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Arthroscopic debridement and capsular release is a minimally invasive technique typically utilized for the early to moderate stages of shoulder arthritis. This procedure removes arthritic bone and loose cartilage from the joint, as well as release tight capsular tissue to allow for improved shoulder motion. This is a good option for patients wanting to avoid or delay the need for a shoulder replacement.
ARTHROSCOPIC DEBRIDEMENT & CAPSULAR RELEASE
Arthroscopic debridement and capsular release is a minimally invasive technique typically utilized for the early to moderate stages of shoulder arthritis. This procedure removes arthritic bone and loose cartilage from the joint, as well as release tight capsular tissue to allow for improved shoulder motion. This is a good option for patients wanting to avoid or delay the need for a shoulder replacement.
ARTHROSCOPIC DEBRIDEMENT & CAPSULAR RELEASE
Elbow
Elbow
Elbow
SHOULDER
ROTATOR CUFF TEARS
The rotator cuff is a group of four tendons that assist in shoulder motion and helps to stabilize the ball in the socket. When the rotator cuff tears, it frequently causes significant pain with loss of strength and motion.
Treatment
IMPINGEMENT SYNDROME
The rotator cuff tendons live in a space between the scapula above and the humerus below. If the space narrows due to enlarging bone spurs, this can cause impingement of the rotator cuff and bursa leading to tendonitis and bursitis. In long-standing cases, tears of the rotator cuff can develop requiring repair.
Treatment
FROZEN SHOULDER (Adhesive Capsulitis)
Frozen shoulder is a common inflammatory condition that affects the lining or capsule of the shoulder joint, leading to a loss of the normal elasticity of the capsule. Hallmarks of the condition are significant pain and restricted motion of the shoulder. There are high rates of associated metabolic conditions such as diabetes and thyroid disorders.
Treatment
SHOULDER ARTHRITIS
Cartilage in the shoulder acts as a cushion to allow smooth gliding of the joint. When the cartilage covering the ball and socket wears away, bone-on-bone contact occurs which results in pain and limited motion. The development of osteophytes (i.e. bone spurs) is a sign of end-stage disease.
Treatment
LABRAL TEARS
The labrum is a bumper of fibrocartilage that encircles the socket and helps keep the ball from slipping out. When it is torn, this can lead to instability and dislocation of the ball and socket.
Treatment
SLAP TEARS
The long biceps tendon attaches at the top of the socket and merges with the labrum. An injury in this area is called a superior labrum anterior to posterior (SLAP) tear and frequently results in pain and loss of strength.
Treatment
SHOULDER DISLOCATIONS
With a traumatic injury, the ball can slip out of its socket leading to a shoulder dislocation. A dislocated shoulder is extremely painful and unable to perform normal motion. Higher rates of dislocation are seen in the adolescent and young patient.
Treatment
AC JOINT SEPARATION
When the ligaments are torn that hold the clavicle and scapula (shoulder blade) together, this is called an acromioclavicular (AC) joint separation. A higher grade separation can lead to chronic disability of the shoulder if not surgically repaired.
Treatment
PROXIMAL HUMERUS FRACTURES
Fractures of the ball (proximal humerus) are often only mildly displaced and can heal well without surgery. In severe cases, the proximal humerus fracture will need to be repaired with a plate and screws, or reconstructed with a shoulder replacement.
Treatment
CLAVICLE FRACTURES
Clavicle (collarbone) fractures typically occur from a direct impact to the shoulder. They are the second most common fracture of the shoulder. Severe cases can lead to loss of power in the shoulder if not repaired.
Treatment
BICEPS INJURIES
The upper biceps tendon is frequently injured in middle age and can range from a partial tear to a complete rupture. A cramping sensation of the muscle and a “popeye” deformity is commonly seen when the biceps is contracted.
Treatment
PECTORAL RUPTURES
Tears of the pectoralis major muscle are typically seen in male weightlifters during the benchpress maneuver. The tendon usually tears away from the humerus and causes bruising and deformity of the chest.
Treatment
SCAPULA INJURIES
The scapula (shoulder blade) sits on the back of the chest and has connections to the clavicle and humerus. Certain fracture patterns of the scapula can lead to abnormal motion and chronic pain in the shoulder.
Treatment
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