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The Shoulder

Shoulder Surgery in Oregon

The shoulder is the most flexible joint in the body enabling a wide range of movements including, forward flexion, abduction, adduction, external rotation, internal rotation, and 360-degree circumduction. Thus, the shoulder joint is considered the most insecure joint of the body but the support of ligaments, muscles and tendons function to provide the required stability.

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Common Shoulder Conditions

Glenohumeral Arthritis

Shoulder arthritis causes pain and stiffness in the shoulder and typically occurs in people over the age of 50. The hallmark is pain and reduced range of motion. Arthritis can result in painful which may be constant or increase with activity. The diagnosis is typically obvious on X-rays which show reduced joint space and bone spurs.

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Frozen Shoulder

Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. The condition affects the glenohumeral joint (ball and socket joint) and occurs in about 2% of the population and most commonly affects mid-aged people. The hallmark is a normal joint with inability move the shoulder due to adhesions.

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Calcific Tendonitis

Calcific tendonitis is a build-up of calcium within the rotator cuff tendon. When calcium builds up in the tendon it causes a chemical irritation and pressure between the rotator cuff and overlying acromion bone. The pain from calcific tendonitis can be extreme.

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Shoulder Impingement

Shoulder impingement is the condition of inflammation of the tendons of the shoulder joint. It is one of the most common causes of pain in the adult shoulder. The shoulder is a ‘ball-and-socket’ joint.

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Shoulder Instability

A dislocation occurs when the end of the humerus (the ball portion) partially or completely dislocates from the glenoid (the socket portion) of the shoulder.

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Rotator Cuff Tear

Rotator cuff tears are one of the most common causes of shoulder pain. Pain typically occurs in the front or side of the shoulder. The pain may radiate to the elbow. Symptoms are worse with overhead activity and often cause difficulty sleeping which can significantly affect quality of life.

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Rotator Cuff Arthropathy

Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It involves separation of the AC joint and injury to the ligaments that support the joint. The AC joint forms where the clavicle (collarbone) meets the shoulder blade (acromion).

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Procedures

Arthroscopic Rotator Cuff Repair

Rotator cuff tears are one of the most common causes of shoulder pain. Pain typically occurs in the front or side of the shoulder. The pain may radiate to the elbow. Symptoms are worse with overhead activity and often cause difficulty sleeping which can significantly affect quality of life. Most people have full range of motion if examined, but the motion may be limited by pain (the arm can be lifted by the examiner). Weakness is common, particularly with activities above shoulder level.

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Common symptoms of labral tears include pain with end points of motion, popping or grinding sounds, and a sense of instability. Visible deformity and loss of function of the shoulder occurs after subluxation or sensation changes such as numbness or even partial paralysis can occur below the dislocation because of pressure on nerves and blood vessels.

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Many people have heard of a hip or knee replacement but don’t know about shoulder replacement. While less common than hip or knee replacement, the surgery is very effective and has a lower risk of complication than hip or knee replacement. This procedure requires general anesthesia with an incision in front of the shoulder and takes about 1 hour to perform. The ball and the socket joint are resurfaced with a metal and high-strength plastic prosthetic implant in order to remove pain and improve range of motion. This is an outpatient procedure, meaning that people go home the day of surgery.

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Reverse Shoulder Replacement

In the case of mild rotator cuff arthropathy conservative treatment should be attempted. Severe rotator cuff arthropathy may require surgery if someone is in good health and has limitation in quality of life. Deciding to perform surgery is based on quality of life rather than X-rays. For the most part, rotator cuff tears and arthritis progresses slowly over years. Age is also a factor in treatment, but in today’s world health is more important than age. Because the diagnosis is obvious on X-rays, an MRI or CT scan is only needed if surgery is being considered

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The Biceps tendon can tear at the shoulder joint or elbow joint. The majority of biceps tendon ruptures occur at the shoulder and is referred to as proximal biceps tendon rupture. When it occurs at the elbow it is referred to as a distal biceps tendon rupture, however this is much less common

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AC Separation Treatment

Acromioclavicular joint (AC joint) dislocation or shoulder separation is one of the most common injuries of the upper arm. It involves separation of the AC joint and injury to the ligaments that support the joint. The AC joint forms where the clavicle (collarbone) meets the shoulder blade (acromion).

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Procedures

The rotator cuff is a group of tendons in the shoulder that provide support and enable a wide range of motion of the shoulder joint. Major injuries can cause rotator cuff tears. A rotator cuff tear is one of the most common causes of shoulder pain in middle-aged adults and older individuals.

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Dr. Patrick Denard has treated patients from all over the country as well as Canada. Our team is happy to assist in coordinating your travel to allow for a smooth experience to receive the care that you and your family deserve.

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Reverse Total Shoulder Arthroplasty is a type of Shoulder Joint Replacement surgery which addresses not only glenohumeral arthritis, but also shoulder instability. With a traditional Total Shoulder Replacement or arthroplasty, the arthritic surfaces of the glenohumeral joint are smoothed and a prosthetic cup is placed in the glenoid or shoulder socket and a prosthetic ball is inserted into the end of the humerus or arm bone to replace the “ball and socket” joint.

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The rotator cuff consists of muscles and tendons that connect the arm to the shoulder blade. Tears in this network of muscles and tendons are usually repaired by suturing the tendon back to its original position. However, tears can occur even after surgery. In such cases a revision rotator cuff repair may be performed.

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Same Day Shoulder Surgery is a procedure that does not require an overnight hospital stay. The procedure is for all arthroscopy surgeries and for shoulder replacements in patients under the age of 80.

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Arthroscopy is a minimally invasive diagnostic and surgical procedure performed for joint problems. Shoulder arthroscopy is performed using a pencil-sized instrument called an arthroscope. The arthroscope consists of a light system and camera that projects images of the surgical site onto a computer screen for your surgeon to clearly view.

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The primary goal of any injection is to relieve pain. Another purpose at times is to aid in diagnosis. For instance, even temporary pain relief after an injection can help the doctor tell where the pain is coming from.

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Shoulder Joint Replacement

The shoulder is a highly movable body joint that allows various movements of the arm. It is a ball and socket joint, where the head of the humerus (upper arm bone) articulates with the socket of the scapula (shoulder blade) called the glenoid.

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Sports Medicine

The shoulder is a highly movable body joint that allows various movements of the arm. It is a ball and socket joint, where the head of the humerus (upper arm bone) articulates with the socket of the scapula (shoulder blade) called the glenoid.

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Superior Capsular Reconstruction

The shoulder joint is stabilized by the joint capsule and rotator cuff. Tears to the rotator cuff can cause severe pain and impairment. When defects in the underlying upper joint capsule add to the instability caused by rotator cuff tears, it cannot be repaired with conventional treatments.

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Treatment of Shoulder Fractures

The shoulder is the most flexible joint in the body, enabling a wide range of movements. It is a ball-and-socket joint made up of three bones, namely the humerus, scapula and clavicle. A break in any of these bones making up the shoulder joint is called a shoulder fracture.

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Treatment of Shoulder Instability

Shoulder instability is a chronic condition that causes frequent dislocations of the shoulder joint. A dislocation occurs when the end of the humerus (the ball portion) partially or completely dislocates from the glenoid (the socket portion) of the shoulder.

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