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Orthopedic Shoulder Surgery Specialist- Chicago, IL

The shoulder consists of three bones: the humerus (upper arm bone), the scapula (shoulder blade), and the clavicle (collar bone). Associated muscles, ligaments, and tendons also make up the shoulder anatomy. The human shoulder poses as the most flexible joint in the body; it allows us to place and rotate the arm in multiple positions. This incredible flexibility makes the shoulder susceptible to injury and instability. Although most causes of shoulder pain and limited mobility can be resolved with the help of traditional treatments, in some cases the symptoms persist, thus requiring shoulder surgery as the last resort. Our Chicago shoulder surgeries are performed in an outpatient surgery center. 

Orthopedic Shoulder Surgery

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Shoulder arthroscopy

Shoulder arthroscopy is a procedure during which the surgeon inspects and repairs problems inside a joint. During the procedure, the surgeon uses an arthroscope (tiny camera) to examine and repair the tissues inside or around the shoulder. To insert the arthroscope, the shoulder surgeon has to make a small incision. This is the main type of shoulder surgery we perform out of our Chicago location.

 

 

 

The arthroscopy is usually recommended for the following problems:

  • Loose tissue that has to be removed
  • A torn or damaged labrum (cartilage ring) or ligaments
  • A torn rotator cuff
  • A torn or damaged biceps tendon
  • Shoulder instability
  • Inflammation or the damaged lining of the joint
  • Arthritis at the end of clavicle (collarbone)
  • Shoulder impingement syndrome
  • Bone spur removal
  • Repair for recurrent shoulder dislocation

Most shoulder arthroscopies require regional nerve blocks which number the arm and the shoulder. At the beginning of the procedure, the surgeon injects fluid into the shoulder to inflate the joint. The purpose of this maneuver is the ability to see all joint structures more clearly. After that, a small puncture in the shoulder is made for the arthroscope. The images from this tiny camera are projected on the video screen showing the surgeon inside of your shoulder and damage affecting the joint or bones.

In most cases, the shoulder arthroscopic procedures in our Chicago out patient surgery center last less than an hour, the patient stays in the recovery room for an hour or two before going home. Although the overall recovery period after shoulder arthroscopy is shorter than in open surgery, it is important to bear in mind it will take a few months to recover entirely and regain flexibility. Rehabilitation plays a pivotal role in the recovery process and its duration.

Arthroscopic Debridement

Debridement is a procedure to remove debris and damaged tissue in the shoulder joint. Just like other arthroscopic procedures, debridement is also minimally invasive. Doctors usually recommend this procedure when a patient has damaged tissue in the shoulder joint and conservative treatments are ineffective. The primary aim of the arthroscopic debridement is to relieve pain and restore movement to the shoulder.

The surgeon performs the arthroscopic debridement under general anesthesia, and the entire procedure lasts about 60 minutes. The entire operation is carried out through small incisions; meaning the person doesn’t end up with big scar afterward.

The arthroscopic debridement is performed in an outpatient setting which means the person is allowed to go home the same day. To help restore normal and pain-free mobility, the doctor prescribes physical therapy. The overall recovery time depends on the severity of the initial injury and the patient’s adherence to the rehabilitation process.

Shoulder stabilization (arthroscopic bankart procedure)

Arthroscopic stabilization or bankart repair is a procedure that involves repairing the over-stretched or torn labrum and capsule deep within the shoulder joint. The main goal of this operation is to reattach and tighten the loosened cartilage ring and ligaments, thus improve the stability of the shoulder. During the procedure, the patient is asleep the entire time i.e. the general anesthesia is used. Additionally, you get to go home the same day due to the fact the procedure requires outpatient setting. Rare are the cases when the patient has to spend the night in the hospital.

Rotator cuff repair

Rotator cuff repair is an operation to repair a torn tendon in a patient’s shoulder. To repair the tendon, the surgeon might opt for an open surgery or arthroscopy, depending on the severity of damage to the tendon.

The rotator cuff repair is usually performed in the following instances:

  • Persistent shoulder pain that didn’t improve with traditional treatments for 6 to 12 months
  • A patient experiences weakness and is unable to perform everyday activities
  • There is a large or a complete rotator cuff tear
  • A tear was caused by an injury

During an open procedure, the surgeon makes an incision and moves the large muscle (the deltoid) out of the way to perform the surgery adequately. This type of surgery is performed only when more complex injuries occur.

It can take between 4 to 6 months to recover, depending on the size of the tear and other factors. The surgeon will also suggest physical therapy to recover adequately.

Shoulder replacement

Joint replacement refers to replacement of the ends of bones in a damaged joint. During the shoulder replacement surgery, the surgeon replaces the ends of the damaged upper arm bone and the shoulder bone or cap them with artificial surfaces lined with metal or plastic. If you are looking for a shoulder replacement surgeon in Chicago call us today to go over your options. 

There are different types of shoulder replacement surgery, such as:

  • Total shoulder replacement
  • Stemmed hemiarthroplasty
  • Resurfacing hemiarthroplasty
  • Reverse total shoulder replacement

The procedure lasts about two hours and the patient can go home the same day, but sometimes the patient will have to spend two or three days in the hospital. Shoulder replacement requires general anesthesia, but in some cases the regional anesthesia will do, as well. The choice of anesthesia depends on the doctor and the patient’s overall health.

After the surgery, the patient will need a sling to support and protect the shoulder for the first two to four weeks. It’s important to bear in mind that driving a car while wearing a sling is not permitted.

Conclusion

The human shoulder is the most active joint in the entire body. Its constant activity makes it prone to various injuries and condition that cause pain, swelling, and affect the patient’s quality of life. Shoulder surgeries are extremely technical and should be performed by the highly skilled surgeon.

References

http://orthoinfo.aaos.org/topic.cfm?topic=A00589
http://www.premier-ortho.com/patient-education/shoulder-debridement/
https://medlineplus.gov/ency/article/007207.htm