Shoulder Conditions and Procedures

Overview of Shoulder Problems & Approaches to Treatment

Common shoulder problems & procedures:

    • Shoulder Arthroscopy Shoulder Arthroscopy

      The operation is done by key hole surgery; usually through two or three 5mm puncture wounds. It involves examination of the shoulder joint using a tiny telescope with television camera introduced through a key hole.

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    • Subacromial impingement / AC joint pain Subacromial impingement / AC joint pain

      The subacromial area lies between the top of the arm bone (humerus) and a bony prominence on the shoulder blade (acromion). The coracoacromial ligament completes the arch.

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    • AC Joint Dislocation & Reconstruction AC Joint Dislocation & Reconstruction

      The Acromioclavicular joint (ACJ) is part of the shoulder complex. It is situated on top of the shoulder joining the clavicle (collar bone) to the scapular (shoulder blade).The joint can be separated (dislocated) as a result of injury. Ligaments are torn and in severe cases surgery is required to stablise the joint.

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    • Rotator Cuff tears Rotator Cuff tears

      The rotator cuff consists of four muscles and their tendons. These surround the ball of the shoulder joint.

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    • Biceps Tendon Problems Biceps Disorders / SLAP Tears

      The shoulder is a ball and socket joint. The socket of the shoulder is like a flat saucer, while the ball is a hemisphere. This arrangement of a shallow socket and a hemishperical ball allows for a large range of movement, but makes the joint prone to instability.

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    • Frozen Shoulder Frozen Shoulder

      This technique is used in the treatment of frozen shoulders. A shoulder becomes frozen when the soft tissues around the joint become tight and short (i.e. contracted). This prevents the shoulder from moving and leads to the pain and stiffness with which you are familiar.

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    • Shoulder dislocations & Instability Shoulder dislocations & Instability

      The shoulder joint is designed to give a large amount of movement. Therefore support from the ligaments and muscles is essential.

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    • Shoulder Arthritis Shoulder Arthritis

      The arthritis may result from various reasons: Osteoarthritis, Rheumatoid Arthritis, Instability Arthropathy, Post-traumatic (due to fracture malunion) arthropathy, Cuff arthropathy and other.

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    • Rotator cuff Arthropathy Rotator cuff arthropathy

      Rotator cuff tear arthropathy is a problem that occurs when a patient has both shoulder arthritis and an irreparable rotator cuff tear. This condition results in a weak and painful shoulder joint. When the rotator cuff is torn, the shoulder can wear out, leading to shoulder arthritis.

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    • Winging Scapula Winging Scapula

      The shoulder blade is a mobile structure, which is stabilised against the chest wall by a large number of shoulder muscles (Muscles of the shoulder girdle) working in tandem with each other. If this harmonious interaction between one or more of these muscles is disturbed, it can result in the shoulder blade becoming excessively prominent over the back, which is referred to as 'Winging of the Scapula'.

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    • Fractures of the shoulder

      • Fractures of the proxmimal humerus (top of the arm bone)
      • Fractures of the Clavicle (Collar bone)

    Advice sheet for injection therapy for Shoulder problems

    Anterior Deltoid muscle rehabilitation for Massive irreparable Rotator Cuff Tears