Shoulder injuries and treatments
Shoulder injuries and treatments
Shoulder dislocation and subtle instability are often associated with direct trauma eg rugby and Judo but more subtle presentation may arise from repetitive over-load as a result of gym work and weights. Keyhole surgery can produce remarkable results restoring function rapidly. Our unique early mobilisation program can ensure a degree of normality with a good range within two weeks eg driving. Twelve weeks is usually sufficient for full contact as tested by some of our elite contact athletes.
Shoulder Injuries we care for include
Keyhole surgery for
HOW WE CAN HELP YOU RECOVER FROM SHOULDER INJURY
Shoulder surgery options
Also known as adhesive capsulitis, frozen shoulder is a painful and degenerative condition characterised by stiffness and pain in the shoulder joint.
This occurs when the capsule of connective tissue around the shoulder joint thickens, creating adhesions, and restricts movement. It is prevalent in women over 40, and also more widespread in diabetics, stroke victims, or those recovering from an injury which has immobilised the arm for a significant period (such as a damaged rotator cuff or broken arm). The symptoms and effects of frozen shoulder generally get progressively more acute until the condition resolves itself, which usually happens between one and three years after first manifestation. It is usually treated with painkillers, physiotherapy or corticosteroids and numbing medications injected into the joint capsule, but in some cases the best treatment is arthroscopic surgery to loosen the joint capsule to enable free movement. This involves using pencil-sized instruments inserted through small incisions in your shoulder, then cutting through tight portions of the joint capsule
AC JOINT RECONSTRUCTION
Dislocation of the AC joint (acromio-clavicular joint) is a high energy injury which tears the strong ligaments holding your collar bone in place.
Instability weakens the shoulder and the collar bone can be seen sticking up under your clothing. Early repair affords the best results which is enhanced by early mobilisation if at all possible. The InternalBrace helps to strengthen repair and reconstruction and supports during early mobilisation. The InternalBrace addresses both superior instability (the piano key deformity) and front to back looseness which can be irritating.
Even long standing deformities can be managed more effectively with the support of the InternalBrace.
The shoulder, which is made up of your upper arm bone (humerus), shoulder blade (scapula), and collarbone (clavicle) is the most moveable joint in your body.
However, its wide range of motion can cause instability if the head of the upper arm bone is forced out of the shoulder socket, usually as a result of high-impact collisions of the sort often seen in contact sports or the sort of repetitive strain common in tennis, swimming and gym work. Once dislocated, if the ligaments, tendons and muscles around the shoulder become loose or torn, the shoulder is liable to dislocate again, which can easily degenerate into chronic shoulder instability, where the shoulder repeatedly dislocates, either partially (a subluxation) or completely. If surgery is required to repair torn or stretched ligaments, an arthroscopy is a quick and minimally invasive procedure. If the instability is sufficiently acute, an InternalBrace can be fitted to ensure ongoing stability in the shoulder
CLAVICULAR FRACTURE FIXATION
A fractured collarbone is a common presentation added to by the recent surge in enthusiasm for cycling. It can often be managed conservatively
with support but more complex injuries, and those that fail to heal may require surgical assessment.
Like golfers elbow is an over use injury resulting in an inflamtion tenderness at the site of tendon attachment to bone just above the elbow.
Often managed conservatively, severe cases can benefit from platelet rich plasma (PRP) injections or steroid. Chronic resistant cases can require surgery but this is usually reserved for Tennis elbow on the extensor aspect (outside) of elbow next to the bony prominence (epicondyle)
UCL REPAIR/ELBOW INSTABILITY
The supporting ligament on the inside of the elbow is called the ulnar collateral ligament (UCL).
Disruption of the UCL causes instability and weakness as the joint can open like a hinge. The InternalBrace has transformed care allowing the direct repair of the injured ligament and early mobilisation. This more than halves recovery time and return to sport or work. This new approaches is currently in most demand in the US for the treatment of baseball pitchers.
SUBACROMIAL DECOMPRESSION (SAD)
Impingement is a shoulder pain precipitated by above shoulder activities
resulting in a classic painful arc. The pain is due to the nipping of soft tissues under the bony prominence of the shoulder (Acromion). Pain is usually referred to the badge area on the outer aspect of the upper arm and can be associated with muscle inhibition and weakness. Physiotherapy plus injection can be adequate but more resistant cases can result in tendon damage or even a tear and is best managed by a keyhole procedure to decompress and provide more space for tendon movement. Imaging can exclude other pathologies which can contribute to this presentation such as calcium deposits in the tendon or early frozen shoulder.
After surgery no sling is usually required, early mobilisation encouraged and patient can usually return to work or driving within 7-14 days
DISTAL BICEPS REPAIR
Distal biceps rupture is often seen in power sports and can be a devastating injury.
The avulsion often comes from bone and is close to the neuro-vascular structures (nerves and vessels) of the elbow. Open surgical exploration can result not only in nerve injury but the risk of infection, and scarring resulting in elbow stiffness.
Internal Brace Shoulder Surgery
InternalBrace for the Shoulder
Frequently Asked Questions about shoulder surgery
You will be in a sling for a couple of days
For a desk job 2-4 weeks, for a more physical job 6-8 weeks with modified duties
2-4 weeks – as long as you are comfortable and confident carrying out an emergency stop
IF YOU THINK WE COULD HELP YOU
Then please get in touch - we would love to help