Arthroscopic surgery is the most common way that a rotator cuff repair is done. Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus or upper arm bone.
Your doctor may recommend surgery for a torn rotator cuff if your pain does not improve with nonsurgical methods and a patient indicates continued pain that hasn’t subsided with other treatments.
During arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments.
Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions, rather than the larger incision needed for standard, open surgery.
All-arthroscopic repair is usually an outpatient procedure and is the least invasive method to repair a torn rotator cuff. Most patients report improved shoulder strength and less pain after surgery for a torn rotator cuff.
Biceps Tenodesis procedure is used for the treatment for partial or full-thickness biceps tendon tears. A biceps tenodesis is a procedure that cuts the normal attachment of the biceps tendon on the shoulder socket and reattaches the tendon to the bone of the humerus.
Biceps tenodesis surgery moves the attachment of the biceps tendon to a position that is out of the way of the shoulder joint.
A biceps tenodesis is performed most commonly in patients with significant biceps tendon symptoms.
Reverse total shoulder replacement is for people who have painful arthritis in their shoulder and also have damage to the muscles around the shoulder. In this procedure, after the surgeon removes the damaged bone and smooths the ends, he or she attaches the rounded joint piece to the shoulder bone and uses the cup-shaped piece to replace the top of the upper arm bone
Reverse total shoulder replacement is a highly technical procedure. Your surgeon will evaluate your particular situation carefully and discuss the risks of surgery with you.
Reverse total shoulder replacement may be recommended if you have a completely torn rotator cuff that cannot be repaired, cuff tear arthropathy, a previous shoulder replacement that was unsuccessful, severe shoulder pain and difficulty lifting your arm away from your side or over your head.
Please contact Dr. Elkhechen if you are suffering from shoulder pain and have tried nonsurgical methods of treatment such as rest, medications, cortisone injections, and physical therapy that have not relieved your shoulder pain.
Total shoulder joint replacement is an option given to patients who suffer from osteoarthritis or rheumatoid arthritis. If nonsurgical treatments like medications and activity changes are no longer helpful for relieving pain, you may want to consider shoulder joint replacement surgery. Joint replacement surgery is a safe and effective procedure to provide pain relief and increased mobility for those that have not experienced relief.
In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called a prosthesis. Dr. Elkhechen will provide a thorough evaluation to determine if you are a candidate and can benefit from this surgery. He will review the results of your evaluation with you and discuss whether shoulder joint replacement is the best method to relieve your pain and improve your function.