Painful Conditions of the Shoulder by: Dr. Craig Arntz
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Transcript of Painful Conditions of the Shoulder by: Dr. Craig Arntz
“My shoulder hurts”
Causes of shoulder pain Variety of conditions – Rotator cuff abnormalities – Arthritis – Frozen shoulder – Instability – Fractures
• Review some of these problems • What you can do to prevent
these problems • What the doctor can do
– New techniques
• Warning – Pictures of surgery
“My shoulder hurts”
Terrific Doctors
Terrific Facilities
Great Staff
The Rotator Cuff – Four muscles
• Surround and stabilize the head against the socket
• Provide power to lift and rotate the arm
• Pass under a bony and ligament shelf
Rotator Cuff Tears
Total shoulder Arthroplasty New glenoid design “Anchor Peg” Biological fixation Fluted central peg
• Promotes bone growth between the flutes • Lower risk of loosening
• Inpatient • General Anesthesia
with a Shoulder Block • Two night hospital stay
Features 40 to 60 Age group Often bilateral Symptoms
• Pain at limits of motion • Night pain
Treatment Must restore shoulder motion
Treatment goals – Decrease inflammation
• Icing • NSAIDs • Corticosteroid injections
– Decrease stress applied • Activity modification
• Splinting
– Increase tendon’s stress tolerance • Physical therapy
Thank you!