Common Procedures and Surgeries of the Shoulder and Elbow
Arthroscopic Bankart Repair
A Bankart repair is an operation for habitual dislocation of the shoulder joint. The joint capsule is sewed to the detached labrum glenoidale, without duplication of the subscapularis tendon with the use of arthroscopy.
Arthroscopic Rotator Cuff Repair
The rotator cuff or rotor cuff is the group of muscles and their tendons that act to stabilize theshoulder. The four muscles of the rotator cuff, along with the teres major and thedeltoid, make up the six scapulohumeral muscles of the human body.
Distal Clavicle Excision (Resection)
Joint Injection: Shoulder
Mini-Open Rotator Cuff Repair
Rotator cuff repair is one of the most common surgical procedures performed in the shoulder. Historically, the repair was performed through an open approach. An open repair remains the gold standard and is a proven method of treatment. Recently, the use of arthroscopy has enabled surgeons to repair the cuff through more minimally invasive approaches offering several advantages over the open incision. This gives the surgeon many options in surgical decision-making.
ORIF Surgery for proximal Humerus Fracture
ORIF Surgery is performed to repair a break in the proximal end of the Humerus. A metal plate is attached to the Humerus to hold the bone in place while it heals.
Reverse Total Shoulder Replacement
A conventional shoulder replacement device mimics the normal anatomy of the shoulder: a plastic "cup" is fitted into the shoulder socket (glenoid), and a metal "ball" is attached to the top of the upper arm bone (humerus). In a reverse total shoulder replacement, the socket and metal ball are switched. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus.
SLAP Repair
Arthroscopic reattachment of the superior glenoid labrum is the primary treatment for Type II SLAP lesions and is also utilized in Types III through X to various degrees. Once the suture anchors are inserted in the glenoid rim, SLAP repair requires successful passing of the sutures through the labrum. Demonstrates the use of a penetrating suture through a Neviaser portal. Explains that using the Neviaser portal is a safe and easy technique for SLAP repair, because it allows easy passage of suture through the labrum with less trauma to the labrum.
Soft Tissue Injection: Shoulder
Shoulder Impingement Surgery
Impingement is one of the most common causes of pain in the adult shoulder. It results from pressure on the rotator cuff from part of the shoulder blade (scapula) as the arm is lifted.
The rotator cuff is a tendon linking four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. These muscles cover the "ball" of the shoulder (head of the humerus). The muscles work together to lift and rotate the shoulder.
The acromion is the front edge of the shoulder blade. It sits over and in front of the humeral head. As the arm is lifted, the acromion rubs, or "impinges" on, the surface of the rotator cuff. This causes pain and limits movement.
The rotator cuff is a tendon linking four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. These muscles cover the "ball" of the shoulder (head of the humerus). The muscles work together to lift and rotate the shoulder.
The acromion is the front edge of the shoulder blade. It sits over and in front of the humeral head. As the arm is lifted, the acromion rubs, or "impinges" on, the surface of the rotator cuff. This causes pain and limits movement.
Subacromial Injection
Trigger Point Injections
Trigger points or trigger sites are described as hyperirritable spots in skeletal muscle that are associated with palpablenodules in taut bands of muscle fibers. Trigger point practitioners believe that palpable nodules are small contraction knots and a common cause of pain. Compression of a trigger point may elicit local tenderness, referred pain, or local twitch response. The local twitch response is not the same as a muscle spasm. This is because a muscle spasm refers to the entire muscle contracting whereas the local twitch response also refers to the entire muscle but only involves a small twitch, no contraction.
CUBITAL TUNNEL RELEASE AT THE ELBOW
Cubital tunnel syndrome (CTS) is a common compressive neuropathy. Compression of the ulnar nerve at the elbow causes pain and other symptoms in the patient's hand and forearm. It is second in incidence only to carpal tunnel syndrome or compression of the median nerve at the wrist. Cubital tunnel syndrome usually develops insidiously.
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Fort Sanders Regional
Newland Professional Building 2001 Laurel Avenue, Suite 402 Knoxville, TN 37916 Turkey Creek Medical Center 10820 Parkside Drive, Suite G11 Knoxville, TN 37923 Tennova South 7323 Chapman Highway, Suite 100C Knoxville, TN 37920 |
