Category Archives: Shoulder Treatment

Reverse Shoulder Replacement Surgery

By  aenriquez  published  November 21, 2018

Reverse shoulder replacement surgery differs from standard replacement because the ball and joint of the shoulder switch places. In essence, the socket rotates on the outer side of the ball. This is a complicated surgery warranted by certain conditions. It provides significant pain relief and helps improve range of motion of the joint, although after surgery there is some limitation.

The main reason for this complex procedure is arthritis but, there are other reasons as well:

  • the rotator cuff tendons are gone or torn.
  • Shoulder remains painful after a routine shoulder replacement
  • Fracture in the proximal humerus (nearest the joint)
  • bone is shattered or splits into pieces
  • tumor in the humerus shaft or the ball of the humerus

In the event of torn or missing rotator cuff tendons, a person is unable to lift the arm enough to be functional. There may or may not be pain but the main reason for replacement is to regain functionality and motion.

There may or may not be pain but the main reason for replacement is to regain functionality and motion

There are instances when the procedure is not advised. Individuals should avoid this procedure if:

  • The socket bone of the shoulder blade (scapula) is too deteriorated that implants cannot be attached with screws or a bone graft is needed before placement can be done
  • ongoing infection in the shoulder
  • previous infection – increases post-operative risk of infection
  • rotator cuff cannot be repaired
  • complex fracture of the shoulder
  • other treatments did not work (meds, rest, etc)

Surgical risks include bleeding, nerve damage, and possible infection. There may be surgical complications such as:

  • humerus or arm portion (the socket) can become dislodged from the ball (the shoulder blade part) and the prosthesis is “dislocated.”
  • infection
  • the arm portion of the prosthesis can make contact with the bone of shoulder blade in certain positions
  • tingling, numbness and weakness with nerve damage
  • Injury to blood vessels
  • scaring
  • conditions, such as blood clots in the legs (deep venous thrombosis)
  • pulmonary embolus
  • heart attacks and strokes
  • drug or anesthetic reactions

After surgery, several doses of antibiotics are given to reduce the risk of infection. Pain medication will help relieve pain. Most patients can eat a solid diet and get out of bed the day after surgery. Discharge to go home is on the second or third day after surgery.

The arm will be in a sling on discharge from the hospital. The surgeon may provide instruction for gentle range of motion exercises to build mobility and endurance. Physical Therapy may also be ordered.

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Arthroscopic Surgery – Going Inside the Body

By  aenriquez  published  October 31, 2018

Arthroscopic surgery uses a tiny camera (arthroscope) to examine, diagnose and repair damaged tissues inside or around joint like the shoulder or knee. A small incision is made into the skin and the arthroscope is inserted into the area being examined. The number of incisions needed is determined by what needs to be done.

Benefits of arthroscopic surgery are smaller incisions and less damage. Some physicians prefer open surgery because the structures are visible to the naked eye. It depends on what needs to be done, the specific condition, and surgeon experience.

 

There are several shoulder conditions that are repaired with arthroscopy. They include:

  • Rotator Cuff tears
  • Shoulder instability – Labral tears
  • Shoulder bursitis
  • Bicep tendonitis
  • Frozen shoulder
  • AC joint arthritis
  • Bone spurs
  • Repair ligaments
  • Remove inflamed tissue or loose cartilage
  • recurrent shoulder dislocation

Less common repairs include nerve release, fracture repair, and cyst removal.

Following surgery, someone should drive you home. Drowsiness may be felt for two or three days following the surgery. Follow post-op guidelines once home.

Guidelines include:

  • wound care- keep the site clean and dry.
  • Pain control – apply ice during the first 24 hours to reduce swelling, take pain medications as prescribed, Do Not drink alcohol
  • return to activity per doctors instructions

Complications of arthroscopy are uncommon but, may include shoulder stiffness and prolonged rehabilitation

Complications of arthroscopy are uncommon but, may include shoulder stiffness and prolonged rehabilitation. There is one rare complication called chondrolysis (damages cartilage) and can lead to frozen shoulder. Other possible complications include:

  • Infection
  • head or neck injury
  • excessive bleeding
  • blood clots
  • damage to blood vessels or nerves.

 

Rehabilitation plays a huge role in regaining use of the of the joint and resuming daily activities. An exercise program should aim at regaining shoulder strength and movement.

With more complicated repair, physical therapy will be ordered so a physical therapist can supervise the exercise program.

Depending on the health condition treated, recovery times vary. A minor repair may only require a sling and a short period of physical therapy. It will take longer to recuperate from a more complicated surgery.  Full recovery could take several months of physical therapy. Healing is a slow process. Surgeons guidelines and a good rehabilitation plan are important for a successful outcome, as well as, personal participation in the healing process.

Due to the fact that shoulder surgery hurts less, patients tend to do more too soon. The area may feel fine but still needs adequate time to completely heal. Too much activity too soon can cause recurrence of the condition or other damage to repaired tissues.

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How to Deal with Emotional Issues During Orthopedic Treatment

By  aenriquez  published  September 29, 2018

Feeling a bit under the weather, during times of physical impairment?  Have you ever wondered if these midday blues will ever go away?  You might be asking yourself, what is the problem with me?  This is all normal during times of physical pain and treatment.

You just had surgery or are going to have a surgical procedure and you feel anxious.  You are nervous if the surgery will be successful or if you will ever feel the same again.  Will you be able to bend the same, walk normally, eliminate the pain and recover in a timely manner?  You have a right to ponder these unanswered questions.

Sometimes people don’t need advice or neurofeedback or a psychological evaluation.  What people need is family and friends to support them through difficulties and to listen while you vent.  It is very helpful to have people you care about understand your valid concerns.

When you face physical challenges and you must undergo a surgical procedure, it can bring about an onset of feeling anxious and potential depressive states.

What can I do about my emotional issues pre and post-surgery? 

It is extremely difficult to relax, but this one is a big solution to your bouts of anxiousness.  The old saying of mind over matter is powerful for the results that follow.  Lay down in a serene environment and visualize something happy.  When our thoughts are eased, our emotions remain calm as well.

It is also very beneficial to exercise self-care.  For example, take a hot bath (if you can), listen to soothing music, watch a Netflix series, read a book, meditate, pray, call a trusted friend, and write in a journal.

It is beyond frustrating when you are physically unable to walk, exercise or take a regular shower.  People internalize their aggravation and lack the coping skills to stabilize their moods and anxiety.

Part of the healing process prior to and after surgery is lovingly taking care of your mind, emotions and feelings, so you do not experience nerve-racking, uncontrollable episodes.  What we think about, we bring about.  We must learn to feed our mind positive words of affirmation and not negative ones, or we will become mentally exhausted.

The last resort would be to put a patient on a low dose of anti-depressant medication if they cannot learn to manage their emotions and become too stressed out.  Having a surgical procedure is very stressful as well and learning to deal with the pain it brings.  It is not easy to find the proper social support that is needed during fearful times. Worry takes over our once sound mind and produces negative side effects such as headaches, stomachaches, low sex drive, acne, decreased immune functioning and even suicidal thoughts.

Our biggest recommendation is to ASK for help and allow others to be there for you and let trained experts provide treatment, that will solve your issues.

FXRX employs the best medical staff to alleviate pain, but we are also here to assist in making sure you are mentally tranquil as well.  If you have questions, please email us or request an appointment https://www.fxrxinc.com/blog.html.

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Who is at Risk for Injuries and what Treatment Options Should I Choose

By  aenriquez  published  September 20, 2018

Accidents happen all the time and people get injured for numerous reasons!  Athletes fall while running, sports stars twist ankles or bash their knees in, the elderly tumble while shuffling in the driveway, kids fall off their bikes and crack an elbow, weapon mishaps occur to anyone not being careful, car accidents demolish organs on impact and freakish wounds are unstoppable.

Injuries are known as physical trauma. Injuries occur when outside forces cause damage to the body, in unexpected, harmful ways.  Injuries can be life-threatening and be the foundation for much-added pain throughout your body.

Who is at risk for injuries and why?

Anyone that plays a sport has an increased risk for potential injuries to any part of their body.  We know that accidents can occur to anyone, anywhere.  Therefore, athletic gear is enforced.  Kids are forced to wear helmets, cups, body armor, elbow and knee pads, as well as chest protectors.

The elderly are specifically at risk of breaking bones, fractures weaken bone areas or sprained wrists due to not having the same agile mobility as they had in their younger years.  Also, osteoporosis is more likely to occur in older adults.  Osteoporosis is defined as a medical condition where your bones are brittle, they become weak due to your body not making new bones fast enough, and this makes people easily prone to fractures.

Everyone is at risk for bodily harm in an unforeseeable accident with a firearm or automobile catastrophe.  You can lower your risks by not drinking and driving, going the speed limit, wearing your seatbelt, not texting and driving, paying attention to the road and do not get distracted from other people in the car.

At FXRS Orthopedics & Bracing, we have a variety of treatment options, depending upon the severity of your injury and pain level.

We offer various knee therapy choices:

Knee Arthroscopy (Knee Scope)

Knee Replacement

Cartilage Regeneration is done through a knee scope – to avoid a knee replacement

Steroid Injections in joints ease and reduce pain

Regenerative Medicine with PRP (Platelet Rich Plasma) Therapy (regenerate damaged tissue)

Orthopedic Bracing (used for arthritis, Carpal Tunnel, and fracture stabilization)

Shoulder Therapy Choices:

Rotator Cuff Repair

Shoulder Arthroscopy – known as a shoulder scope

Partial and Total Shoulder Replacement

Arthroscopic Shoulder Labral Repair

Arthroscopic Shoulder Instability Repair

We also offer fracture treatment and bracing for of these types of injuries.

Our trained surgeons will devise a medical plan that is best for your personal situation.  You are not just a number in our practice.  Our doctors listen to your concerns and care about your road to recovery.

If you would like to schedule an appointment – sign up here https://www.fxrxinc.com/.

We will be with you every step of the way, no matter what solution your body needs.  We want you to live pain-free!  If you have questions or concerns – email us at https://www.fxrxinc.com/contact.html.

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Physical Therapy and Rehabilitation

By  aenriquez  published  May 18, 2018

Physical therapy involves the use of certain maneuvers and exercises to restore your strength, activity, and motion following an injury, illness, or surgery. Physical therapists are trained professionals who identify deficiencies in the biomechanics of the body, they and teach stretches and techniques to address problems that can be managed. Physical therapists also use specialized equipment to address your condition and injury.

dealing with pain with Physical Therapy

Stretching Tight Joints and Muscles

A portion of physical therapy deals with stretching muscles and joints. Stretching is vital in maintaining good range of motion with the joints and for flexibility of muscles. If you suffer from tight muscles and/or stiff joints, normal activities can be affected. This includes climbing stairs, reaching overhead for items, and going through usual daily living. With proper stretching, these functions are preserved. After surgery, scar tissue forms and soft tissue will contract. To ensure that scar formation does not affect rehabilitation, it is important to go through regular stretching routines.

Strengthening the Body with Exercises

Exercises are used for strengthening, which helps with rehabilitation to improve muscle function and joint stability. The goal of improving strength aids in improved range of motion and increased endurance. Post-operative exercises should be guided by the physical therapist to ensure you do not injure the surgical area. These exercises are used in back, neck, knee, and shoulder injuries.

Core Strengthening and Stability

One of the most recent physical therapy developments involve the emphasis on core stability and strengthening. The core of the body should be solid and strong. A weak core puts you at risk for injury and chronic overuse syndromes. Core strengthening emphasizes the muscles of the pelvis and back. Some exercises programs are great for core stability, especially Pilates.

Application of Ice and Heat

Ice and heat are used for cooling down and warming up joints and muscles. Warmth also increases blood flow to the injured or healing region, and ice will decrease swelling through vasoconstriction. These mechanisms are very important for the therapeutic process.

Ultrasound

Using high-frequency sound waves, ultrasound therapy is used to stimulate the deep tissues in the body. The ultrasound probe is passed over your body, and deep tissues are stimulated by the vibration of a sound wave. Ultrasound will lead to warming and increased blood flow to the afflicted body tissues.

Electrical Stimulation

Electrical stimulation is a type of therapy used to pass electric current over an affected area. Nerve condition within a region can be altered which affects muscle contractility. Blood flow to the deep tissues is increased through electrical stimulation, and patients experience diminished pain after this treatment.

Reasons for Physical Therapy

The main reasons you should have physical therapy include:

To promote healing – This is used to minimized scar tissue of the knee or shoulder following surgery, and to improve blood flow to the injured area.

To regain mobility – Physical therapy is particularly important for the knees, hips, and upper extremities. It will help prevent joint stiffening and get you moving quicker.

To enjoy a faster recovery – Rehabilitation is used to help your body recover more quickly that if you do not receive physical therapy.

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Giving Golfers a New Lease of Life

By  aenriquez  published  April 1, 2018

Golfers a New Lease of LifeGolf is played by millions of people all around the globe. For many, playing two or three rounds of golf a week is the perfect exercise, but, it does come with some health risks. The shoulder joints are particularly at risk of injury due to the full range of motion that is required.

Here are some typical shoulders injuries that golfers suffer from.

 

  • AC joint pain
  • Instability
  • Rotator cuff tears

 

Golf is unique in the way that the shoulders are expected to perform. Each shoulder has a different task to enable the full swing. As a result, there are different types of injuries to each shoulder but, one painful condition that occurs in both shoulders is a rotator cuff tear.

 

The rotator cuff is four tendons which support the upper arm and help with the rotating movement essential in golf. It does not affect every golfer in the same way. Tendonitis is where the tendons become swollen and painful and you are likely to experience the pain of this when raising your arm. In addition, bursitis is another common problem when the arm is raised.  This is where fluid builds up over the tendons below the rotator cuff. This is a very painful condition and would make playing the game an impossibility.

 

So, what can be done?

 

Well, if you are a keen golfer, and your arm hurts when you raise it, there is the potential for a rotator cuff problem. These injuries can affect all golfers but as it is a repetitive type condition then, those that play more frequently are more likely to suffer from it.

 

The arthroscopic cuff repair may provide a solution. This technique is popular as it is the least disruptive cosmetically. There is also a significant reduction in scarring compared to other invasive treatments and less chance for an infection to set in. It is also the one treatment that enables you to get back playing golf in the shortest recovery time.

 

The procedure requires a camera to be inserted into the shoulder so that the tendons can be seen properly. Then a fluid is passed in, so the medical expert can view any damage. The repair usually requires some stitches to hold the tendon in place.

 

If you are a golf enthusiast, the last thing you will want is to miss out on the game for an extended period and this treatment helps you to get back onto the course fairly quickly. Some golfers have even expressed their delight in that they can provide a better swing action thereafter. This is likely to be because their swing was originally deficient due to the early stages of the injury. In some cases, it can be of benefit to ask a golf professional to examine your swing to make sure there are no obvious biomechanical errors in the movement. This may prevent further injuries. There is a lot that can be done to avoid this type of problem in the first place and to support this, here is some additional reading, which may help in the future.

 

If you are based in or are visiting Arizona and would like to find out more about how this procedure works or even book an appointment. Then check out this link to one of Phoenix’s leading healthcare specialists. Don’t let a rotator cuff problem be your handicap.

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Common Shoulder Injuries and Conditions

By  aenriquez  published  March 21, 2018

Whether an injury occurs from paddling a canoe, throwing a ball, or lifting boxes, it does occur. We rely on our shoulders to do a number of activities, and with use of a shoulder, injury can occur. Normally, the shoulder has a wide range of motion, more than any other joint of the body. However, because it is this flexible, it is also not very stable and prone to injury.

The shoulder is made of two main bones: the shoulder blade (scapula) and the ball of the upper arm bone (humerus/humeral head). The humeral head is round, and it fits into the scapular socket. There are several muscles and ligaments that surround the shoulder, and they are called the rotator cuff. Tendons also connect the bones to the shoulder’s surrounding muscles. Injury to any or several of these shoulder structures can produce pain and disability.

Shoulder Instability and Separation

Shoulder instability affects mostly athletes and young people, but it can occur at any age. When ligaments and muscles are stretched beyond normal limits, the shoulder becomes unstable. This condition is often part of growth and development, and shoulders can stiffen and tighten with age. For athletes, shoulder instability is caused by repetitive motions, such as pitching or throwing. These motions put tremendous force on the shoulder, and the ligaments stretch out over time.

After years of having instability, or with persistent use, shoulder separation can occur. When the ligaments that hold the clavicle to the acromion bone of the scapula tear, it is considered separately. Sprains can also occur during a fall onto an outstretched hand/arm. A sprain causes severe pain and a misshapen shoulder, which also contributes to disability and decreased shoulder mobility.

Treatment for shoulder instability and sprain can involve medications, rest, and physical therapy. A sling is often used to limit movement while the shoulder heals. With severe instability and shoulder separation, surgery is often required to remedy the problem. Your treatment plan will be determined by the orthopedic specialist, who will collaborate with other professionals to develop the best course of therapy for you.

Shoulder Dislocation

When the ligaments that hold shoulder bones together tear, and they can no longer support the joint, the shoulder is dislocated. A shoulder dislocation can occur due to a fall onto the shoulder, a fall onto an outstretched hand, or from violent twisting. The main symptom of shoulder dislocation is a pain, and the discomfort becomes worse with movement.

To treat a shoulder dislocation, you should apply ice immediately and go see a doctor. Within 15 minutes of the injury, the joint becomes sore and painful. A dislocated shoulder often can be re-set using gentle traction, where the bones are put back in place. When the shoulder moves out of socket repeatedly, it is called recurrent instability, which requires surgery for correction.

Rotator Cuff Tear

A rotator cuff is a group of four muscles that support the shoulder. They allow a person to raise and rotate the arm. These muscles are attached to bones by tendons, which allow the muscle to strategically move the arm. When the tendons tear, the upper arm bone cannot move easily in the socket, which means you cannot move it away from the body in an upward motion. As people age, and they become less active, tendons start to lose strength and degenerate. Most rotator cuff injuries occur in older adults or middle-aged individuals.

The shoulder has a poor blood supply, which makes it harder for the tendons to repair and maintain themselves. Using the arms overhead puts pressure on the rotator cuff tendons, and repetitive movement and stress can lead to shoulder impingement. When the tissue or bone in the shoulder area becomes misaligned and rubs/chafes. The rotator cuff tendons are often injured or torn when someone lifts a heavy object with an extended arm.

Treatment of a rotator cuff tear depends on the severity of the injury. The doctor may recommend resting the extremity, using a sling to support the arm and medications. After the initial injury, swelling and inflammation are controlled with a nonsteroidal anti-inflammatory drug.

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When Is Shoulder Arthroscopy A Better Option Than Open Surgery?

By  aenriquez  published  January 29, 2018

Subacromial decompression is a surgery that treats shoulder impingement syndrome and can be done through an open incision or arthroscopically.

Surgeries such as open decompression or arthroscopy have almost the same results in a reduction in pain ranging in almost 77-90 percent of the patients. The methods to be used are dictated largely by the surgeon’s preferences and the condition of the patient.

Arthroscopic Surgery for wellness

Arthroscopic surgery

A minimal two to three small cuts are made surrounding the shoulder during the surgery. An arthroscope, which is a small viewing device is inserted in the cut. The surgeon can look inside through the camera and check the biceps and joints along with the rotator cuff tendons to any issues that can otherwise be overlooked or go unnoticed in an MRI or an open procedure.

Arthroscopic surgery is generally recommended for people who are young and have a mild impingement in the shoulder. It is done to promote regaining of daily activities. Moderate shoulder impingement refers to pain which hinders daily life activities. It often occurs in individuals around the age of 25 to 40 years old.

When is it not recommended?

It is generally not recommended for people who experience the following:

  • Existing shoulder problem
  • Have a large tear in the rotator cuff which is medically proven as unrepairable. Patients who have such significant injuries can only be treated with open surgeries.
  • Individuals with a flat acromion or tissue inflammation like tendonitis in the rotator cuff, which is not due to shoulder impingement but rather the cause.

Open Surgery

This procedure involves a large incision of about 4-6 cm. It is necessary for patients who have a large rotator cuff tear. In many cases, surgeons recommend open surgeries compared to other options as it allows them access to a large area of injury. On the other hand, however, a large incision increases the chance of infection. Patients who undergo open surgery may have to spend 1-2 nights in the hospital for recovery.

Open Surgery vs Arthroscopic

Open surgeries are for external rotation while arthroscopic procedures are linked with less motion. Open surgery can be performed faster, while arthroscopic procedures require a detail-oriented set of skills.

Many surgeons are comfortable with open surgeries for the latter can be a difficult procedure.  Recovery time varies for both, and in general, takes 3-6 months to fully recover. People may be able to use the affected arm by two weeks of the surgery.

It is reported that people who go through arthroscopic surgery recover faster, and experience less pain during the recovery period. The recovery process involves stretching and exercise that prevents swelling and stiffness. In both cases, a therapist would likely be involved to assist the patient with exercises that promote healing and recovery.

Risks

There are potential risks of both types of surgeries, including:

  • Chronic shoulder pain and stiffness
  • Damage to the nerves or blood vessels
  • Infection  (less risk in arthroscopic compared to open surgery)

 

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When do you Need a Bankart Repair?

By  aenriquez  published  December 17, 2017

Painful Shoulder InjuryA Bankart lesion is a common shoulder injury. This type of shoulder injury often requires Bankart repair. This lesion is when the anterior and inferior portion of the labrum (band of cartilage) is torn away from the glenoid (portion of the joint socket. Bankart repair recovery ranges from six to nine weeks, and the procedure can be extensive, depending on the extent of the injury.

The shoulder joint is a combination of many joints that work together. The glenohumeral joint is where the humerus (upper arm bone) attaches to the scapula (shoulder blade) body. The area where the scapula meets the humerus is called the glenoid fossa. Along with this structure is the labrum, which is a tough band of cartilage. The role of the labrum is to deepen the socket to allow greater congruence between these structures.

 

Bankart Repair Success Rate

A Bankart lesion often occurs along with anterior shoulder dislocation. The shoulder may be continuously moved forward or anteriorly. The Bankart lesion can lead to further shoulder joint damage or injury to other areas of the shoulder. Bankart lesion repair is a surgery used to reconnect the torn labrum to the glenoid fossa, which repairs and stabilizes the joint to prevent further dislocations.

The most common surgical technique for the treatment of anterior shoulder instability is the arthroscopic Bankart repair or the open repair method. In a study evaluating the outcomes of these procedures, researchers reviewed 28 clinical trials. They also reviewed outcome measures, pain scores, dislocation rate, and other problems. The estimated re-dislocation rate was 15% following arthroscopic repair and only 7% following the open Bankart repair.

 

Bankart Repair Recovery

The rehabilitation process following a Bankart repair begins almost immediately. Within the first few days after surgery, passive range of motion starts through physical therapy. The physical therapist and doctor discuss what moves and measures to take for rapid recovery. A sling is only prescribed for use during showering and dressing changes. No internal rotation is allowed for several weeks. Other therapies used for pain control are massage and electrical stimulation.

For the first four weeks after the Bankart repair, the therapist focuses on helping you regain as much range of motion as possible. During this time, the shoulder strength will also improve and shoulder pain should decrease. After four weeks, the focus is on regaining shoulder strength and function. The patient must continue to work with the physical therapist to regain full function and range of motion of the shoulder.

 

Bankart Repair Protocol

Regardless of how the labrum was torn, the surgeon will work with you to decide on the best possible treatment. For many patients, Bankart tears are successfully treated with anti-inflammatory measures, rest, physical therapy, and activity modification. When conservative measures fail to restore function, the doctor may suggest Bankart repair. Labral repair involves re-anchoring, suturing, and/or trimming away torn pieces of cartilage. The procedure is most often performed arthroscopically, and most patients go home the same day as the surgery.

 

The time it takes to recover after a Bankart repair varies from person-to-person. It typically takes 4-6 months for full recovery. For some patients, it can take a full year to full recovery. People with desk jobs must take1-2 weeks off from work. For those who lift and do labor type jobs, plan on being out of work for up to 6 months. Postoperatively, you will see the doctor in 5-10 days, and physical therapy usually begins soon after your procedure. You can use ice 3-6 times each day for 20-minute intervals for pain and swelling and must wear a sling for the first 2 weeks.

 

Resources
Rollick NC, Ono Y, Kurji HM, et al. (2017). Long-term outcomes of the Bankart and Latarjet repairs: a systematic review. Ortho Surg, 8, 97-105.
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What is the Difference between Reverse Shoulder Replacement and Conventional Shoulder Replacement?

By  aenriquez  published  December 13, 2017

A shoulder replacement is used to replace the shoulder socket with a high-density metal or plastic cup. The upper part of the arm is fitted with a meal ball to allow the shoulder natural function. Two options for replacing a damaged joint is the conventional (traditional) shoulder replacement and the reverse shoulder replacement. Shoulder surgery started in the United States in the mid-1950s, and it was first use for severe shoulder fractures. Around 23,000 Americans have shoulder surgery each year.

 

Shoulder Replacement SurgeryWho Needs Shoulder Replacement Surgery?

Certain conditions and factors increase your risk for shoulder replacement surgery. These include:

  • Osteoarthritis is the most common reason for shoulder replacement surgery. A type of wear-and-tear arthritis, osteoarthritis usually affects older people. Over time, the shoulder joint becomes painful and stiff.
  • A severe shoulder fracture is a common reason for a shoulder replacement procedure. When the head of the upper arm bone is shattered, the blood flow is interrupted.
  • Patients with long-standing rotator cuff tear can develop cuff tear arthropathy.
  • Finally, avascular necrosis leads to lack of blood flow to the shoulder, which can lead to humeral head death.

 

Reverse Shoulder Replacement VS. Conventional Shoulder Replacement

When there is significant damage to the rotator cuff and deterioration of the shoulder’s normal structure, a reverse shoulder replacement is the best option. With this procedure, the ball and socket are positioned in the opposite positions. The metal ball is attached to the shoulder, and the socket component is placed on the upper portion of the humerus (upper arm bone).

With the traditional shoulder replacement, the metal ball is attached to the upper arm bone, and the plastic socket is attached to the shoulder bone. The surgery is highly technical, and each case is treated uniquely. The implants are smoothed using special tools to fit your body, and the surgeon carefully assesses each patient individually.

 

Reverse Shoulder Replacement Rehab

A careful and well-planned rehabilitation program is crucial to the success of shoulder replacement. You are started on gentle physical therapy the day of or after your procedure. You will wear an arm sling for the first several weeks after surgery, but start using the arm in a few days, and then only at night for 4-6 weeks. Most patients are performing activities of daily living (dressing, eating, grooming) around 2 weeks post-surgery.

The physical therapist will meet with you 2-4 times each week to learn exercises for flexibility, function, and strength. You should avoid placing your arm in an extreme position, such as behind your body, for at least 6 weeks. In addition, you cannot do heavy lifting or sports for 8-12 weeks. Be sure to not overuse the joint, which may result in severe motion limitations.

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