Total shoulder replacement can help patients effectively address arthritis of the shoulder. However, this treatment is not necessarily ideal for an individual who has arthritis as well as rotator cuff tears. In a total shoulder replacement, the substitute parts mimic the natural anatomy of the shoulder joint. In the event of a rotator cuff tear, though, the affected muscles will be too weak to power the shoulder—just as they would if arthritis hadn’t developed. In this instance, a reverse total shoulder replacement is performed, often with a much-improved outcome.
In reverse total shoulder replacement surgery, the ball and socket replacement appliances are switched. For instance, in a traditional shoulder replacement, the end of the upper arm (humerus) is replaced with a metal ball, and the socket on the shoulder blade (scapula) is replaced with a cup. In a reverse total shoulder replacement, the end of the humerus is replaced with a cup and the socket is fitted with a ball. As a result, different, uncompromised muscles power the arm. Dr. Tuvi Mendel, our board certified orthopaedic surgeon, utilizes an advanced implant device from Exactech® called the Equinoxe Reverse System for this procedure. He has seen excellent results, and he can help you determine if this technique is right for you.
Shoulder instability can significantly limit activity, whether you’re a professional athlete or regular individual. If you’re experiencing one or more of the following issues, you may have shoulder instability, a condition in which the shoulder joint becomes loose:
A sensation that the shoulder is loose or slipping out of place
Quick bursts of sharp shoulder pain
History of previous shoulder injury or dislocation
Numbness on the outside of or radiating down the arm
Swelling or bruising around the shoulder
Visible physical abnormalities of the shoulder
Shoulder instability is often caused by one of two types of injuries: Shoulder dislocation or shoulder separation. A dislocation is when the upper arm bone (humerus) loses contact with the socket joint, most commonly from a fall or sports injury. A separation occurs when the collarbone (clavicle) loses contact with the shoulder blade (scapula), usually from receiving a blow to the top of the shoulder or falling onto an outstretched hand.
In many cases, non-surgical treatment can be used. Depending on your needs, however, minimally invasive shoulder repair surgery may be a better option. Dr. Tuvi Mendel, our experienced orthopaedic surgeon, is extensively trained in the most advanced techniques and technology available. He can help you determine the most effective procedure to optimally restore comfort and function.
Many popular sports and recreational activities, such as golf, tennis, and racquetball, can lead to shoulder pain, often as a result of degeneration of the tendon (tendinosis). In the past, non-surgical treatment was the only effective approach available to address this concern. If these methods proved unhelpful, patients had limited options. With the TENEX Health TX® technique, however, our extensively trained orthopaedic surgeon, Tyson, Cobb, MD, can offer a minimally invasive solution. The innovative TENEX Health TX® technology can also reduce downtime, post-operative discomfort, and the likelihood of needing a follow-up procedure.
FDA-approved TENEX Health TX® uses ultrasound imaging to identify the damaged tendon so that Dr. Cobb can target this area and remove only the affected tissue. The patented TX MicroTip technology also means that patients will require no stitches, just a simple adhesive bandage.
If you’re bothered by chronic shoulder pain and have found no relief using non-surgical approaches, Dr. Cobb can determine if TENEX Health TX® may be able to help. Talk to us today.
Arm pump, medically known as chronic exertional compartment syndrome (CECS), is a condition that can affect many types of athletes. Some of the individuals most commonly affected, however, are motocross racers. Arm pump causes cramping, severe pain, burning, weakness, numbness, and other symptoms that can make riding difficult and dangerous. While non-surgical treatment can be helpful for many, this approach requires rest and behavior modifications that may not be a suitable option for professional athletes. In many cases, arm pump surgery is recommended. Our Director of the Hand and Upper Extremity Center, Dr. Tyson Cobb, utilizes the most advanced techniques available to address CECS—most often with excellent results. He recently treated Zach Osborne, a competitive motocross racer whose arm pump symptoms were affecting his ability to compete.
Arm pump surgery is designed to release pressure on the affected muscle compartments in the forearm. This can be achieved by dividing (cutting) the fascia that encases the muscles in the forearm. The fascia is a thick, fibrous tissue that wraps around every muscle compartment in the body. Once this tissue is opened up, the nerves, arteries, and muscles have more freedom of movement, which in turn minimizes pain, swelling, and other symptoms of CECS. Dr. Cobb is extensively trained in minimally invasive techniques that can help to reduce the risk of complications and shorten recovery time. Many athletes who have had this procedure have successfully healed and returned to performing at their highest levels.
Arm pump surgery is not for everyone. If you believe you have arm pump or you are experiencing pain in your forearm, we recommend you speak to a qualified orthopaedic surgeon like Dr. Cobb to determine the best treatment plan. Click here to learn more about Arm Pump Surgery.