The shoulder is a complex joint comprised of bones, ligaments and tendons, and shoulder pain can result from injury to any of these structures. Determining the exact source of shoulder pain is much more difficult than other joints, and requires a skilled surgeon such as those at JIS. Most shoulder injuries that require surgery can be treated with arthroscopic preservation without the need for replacement.
Rotator Cuff Repair
The rotator cuff is comprised of 4 muscles that are essential for normal function. Tears of the rotator cuff can arise from discrete injuries or slowly tear over time. Not all rotator cuff tears need repaired, but if the tear is large and/or not improving with other treatments, then surgery is typically recommended. Repair of the rotator cuff can typically be performed through a few arthroscopic incisions, leading to a faster recovery. Special implants with suture allow JIS surgeons to re-attach the rotator cuff tendons back to the bone.
Many patients are not aware that a one portion of the bicep tendons attaches inside the shoulder joint. This “long head” of the bicep tendon can be a source of shoulder pain from a tear of its attachment, tears of the tendon or inflammation of the tendon. Bicep tendon problems are often seen along with rotator cuff tear and can cause pain in the front portion of the shoulder. A bicep tenodesis re-anchors the tendon outside the shoulder joint, which alleviates this source of pain. Sometime the tendon can simply be cut from within the shoulder, known as a bicep tenotomy.
Shoulder labral repair
The bony socket of the shoulder joint (glenoid) is a shallow structure, which lends to the inherent instability of the shoulder. Surround the glenoid is a structure called the labrum, which deepens the socket as well as being an attachment site for the shoulder capsule. When a shoulder dislocation or near dislocation (subluxation) occurs, the labrum can tear. This labral tear and loosening of the shoulder capsule can lead to shoulder instability. An arthroscopic surgery can be performed through a few small incisions to repair the torn labrum and restore stability to the shoulder joint.
Schedule an appointment today with one of our shoulder experts to talk about shoulder preservation surgery (link)