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  • Applications for the shoulder fellowship starting in 2017 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 Jan Barker [Read more]
  • RSU is advertising for shoulder fellowship to start in July 2017
    a post-CCT shoulder fellowship for One year. please send CV to Mrs Jan Barker and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • Coming up courses:

    The Reading Expert Shoulder Course 15-16 April 2019
    Instructional Course

    Smith & Nephew Expert Connect Centre Watford, United Kingdom
    15-16 April 2019
    Course Convener: Prof Ofer Levy (UK)

  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in idorth.com - Innovative Design Orthopaedics - [Read more]
  • Shoulder study day for Physiotherapists 26 February 2019 at 18:00 
    at the Royal Berkshire Hoapital.
    Please register your interest by e-mail to: Jonathon.Lee@RoyalBerkshire.NHS.uk [Read more]
  • For GPs - 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]
  • 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]
  • New Survey on usage of shoulder replacement prostheses.
    Take the survey [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]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK

    Bone Joint J 2013 vol. 95-B no. SUPP 27 25

    COMPLICATION RATES FROM THREE
    COMMONLY USED REVERSE POLARITY TOTAL
    SHOULDER REPLACEMENTS: A MINIMUM TWOYEAR
    FOLLOW-UP OF 64 CASES
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza 
  • Once again we are running the successful Reading Shoulder Arthroplasty Instructional Course on Friday,  30 September 2016
    • Re-Live surgery
    • Lectures
    • Discussions 
    • Clinical session with patients presentations
    • Hand-on workshop on models
    • Workshop for theatre nurses

    CME Points applied (6 CME Points approved by the BOA for the previous course)

      Register early - limited places

     
    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    Its use is launched soon in Australia & New Zealand. 

  • Excellent clinical results over more than 11 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The Reading Expert Shoulder Course 15-16 April 2019

    Instructional Course
     
    Smith & Nephew Expert Connect Centre Watford, United Kingdom
    15-16 April 2019
     
    Course Convener: Prof Ofer Levy (UK)

    Description

    The Reading Expert Shoulder Course is a two day advanced shoulder course. All the delegates are experienced shoulder surgeons and “All are Faculty”.

    Day One will cover arthroscopic techniques for treatment of complex instability, arthroscopic bone block, arthroscopic Latarjet, and Biceps procedures. Comparison of different methods of rotator cuff repair, various approaches to manage the massive rotator cuff tear, Suprascapular nerve release and more.

    Day Two will cover advances and innovations in total shoulder replacement, especially reverse TSA and stemless rTSA.
    The course will involve lecture-based discussions but is primarily a cadaver lab course with ample opportunity to practice the techniques taught in the Expert Connect Centre.

    Accreditation - Accredited by the Royal College of Surgeons of England.

    Participant profile

    This course is an advanced shoulder course aimed at experienced shoulder surgeons who want to further discuss and develop advanced arthroscopic and arthroplasty skills. Ideal candidates are Shoulder Consultant in first 3-4 years of practice, and even more experienced Consultants.


    Course Faculty


    International Faculty

    Prof Ettore Taverna - OBV Hospital Mendrisio, Switzerland
    Dr Carlos Torrens Canovas - Parc de Salut Mar, Spain
    Dr Juan Bruguera - Unidad de Hombro y Codo, Spain
    Dr Bernd Hinkenjann - St. Agnes Hospital Bocholt, Germany

    UK Faculty

    Mr Jaime Candal Couto - Northumbria Healthcare NHS Trust, UK
    Mr Roger Hackney - Leeds Teaching Hospitals NHS Trust, UK
    Mr Kapil Kumar - Aberdeen Royal Infirmary, UK
    Mr George Arealis – East Kent HUF Trust, UK
    Mr Amar Malhas - Royal Berkshire Hospital, UK
    Ms Julie McBirnie - Royal Infirmary of Edinburgh, UK
    Mr Hannan Mullett - Sports Surgery Clinic Ireland
    Mr Jai Relwani - William Harvey Hospital, UK
    Mr Sunil Sharma - Queen Margaret Hospital, UK
    Mr Giuseppe Sforza - Berkshire Independent Hospital, UK
    Mr Andreas Leonidou - Royal Berkshire Hospital, UK
    And the Reading Shoulder Unit team 

Guidelines for patients following Total Shoulder Replacement
 

 

 

Introduction

Following your operation you will have a scar approximately 3 inches long on the front of your shoulder.

Your arm will be supported in a sling and a physiotherapist will teach you how to take it on and off to do your exercises. You will be in hospital for about 2-3 days.
 

General guidelines


Pain:
A nerve block is usually used during the operation which means that immediately after the operation the shoulder and arm may feel numb. This may last a few hours. After this your shoulder will be painful and this may last a few weeks. You will be given painkillers to help this whilst in hospital. These should be continued after you are discharged home.

Wearing a Sling:
You will return from theatre wearing a sling. This is used for the first 3 weeks following your operation. It is important that you remove the sling to exercise. You can stop wearing the sling as soon as you feel comfortable.

The Wound:
Keep the wound dry until it is healed. This normally takes 10 to 14 days. Your stitch is dissolvable and needs only to be trimmed at your clinic visit.

Driving:
This is usually possible after about three weeks, but will be dependant on your recovery.

Returning to work:
This is dependent upon your occupation. Light activities which involve using your arm in front of your body may be resumed after about three weeks, but if your job involves heavy lifting you will be off work for up to three months.

Leisure activities:
Gentle swimming and exercises in water can begin at 4 to 6 weeks, Golf at 6 weeks.

Follow up appointments:
You will have an appointment to see the doctor/specialist physiotherapist three weeks after your operation.

Progress:
This is variable and dependant on the amount of movement and the strength of your muscles prior to surgery. Following discharge your pain will slowly decrease and you will become more confident. You will be able to use your arm in front of you for light activities. After six weeks your strength will start to improve.

Exercises:
You will start exercises on the first day after your operation. A physiotherapist will see you to teach you these and progress them. Out patient physiotherapy will be arranged for when you are discharged.

 

1) Stand. Lean forwards. Let your arm hang down. Swing your arm forwards and backwards. Repeat 10 times. (Shown for the right shoulder).

2) Lying on your back. Support your operated arm with the other arm and lift it up overhead. Repeat 10 times. (Shown for right shoulder).
3) Stand sideways with operated arm against a wall. Keep the arm close to your side, and push the hand against the wall, hold for 5 seconds. Repeat 10 times.
  4) Standing, with elbow flexed to 90 degrees, and held close to body, grasp the wrist of the affected arm with the good hand. Attempt to move the hand of the affected arm outward resisting the motion with the good hand. Keep the affected arm still. Hold 5 seconds. Repeat 10 times.
5) Standing with your back against a wall. Keep the arm close to side, elbow bent. Push the elbow back into the wall. Hold for 5 seconds. Repeat 10 times.