of your rotator cuff are trapped on and off, and they are compressed when you move, which causes damage to the tendons and bursa in the joint space.

To correct impingement syndrome, Dr. Bennett performs a procedure known as subacromial decompression, which aims to increase the space between the acromion and the rotator cuff. He might also remove the bursa to create more space so the rotator cuff can glide with movement and not get pinched.

No matter whats going on inside your shoulder, if you need surgery, Dr. Bennett can help. Give one of our three offices a call today or book online for your consultation.

What Happens During Shoulder Arthroscopy

Shoulder arthroscopy usually takes less than an hour. During shoulder arthroscopy:

  • You will be in a semi-seated position or lying on your side.
  • Your surgical team will shave hair and clean your skin with an antiseptic solution. They may place your arm in a holding device to make sure it stays still.
  • A healthcare provider may inject fluid into your shoulder. The fluid inflates your shoulder joint, making it easier for the surgeon to see.
  • Your surgeon makes a small hole, usually about the size of a buttonhole, in your shoulder. They insert the tiny camera into this incision.
  • The camera projects images of your shoulder to a video screen. Your surgeon uses these images to find the problem with your shoulder.
  • Your surgeon makes other small cuts in your shoulder and inserts tiny instruments.
  • Once your surgical team finishes your surgery, they close the incisions. You may have stitches or small bandages, with a large bandage on top.
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    What Type Of Surgery Might Be Needed After A Shoulder Dislocation

    Shoulder dislocations are normally caused by a traumatic injury, such as a fall from a height, tripping and landing heavily onto the shoulder, or by a hard blow, such as a high-speed collision. When the shoulder dislocates the upper arm bone pops out of the socket in your shoulder joint, often causing extensive damage to the surrounding soft tissues. A dislocated shoulder is a very painful injury and because the shoulder is the most mobile joint in the body there is a risk of repeated dislocations if the joint becomes unstable.

    Read our blog Do I Need Surgery After a Shoulder Dislocation? to find out more about the causes, symptoms and possible treatments for a dislocated shoulder, including non-surgical options.

    Arthroscopy Vs Open Surgery

    Preparing for Shoulder Replacement Surgery

    The two main types of shoulder surgery are arthroscopy and open surgery. The American Academy of Orthopaedic Surgeons explains that arthroscopy gives an outpatient option that uses small incisions into which the surgeon inserts a thin device with a light and lens. The doctor can see inside the joint on a monitor while performing repairs to the shoulder, which potentially involves using additional instruments within the incisions. The second type, open surgery, involves small incisions that are about a few inches each. The best type will vary by your physician and the specifics of your shoulder injury or damage.

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    When Can I Go Back To Work/school/drive/eat

    When you can return to your everyday life depends on the complexity of your surgery. If youve had a minor procedure, you may be able to return to work or school in a few days. Youll need longer to recover from more major procedures. Your healthcare provider will offer guidance suitable for your recovery.

    Arthroscopy For Frozen Shoulder

    Adhesive capsulitis, also called frozen shoulder, causes stiffness and pain in the joint, and will eventually make the shoulder hard to move. This condition is most common in people between 40 and 60 years old and is more common in women.

    During surgery, Dr. Bennetts goal is to stretch and release stiffness in the joint capsule. He cuts through tight portions of the capsule using pencil-sized instruments that he places inside your shoulder through small incisions. While youre under anesthesia, he may also manipulate the shoulder, or force it to move, in an attempt to loosen the capsule and scar tissue.

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    Multimodal Anesthesia And Pain Control

    The Multimodal Anesthesia and Pain Control approach is intended to speed discharge from the hospital, ease the transition to physical therapy, and shorten recovery time. Its goal is to reduce the use of narcotics which can be highly addictive. The multimodal approach uses a combination of different medications and treatments to help prepare a patient for surgery, prevent pain during surgery, and help patients feel better and more alert after surgery.

    Questions To Ask Your Doctor

    Left Shoulder Arthroscopic Surgery

    Facing surgery can be stressful. It is common for patients to forget some of their questions during a brief doctors office visit. You may also think of other questions after your appointment.

    Contact your doctor with concerns and questions before surgery and between appointments.

    It is also a good idea to take a list of questions to your appointments.

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    Book An Appointment With The Jacksonville Orthopaedic Institute Today

    JOI Physicians continue to offer online new patient appointments. This is another option to make it more convenient to make new patient appointments with less phone hold times. Follow the link below to select your JOI MD and schedule online.

    You can still call 904-JOI-2000 to make new patient JOI Physician Appointments if that is your preference.

    To make appointments with JOI Rehab, please call .

    What Is Shoulder Arthroscopy

    Shoulder arthroscopy is a minimally invasive surgery used to diagnose and treat shoulder problems. You might have arthroscopy for rotator cuff tears or shoulder impingement. Minimally invasive procedures require smaller incisions than traditional surgery. Each incision is about the size of a keyhole.

    Your surgeon inserts a small camera called an arthroscope through a tiny incision in your skin. This camera projects pictures of your shoulder joint to a video screen. Your provider looks at these images to find the source of your injury. If you need a shoulder repair, the provider uses miniature surgical instruments to restore your shoulders mobility.

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    Understanding The Different Types Of Shoulder Surgery

    The shoulder surgery types mainly depend on the location and severity of the shoulder injury. Surgery is opted only when medication and other therapies fail to treat the injury…

    The shoulder surgery types mainly depend on the location and severity of the shoulder injury. Surgery is opted only when medication and other therapies fail to treat the injury

    The shoulder is a joint which connects the hand to the rest of the body. This flexible joint is formed of three bones, the clavicle, the humerus and the scapula. These bones are joined together with the help of muscles, also known as the rotator cuff muscles, and tendons. There are also several ligaments that assist in the free movement and flexing of the shoulder. Sometimes a faulty movement or a strain on the shoulder muscles can result in pain, which may go away after some time. But in some cases, the injury may be so severe that it can lead to dislocation in the shoulder joint, which may require surgery to correct it.

    There are several shoulder surgery types that depend on the severity of the injury and address the problem. After undergoing surgical procedure on the shoulder, the doctor may suggest some shoulder exercises for a quick recovery and restoration of the function of the shoulder. Here are a few types of shoulder surgery that are used by doctors worldwide to provide relief to any kind of shoulder injury.

    Why Do Surgeons Perform Shoulder Surgery

    Total Shoulder Replacement with Arthrex® Univers II

    Your doctor may recommend shoulder surgery to treat a damaged, degenerated, or diseased shoulder joint.

    Aging, disease, overuse, or injury can damage your shoulder joint. Your doctor may only consider shoulder surgery for you if more conservative treatments have not worked. Ask your doctor about all treatment options and consider getting a second opinion before deciding on shoulder surgery.

    Your doctor may recommend shoulder surgery to treat:

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    Total Shoulder Replacement Reverse Shoulder Replacement

    If you have advanced shoulder arthritis, and nonsurgical treatments havent relieved your pain or you can no longer lift your arm to perform daily activities, your doctor may recommend shoulder replacement surgery. In this procedure, also called shoulder arthroplasty, the surgeon replaces all or part of your shoulder joint with a prosthetic one that restores your range of motion and your ability to function without pain.

    Duke shoulder surgeons are experts in the different approaches to this surgery, as well as the different prosthetic devices used to replace the shoulder joint. They perform hundreds of these operations every year and lead research on the newest technologies. Duke surgeons use computer modeling to ensure that your replacement is the best fit for you. Our goal is to educate you about your options and help you determine if shoulder arthroplasty is right for you.

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    How Do Shoulder Injuries Happen

    The shoulder is a ball and socket joint. This means that the upper arm bone fits into a round compartment known as the shoulder socket, located in the shoulder blade. The shoulder joint is held together by muscles, ligaments, and tendons.

    There are a number of different ways that these structures can become injured or damaged. Sometimes one of the tendons surrounding the shoulder joint becomes weak or frayed. This is called tendonitis. Other times, the cartilage that covers the shoulder socket can become torn or damaged. This is referred to as a shoulder dislocation.

    Arthritis is also a common cause of shoulder pain and stiffness. Arthritis occurs when the cartilage surrounding the joints breaks down, causing the bones to rub together. This can happen due to age, injury, or overuse.

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    What Is A Peripheral Nerve Block

    Peripheral nerve blocks are a type of regional anesthesia that block the path of pain signals from specific nerves. They are commonly used to provide pain relief during and after shoulder surgeries. Nerve blocks can be administered either as a single injection or in a continuous fashion through the use of a thin tube called a catheter. The catheter is placed near the target nerve bundle. Continuous infusions are used when higher levels of pain are expected, and they may provide longer periods of pain relief.

    Nerve blocks are done using one of two techniques: nerve stimulation or ultrasound guidance. Nerve stimulation and ultrasound guidance can be used separately or together to properly do your nerve block. During nerve stimulation, your anesthesiologist applies very small and short pulses of electrical current through a small needle to stimulate a nerve. He or she then watches specific muscles for twitching, which indicates that the needle is close to the nerve. With the ultrasound guidance method, your anesthesiologist will use ultrasound to see the group of nerves supplying the shoulder and will inject numbing medication around them, numbing only your shoulder. He or she may also insert a catheter next to these nerves if needed.

    Commonly Asked Shoulder Replacement Surgery Questions

    Arthroscopic Shoulder Surgery

    Is Shoulder Replacement Surgery an Outpatient Procedure?In many cases, the surgery is performed on an outpatient basis, allowing patients to go home the same day after the surgery. However, some people stay overnight. Your surgeon will let you know whats recommended for you.

    How Long Does the Surgery Take?The procedure can take one to two hours, depending on how complex it is.

    How Painful Is Shoulder Replacement Surgery?You shouldnt feel any pain during the procedure. Before the surgery, the anesthesia doctor will use ultrasound to inject numbing medication around your nerves to provide a regional nerve block. The medication numbs the area from your neck down through your arm. The doctor may also give you a sedative to help you sleep through the procedure.

    How Long Does Pain Last After Surgery?The regional nerve block can be short- or long-acting and lasts 18 to 72 hours. You wont feel much pain in the first couple of days after surgery. Your doctor will also recommend you start taking over-the-counter medications, which will keep your pain to a minimum as the nerve block wears off.

    How Soon After Surgery Can I Return to Normal Activities?In many cases, the affected shoulder can be used for midline activities of daily living like eating or dressing within the first week. Midline activities are ones where your elbow doesnt go behind the midline of your body. You can start driving and performing light activities at home at six weeks.

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    What Types Of Nerve Blocks Are Available

    Interscalene Block

    An interscalene nerve block is the most common type of nerve block used in shoulder surgeries and is the best way to block the first part of the brachial plexus, where the nerves to the shoulder come from. You will lie on your back with your back slightly elevated and your head turned away from the shoulder that will be receiving the block. You may be asked to lift your head off of the operating table to help the anesthesiologist identify muscle landmarks that will guide the placement of the block. Alternatively, you may be asked to lie on your side to receive the block.

    After cleaning the area above the collar bone with an antiseptic solution, your anesthesiologist will apply a local anesthetic to numb the area. He or she will then determine the precise location for the needle using either nerve stimulation, ultrasound guidance, or both.

    Following injection of the numbing medicine near the nerve bundle, your surgical team will wait to make sure the medicine has spread into the area before beginning your procedure. A catheter may also be placed next to the nerves in this area so that you can receive additional infusions of the local anesthetic after surgery to help control your pain. The need for a continuous catheter will be determined by you, your anesthesiologist, and your surgeon.

    Supraclavicular Block

    Suprascapular Nerve Block

    Axillary Nerve Block

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