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Shoulder Surgical Procedures

Surgery Can Treat Painful Shoulder Conditions

Simple solutions are often the best when dealing with painful shoulder conditions. This is why orthopedic surgeons typically recommend nonsurgical procedures to treat shoulder pain. When various options such as exercise, rest, pain management, bracing, subacromial injections, and ultrasound therapy do not resolve the issue, shoulder surgery might be indicated.

Surgical Solutions for Shoulder Problems

Surgical repair for shoulder disorders vary in technique and scope depending on the specific diagnosis or each patient. Minimally invasive arthroscopic surgery may work best, or extensive open surgical procedures may be favored. Some surgical shoulder procedures employed at Baylor Orthopedic and Spine Hospital of Arlington include:

  • Total shoulder replacement
  • Reverse total shoulder replacement
  • Shoulder resurfacing
  • Distal clavicle excision (resection)
  • Shoulder impingement surgery
  • SLAP repair
  • Arthroscopic rotator cuff repair
  • ORIF surgery for proximal humerus fractures
  • AC joint separation repair
  • Arthroscopic loose shoulder surgery
  • Arthroscopic capsular release
  • Arthroscopic Bankart repair

Shoulder Replacement May Ease Pain

Originally designed as a treatment for fractured shoulder, shoulder joint replacement surgery also can provide effective solutions for rheumatoid arthritis, osteoarthritis, rotator cuff arthroplasty, osteonecrosis, and other shoulder conditions. More than 50,000 people annually undergo shoulder replacement surgery in the United States.

Patients can learn all the pros and cons surrounding shoulder replacement surgery from their Baylor Orthopedic and Spine Hospital at Arlington orthopedic surgeon. Mitigating factors making shoulder replacement beneficial include loss of motion, weakness in the shoulder, shoulder pain that limits mobility, shoulder pain felt even while resting, and ongoing shoulder pain even after trying other nonsurgical treatment options.

With total shoulder replacement surgery, the ortho specialist removes your disabled shoulder joint and replaces it with a prosthetic. Replacing the entire ball and socket (glenoid) portion of the shoulder constitutes a “total” joint replacement. The prosthetic ball and stem component may be in place into the humeral bone and set with bone cement.

In some cases, the artificial shoulder joint may replace only the head of the humerus bone in a procedure called stemmed hemiarthroplasty. Resurfacing hemiarthroplasty involves replacing the joint surface of the humeral head with a cap prosthesis. This surgical option often appeals to patients with arthritic shoulder and greater risk of bone loss. If needed in the future, resurfaced shoulder joints more easily convert to total shoulder replacement.

For shoulder patients suffering from torn rotator cuffs, severe arm weakness, cuff tear arthroplasty, severe arthritis, or other problems, reverse total shoulder replacement provides yet another effective shoulder treatment option. In these cases, the socket and metal ball are reversed to that the ball is fused to the shoulder bone and a plastic socket is installed on the upper arm bone.

Repairing Shoulder Fractures With Surgery

Most broken bones can be set and treated without surgical intervention, but the occasional complication can change an orthopedic surgeon’s recommendation. Some bones of the upper arm break apart, leaving residue behind. This repositioning shoulder surgery clears out bone fragments and sets the broken arm with a metal plate.

Similarly, a broken collarbone may shift when fractured. Orthopedic shoulder surgery encourages healing with surgical clavicle realignment using plates and screws or pins, which require smaller incisions. A broken scapula or shoulder blade is infrequent, but can occur in traumatic instances such as car or motorcycle accidents. Different sections of the scapula may be fractured, the bone may shift, and impingement syndrome may also occur. These conditions sometimes require orthopedic surgery to install plates and screws while the fracture heals.

Arthroscopic Shoulder Surgery Uses Advanced Technology

An advanced orthopedic surgery method called arthroscopy offers minimally invasive surgery for various shoulder conditions including torn rotator cuff, bone spurs, soft tissue tears, osteoarthritis, loose shoulder, and Bankart lesion. This minimally shoulder surgery invasive can be done on an outpatient basis. The orthopedic surgeon places a camera called an arthroscope directly into a damaged area such as the shoulder joint, using the camera to guide miniature surgical instruments to complete orthopedic repairs.

In the case of loose shoulder arthroscopy, a radiofrequency probe heats and stimulates the tissue capsule around the shoulder joint. Capsular plication causes the tissue to contract, effectively tightening the shoulder joint. For Bankart lesions, arthroscopic shoulder surgery reattaches the labrum, a thick band of cartilage attached to the glenoid bone of the shoulder. The Bankart procedure aims to counteract the effects of a dislocated shoulder, stabilizing the position of the shoulder joint in the socket.

For more information about how shoulder surgery may benefit your condition and provide relief for shoulder pain, call 855-41-ORTHO to make an appointment with an orthopedic surgeon or spine specialist at Baylor Orthopedic and Spine Hospital at Arlington.