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  • RSU is advertising for shoulder fellowship to start in August-September 2019 and begining of 2020
    a post-CCT shoulder fellowship for Two years. please send CV to Prof. Levy's PA Charlotte Bourne and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • For Patients, GPs & Physiotherapies - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Excellent clinical results over more than 13 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza
    Bone & Joint Journal 2013, Vol. 95-B Supp. 25-27

    Complication Rates From Three Commonly Used Reverse Polarity Total Shoulder Replacements: A Minimum Two Year Follow-Up Of 64 Cases
     
  • Excellent results with the Verso TSA were published in Italy! 
    A group of oorthopaedic surgeons from northern Italy from Piacenza and Verona published their first few years experience with the stemless reverse TSA - The VERSO. 
    They present Excellent clinical and radiologic results that mirror the results of the designing centre!
    (Read more) [Read more]
  • Applications for the Reading shoulder fellowship
    starting in late 2019 and for 2020
    is now open.
    Please apply by visiting the Unit and sending your CV to Jan Barker
    Visits to the Reading shoulder unit are welcome - Please liaise with Prof. Levy's PA Charlotte Bourne
    [Read more]
  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in idorth.com - Innovative Design Orthopaedics - [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

Guidelines for patients following Radiofrequency heat shrinkage stabilisation of the shoulder

Introduction


We have been using this procedure for five years now and pioneered its development in Great Britain. When the shoulder dislocates (Comes out of joint) or subluxates (partly comes out of joint), the lining (capsule) of the joint can become stretched. Using a radiofrequency heat probe, the capsule of the joint can be shrunk so that the joint can be restabilised. This mechanically tightens the joint and makes the sensor mechanism within the joint more sensitive so that the muscles respond earlier to stabilise the joint.


General guidelines


Pain:
A nerve block may be used during the surgery, which means that immediately after the operation the shoulder and arm often feel completely numb. This may last a few hours. After this the shoulder may well be sore and you will be given painkillers to help whilst in hospital, which you should continue to take at home if necessary. Ice packs may also help reduce pain. Wrap frozen peas/crushed ice in a damp, cold towel and place on the shoulder for up to 15 minutes.

Wearing a Sling:
You will return from theatre with your arm in a sling. The arm should be rested in the sling until the majority of the soreness has settled. This should only take a couple of days. However it is important that you start moving the arm and using it for daily activities as soon as possible. You should avoid forcing the shoulder and stretching it for the first six weeks.

The Wound:
This is a keyhole operation usually done through two or three small 5mm puncture wounds. There will be no stitches only small sticking plaster strips over the wounds. These should be kept dry until healed. This usually takes four to seven days.

Driving:
You may drive as soon as you feel able and can manage all the controls safely.

Returning to work:
You may return to work as soon as you feel able.

Leisure activities:
These can be resumed when you feel able but you should avoid activities, which may stretch your shoulder for at least six weeks.

Follow up appointments:
You will have an appointment with the physiotherapist and a follow up appointment will be made at The Reading Shoulder Unit at three weeks. Here you will be seen by either the doctor or specialist physiotherapist, to assess your progress.

Exercises:
These are an important part of the procedure, re-educating the muscles around the shoulder and stabilising the joint. Your physiotherapist will guide you through the exercise programme. It is essential that this be carried out regularly.