Shoulders

 

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Capsular Release: Arthroscopic Release of a frozen shoulder

A frozen shoulder is a disorder of the shoulder capsule, a thin tissue which surrounds the shoulder joint. The capsule becomes inflamed and stiffens causing restricted movement and pain ... read more

 
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Copeland Resurfacing

Osteoarthritis affects the surfaces (cartilage) of joints and is most prominent in large weight-bearing joints such as the hip and the knee. It is also common in the shoulder. It may be caused from ‘wear and tear’ for example with repeated activities over many years or with a traumatic cause such as a fall. In the shoulder it affects the cartilage of the ball (humeral head) and the socket (the glenoid) ... read more

 
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Reverse geometry delta shoulder replacement

The Reverse geometry (Delta) shoulder replacement a ims to enhance the functional capabilities of a shoulder that is lacking rotator cuff strength. In a normal shoulder the pull of the larger deltoid muscle is counteracted by the rotator cuff muscles. Due to the location of the Deltoid muscle, if it was to act alone then the ball would be forced upwards into the socket. The downward action of the rotator cuff muscles ensure that adequate space is maintained in the joint and that the joint can move effectively. The reverse geometry shoulder replacement alters the positions of the ball and socket to be the opposite way round. By doing this the Deltoid muscle can now pull in an upward direction but is now able to contribute to the movement rather than preventing it ... read more

 
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Rotator Cuff Repair

The Rotator Cuff is a group of four muscles that come from the shoulder blade and attach onto the ball of the ball and socket joint. It is made up of the Supraspinatus, the Infraspinatus, Subscapularis and Teres Minor. Their primary action is to maintain the position of the ball within the socket throughout movement. They also contribute to individual movements. ... read more

 
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Subacromial Decompression

The subacromial space is the space between the ball (humeral head) and the tip of the socket (the acromion). There are many structures that lie in this space including tendons belonging to the rotator cuff muscles and a fluid sack known as a bursa. The subacromial bursa is designed to prevent friction occurring between the tendons and the bone. During subacromial impingement the structures in the subacromial space become compressed. This may be due to a muscle imbalance which can cause the shoulder blade (scapular) to move in an altered fashion. This in turn will have an effect on the subacromial space as the acromion is a part of the shoulder blade. It can also be due to anatomy where the acromion may have a downward sloping configuration or bony spurs on the end ... read more

 
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Total Shoulder Replacement

Osteoarthritis affects the surfaces (cartilage) of joints and is most prominent in large weight-bearing joints such as the hip and the knee. It is also common in the shoulder. It may be caused from ‘wear and tear’ for example with repeated activities over many years or with a traumatic cause such as a fall. In the shoulder it affects the cartilage of the ball (humeral head) and the socket (the glenoid) ... read more