Superior capsule reconstruction (SCR) is a procedure that is used in the treatment of irreparable rotator cuff tears. The procedure was first described in 2013 by Dr. Teruhisa Mihata from Japan. Patch grafting has a long history of being used to "bridge gaps" in irreparable rotator cuff tears. Mihata’s innovation was attaching the graft to the glenoid or socket site of the joint as opposed to sewing the graft into soft tissue.
The most common fracture or broken bone in the shoulder is the proximal humerus, which is the upper arm bone or ball of the shoulder. The majority of proximal humerus fractures can be treated without an operation. However, in cases of substantial separation or displacement, surgical treatment may be beneficial.
Shoulder arthritis may not only be painful, but may more debilitating than you realize. If you are a golfer, you may have noticed how arthritis pain has affected your golf game. Shoulder replacement can alleviate the pain, but can it actually improve your game?
Like any surgery, post-operative pain control is a component of total shoulder arthroplasty (TSA). This has become increasingly important in with the move toward outpatient TSA.
With changes in health care physicians are increasingly being scrutinized for the care they administer including rotator cuff repair. More and more we are required to ask ourselves whether a procedure or medicine is cost-effective, that is does it produce a result medically and does it come at a reasonable cost.
There is a lot of variation in the rate of return to play after SLAP repair. Tears of the superior labrum or superior labrum anterior to posterior (SLAP) are common in overhead athletes and can occur after trauma (falls or traction injuries). In overhead athletes, tears are thought to occur from the “peelback” mechanism where the superior labrum undergoes stress when the arm is placed in the throwing position or maximal abduction and external rotation.
An emerging topic in the shoulder world is screening for rotator cuff tears. One question is if the opposite shoulder should also be screened for a rotator cuff tear. That is, if someone has a rotator cuff tear in one shoulder, should the other shoulder be evaluated with an MRI or ultrasound to determine if there is a tear in the opposite shoulder?
There are several types of acromioclavicular (AC) separations. Low grade injuries (Type I and II) involve limited injury to the AC joint only and should be managed conservatively. In contrast, high grade injuries (Type IV, V, and VI) involve injury to the AC joint, coracoclavicular (CC) ligaments, and overlying fascia and should thus be managed surgically.
One of the most common questions for people considering a shoulder replacement is: “How long will it last?” For people with severe shoulder arthritis, a shoulder replacement can provide predictable pain relief and improvement in quality of life and function.