Shoulder Surgery

Shoulder Arthroscopy and Debridement with Top Arizona Orthopedic MDs

Shoulder arthroscopic debridement is a procedure used to relieve pain and restore function to the shoulder joint. This surgery is best for patients who have rotator cuff tears that cannot be fully repaired. The procedure is followed by a long course of physical therapy.Shoulder Surgeon Mesa AZ

What is debridement?

Debridement is the process of removing damaged tissue and debris from the shoulder joint. Considered a minimally invasive procedure, shoulder joint debridement involves use of small tools to surgically clean the area.

Who is a candidate for shoulder arthroscopic debridement?

Tissue damage of the shoulder joint occurs due to various reasons. The most common reason for tissue damage is degeneration from osteoarthritis. However, damage can also occur due to trauma or injury. As the tissue of the joint deteriorates with normal wear-and-tear as the body ages, debris and loose tissues form in the joint. This can lead to impaired shoulder range of motion and significant pain.

What is the success rate of shoulder arthroscopy and debridement?

Based on clinical studies, shoulder arthroscopic debridement has over a 70% success rate with orthopedic surgeons in Gilbert and Chandler AZ. This success rate is based on reduction in pain and return to normal activities.

What type of anesthesia is involved?

Shoulder ArthroscopyShoulder arthroscopy and debridement is usually done using general anesthesia, and the total procedure takes approximately one hour. For pain relief after the procedure, a local anesthetic and or regional anesthetic (nerve block) may be used. Regional anesthesia is used for patients who have certain medical conditions and those who wish to avoid post-operative side effects.

How do I prepare for the shoulder debridement procedure?

Two weeks before your scheduled surgery, make the Chandler orthopedic surgeon aware of all your medications, and assure that he has copies of your medical records. Don’t smoke, avoid alcohol, and pass on over-the-counter medications. Do not eat or drink the night before the procedure, and leave valuables at home. Arrange to have someone to drive you home from the hospital. When you arrive, a nurse will have you sign a consent form, change into a gown, and place an IV in your arm to administer necessary medications.

How is the surgery done?

The sports medicine surgeon first makes several small incisions around the shoulder. The arthroscope is inserted so the doctor can see inside on a monitor. The first part of the procedure involves evaluating the shoulder for damaged tendons and arthritis of the joint. When shoulder ospi_smallmovement is restricted, the ligaments are released.

If the biceps tendon is trapped or painful when the arm is lifted, the tendon is also released. In order for the tendon to move adequately, a small portion of bone may need to be removed as well. After all debridement is done, the incisions are closed with sutures, and the area is covered with bandages. Then, the shoulder is placed in a sling.

What does recovery involve?

After the procedure, you are moved to a recovery room where a nurse monitors your condition for several minutes. Most patients will stay overnight in the hospital. The next day, a physical therapist works with you to teach necessary exercises for regaining strength and joint function. The sling is worn for 2-3 weeks, and at this time, you may use your hand as needed. After the sling comes off, you can drive and gradually return to usual activities over the next 3-6 weeks.

All about Partial Shoulder Replacement Surgery

The shoulder essentially comprises of a ball and socket joint, where the round end of one bone fits into the socket at the end of another bone. This is the joint which is responsible for both, arm and shoulder movement.

When it comes to replacing an arthritic or injured shoulder, the rate is highly uncommon as compared to knee or hip replacements. This means that the surgery rate is also very low. However, this doesn’t mean that an injured or arthritic shoulder cannot be treated by surgery.

Partial replacement surgery is generally recommended by Gilbert orthopedic surgeons to patients suffering from pain accompanied by arthritis or a traumatic injury to the shoulder. Exceptional care should therefore, be taken by athletes, because their shoulder joints are subjected to a lot of wear and tear, which over time, can lead to a problem.

That being said, the benefits that can be derived from other joint replacement procedures are the same as that of a shoulder replacement, i.e. restoration of normal joint movement and relief from joint pain.

What Is Included In A Partial Shoulder Replacement Procedure?

This procedure is normally used when the glenoid socket doesn’t need to be replaced because it’s still intact. Instead; in a partial shoulder replacement, the humerus is operated upon, replacing the head and implanting the humeral component.    

This means that, during the procedure, there is no need for a plastic socket, less bone is removed as compared to other surgical procedures, and it requires a smaller incision.

Because every shoulder is unique, the very first step that you should take if experiencing shoulder pain is to consult with an orthopedic surgeon in Chandler and ask for an assessment. Then the surgeon will perform an examination to find out what the condition of your shoulder is. Some common shoulder problems that require surgery are:

  • Instability of the Shoulder
  • Shoulder Tendinitis
  • Fractured Collarbone
  • Full Thickness Rotator Cuff Tear

Orthopedic Evaluation: What to Expect

The evaluation and assessment of the shoulder covers 3 essential components:

A Medical History: Typically about current complaints, the duration of symptoms, pain and limitations faced by the patient, any injuries and past surgical or non-surgical treatments.

A Physical Examination: This is done to assess the tenderness, swelling, range of motion, weakness or strength, instability, and/or deformity of the affected shoulder.

Diagnostic Tests: X-rays of the shoulder are taken in various positions and in a series of movements. An MRI scan can also be helpful in effectively making an assessment of soft tissues in the shoulder. A CT scan is sometimes used to evaluate the various bones within the shoulder.

At the end of the evaluation and assessment, your orthopedic surgeon will review the results and discuss the best treatment options with you, both surgical and non-surgical. If you opt for the surgical option of treatment, the doctor will then inform you regarding all the risks and complications that may occur, during and after surgery.

OSPI offers the top shoulder surgeons in the East Valley including Gilbert, Chandler and Mesa AZ. These shoulder specialists are Board Certified and Fellowship Trained. Call today for help with all your shoulder pain needs!

What Are The Treatment Options For Frozen Shoulder?

A disorder characterized by pain, loss of motion/or stiffness in the shoulder, is known as frozen shoulder. The disorder affects about 2% of the general population, which means that it’s not that common but you can still suffer from it. Research done on the disorder shows that, women who are between the ages of 40 to 70 years old are generally more affected than other age groups or gender, although men can also develop the disorder.Shoulder pain

What are the Risks of Frozen Shoulder?

People who have been diagnosed with diabetes are at much higher risk of developing the disorder. In fact nearly 10% to 20% of such individuals develop frozen shoulder at some point in their lives. Some other medical conditions that increase the chances of developing the disorder are:

  • Hypothyroidism
  • Hyperthyroidism
  • Parkinson’s Disease
  • Cardiac Disease or Surgery

What Are The Symptoms of Frozen Shoulder?

The pain that is experienced by sufferers of this disorder is usually aching and dull, as compared to other joint injuries, although attempted motion can make the pain worse. The outer shoulder areas as well as the upper arm are the main locations when it comes to pain points, but a restricted shoulder motion and stiffness should also raise alarm bells about the possibility of the disorder.

According to most physicians, the normal course of a frozen shoulder can be described in 3 stages:

Stage 1: This is known as the ‘freezing stage’ and is known to last as long as 6 weeks to 9 months, depending on the nature of the injury. In this stage, the patient experiences a slow but gradual onset of pain, which worsens and results in the shoulder losing all motion.

Stage 2: The ‘frozen stage’ is characterized by a slow improvement in pain, although the stiffness of the shoulder still remains. This stage lasts for over 4 to 9 months.

Stage 3: This is the final stage, i.e. ‘thawing’ when motion in the shoulder returns back slowly towards its normal state. The thawing stage generally takes about 5 to 26 months to complete.

What Are The Treatment Options For Frozen Shoulder?

While the disorder can be effectively treated with the help of physical therapy and anti-inflammatory medicines, in extreme cases of the disorder, surgical intervention is needed when the pain doesn’t subside and/or shoulder motion doesn’t return to its normal course.Shoulder Arthroscopy

The surgery that is done to treat frozen shoulder effectively, aims at releasing or stretching the contracted joint capsule in the shoulder. Commonly tried methods are;

Shoulder Arthroscopy: In this, the orthopedic surgeon makes small cuts or incisions around the shoulder. With the help of a small camera and instruments attached to an arthroscopic device, the insides of the shoulder and the joint capsule are examined and operated upon.

Manipulation under Anesthesia: In this method, the surgeon gives the patient anesthesia and then manipulates the defected shoulder, i.e. forces it to move.

Of course, your designated Gilbert orthopedic surgeon will take you through the entire process and inform of the risks involved, before conducting the surgery which will make it easier for you to make the right decision.

OSPI is the top orthopedic practice in the East Valley serving Gilbert, Chandler, Mesa, Queen Creek, Maricopa and Casa Grande. There is also a physical therapy department, chiropractic, massage therapy and CrossFit too! Call (480) 899-4333 to receive treatment.

An Overview of Rotator Cuff Surgery: Risks & Recovery

Orthopedic surgeons in Gilbert, Chandler, Mesa and Queen Creek often recommend surgery in order to successfully treat and repair a torn rotator cuff. This is especially paramount if the injury to the rotator cuff is very severe, and/or non-surgical options and treatments are not sufficiently improving the movement and strength of the shoulder.

Out of the three main surgical treatments that are performed for this particular injury, Arthroscopic surgery is the most common and preferable to orthopedic surgeons as well as the patients. In some cases however, mini-open shoulder surgery is required to successfully repair a rotator cuff tear.

Why Is Rotator Cuff Surgery Performed

The surgical procedure is done when:Rotator Cuff Tear

  • A sudden injury causes the rotator cuff to tear
  • Rotator cuff is completely torn, causing severe shoulder weakness
  • Rotator cuff hasn’t improved in condition, after 3-6 months of physical therapy or other non-surgical treatments.
  • The patient has an overall good physical condition to recover easily and quickly from the surgery, after committing to a full rehabilitation program.

What to Expect After Surgery

Many people try to stay away from surgery and opt for other treatment methods that are non-surgical, but while there is a success rate for such treatment methods too; if the tear is serious, then surgery will be needed to treat it effectively.

After the surgery, physical therapy will be prescribed by the doctor for a smooth and successful recovery. A typical rehabilitation program may be as follows:

  • As soon as the patient wakes up after the surgery, some light exercises are done that extend and flex the wrist, elbow, and hand.
  • After a day passes, the physical therapist may help the patient move the operated joint through its normal range of movement.
  • With the assistance of the physical therapist, active exercise may start 6-8 weeks after surgery.
  • After a few months, the patient will be taught strengthening exercises.

Risks and Complications Associated With Surgery

This is a fact that all surgical procedures carry some amount of risk, either during the surgery or after it. This doesn’t mean that opting for rotator cuff surgery is a bad option, as the success rates of this procedure are very high. Of course; when it comes to addressing risks and complications, your orthopedic surgeon will do everything necessary to minimize the risks associated with your rotator cuff surgery.

Following is a list of the common complications that are a byproduct of almost all surgical procedures:Shoulder Arthroscopy

  • Pain
  • Stiffness
  • Bleeding
  • Infection
  • Nerve Injury
  • Unsightly Scarring

The risks and complications that arise; largely depend on the type of surgery and also, on how badly damaged the area is. Before starting any procedure, you will be required to sign on a document of consent which means that as a patient, you understand the risks and trust the doctor performing the procedure to deliver the best results.

The expert orthopedic doctors at OSPI are highly skilled in minimally invasive rotator cuff repair. Patients are seen from all over the East Valley including Gilbert, Chandler, Mesa, Queen Creek, Casa Grande, Maricopa and surrounding areas. Call today!

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