There has recently been some discussion of rotator cuff injuries being associated with adhesive capsulitis, or frozen shoulder, with no known cause and this is something to consider. A recent study by Ueda et al has attempted to clarify some of the information that is in the research these days. […]
Adhesive capsulitis, also known as frozen shoulder is often associated loss of range of motion in the shoulder with no known cause. In general an MRI is not needed to confirm this diagnosis, however there has been some recent indications that in some cases of frozen shoulder the rotator cuff […]
This will be addressed on a case-by-case basis with your orthopedic physician. However, typically your arm will be immobilized for a minimum of three to four weeks.
They will often present with their arm held fixed and slightly internally rotated and abducted out to the side.
A thorough workup including physical examination needs to be performed hopefully identifying the cause of pain. A bout of nonoperative treatment including physical therapy focusing on your overhead serving mechanics as well as strengthening and ROM will likely occur first. Injections into the subacromial or glenohumeral region may also prove […]
Calcific tendonitis is best treated conservatively by anti-inflammatories and physical therapy. Conservative treatment has proven to be best for this condition and you should give it three to six months prior to seeking more invasive types of procedures.
A recent review of the literature suggests you should give conservative treatment, like physical therapy, up to six months prior to seeking more invasive options like surgery. It is important to remember that the most pain and inflammation associated with calcific tendonitis occurs right before the calcium deposit is reabsorbed […]
The RC-QOL is an encompassing patient-derived questionnaire that addresses not only physical symptoms but also work, recreational, social, lifestyle and emotional components.
Every patient will present differently and thus must be treated on a case by case basis. That being said, usually a course of nonoperative treatment including rehabilitation will be utilized prior to deciding if surgery is part of the plan of care.
Literature shows decent result in no surgical correction in a small population of older individuals who are not in pain or do not functionally rely heavily on their arm. In the future if this becomes a problem it can be addressed then.
A mal-union fracture is one that heals in a less than ideal setting or one that disrupts the joint motion. Sometimes these are addressed by going back in and re-breaking the fracture or by shaving off the bone that is interfering with function. In your case, depending specifically where the […]
First a thorough workup including physical examination needs to be performed. Non-operative treatment such as physical therapy and/or injections then may be performed. If these have failed and no further diagnostic lab work is needed you may be appropriate candidate for surgical option. Your surgeon will further discuss these options […]
Scapular dyskinesia is a term used to describe poor movement patterns of the shoulder blade. The shoulder blade, or scapula, moves in multiple planes and must be coordinated with the glenohumeral joint in order to allow full range of motion of the shoulder. When the length, strength or timing for […]
The clinical presentation of an individual with scapular winging typically includes report of posterior shoulder pain that may radiate down the arm or up the neck. The pain can either be associated with an event or insidious in nature. The individual may experience loss of range of motion into forward […]
These tears are less common and sometimes referred to as “irreparable”. They require advanced arthroscopic skill to achieve the best outcome. The supraspinatus, infraspinatus are torn and pulled away from their attachment sites. They measure greater than 2cm in length from anterior to posterior and medial to lateral.
You will need to discuss this with your surgeon. It will have many factors and will vary depending on the individual. Your personal factors can be: age, activity level to return to, health, etc. Surgical factors: degree/type of rotator cuff tear, surgical technique and surgeon.
Surgeons make surgical technique choices based on multiple factors. Certain types of surgical repairs have better outcomes with an open technique, like your surgeon wants to do. Also taken into account is the surgeon’s experience level with the type of repair and his or her comfort level regarding open or […]
You surgeon is taking extra precautions to ensure that you do not develop an infection. The risk of infection is very low for an arthroscopic surgical technique and higher for an open surgical technique. Depending on your history and the type of surgery you might have an increased risk for […]
It is hard to say if one technique is indeed “better” than another, as they have not been directly compared in the research. However it is useful to look at the results of studies using each technique and consider outcomes and complications. In this study, with a fairly high number […]
The recovery protocol reported in this study indicates the arm was in a sling with a body belt for the first six weeks. During this time passive forward flexion to the shoulder level and passive external rotation to neutral were allowed. After the first six weeks active-assisted range of motion […]