Total Shoulder Surgery | Naples, South Florida
Often recommended when conservative treatment methods fail to alleviate discomfort, shoulder surgery is a common solution to chronic shoulder pain. Shoulder joint replacement surgery was first performed in the United States in the 1950s, when it was used to treat severe shoulder fractures. Today, it is most used in the treatment of painful shoulder conditions such as arthritic conditions, rotator cuff tears, avascular necrosis, and revision shoulder replacement surgery.
Anatomy of the ShoulderThe shoulder is the most flexible joint in the human body, and enables patients to raise, bend, rotate, and twist the arm. In a healthy shoulder, the rounded end of the upper arm bone fits inside a small, dish-like socket in the shoulder blade known as a "glenoid". The surface of the glenoid is covered with a smooth cartilage that allows the shoulder to rotate with a greater range of motion.
Symptoms of a Damaged Shoulder JointPatients should see an orthopaedic doctor to evaluate any problems affecting the shoulder joint. Symptoms of a damaged shoulder joint include pain, stiffness, or a limited range of motion rotating the arm. To evaluate the condition, the orthopaedic doctor may recommend taking X-ray images of the shoulder. X-ray imaging can reveal a number of common conditions, including deterioration of the joint's cartilage, irregularity in the bone shape, bone spurs, and bone or cartilage floating inside the joint.
Shoulder Surgery OptionsShould non-surgical procedures fail to heal or alleviate pain in the shoulder joint, the orthopaedic surgeon may suggest a number of different surgical solutions. There are several types of shoulder surgeries that can help alleviate joint pain, including reverse total shoulder replacement, partial shoulder replacement, and traditional total shoulder replacement. Depending on the severity and the unique case of the patient, the surgeon will recommend a particular surgery that compliments the needs of the patient.
Total Shoulder ReplacementTotal shoulder replacement is reserved for patients who suffer from severe arthritic shoulder pain. During a total shoulder replacement surgery, the orthopaedic surgeon replaces the damaged joint surface with a prosthetic joint, composed of a highly polished metal ball and stem meant to emulate the upper arm bone, and a plastic socket. As each case is unique, each component comes in various sizes. The orthopaedic surgeon may choose to use a non-cemented humeral component if healthy bone still exists within the joint. If the bone is soft, the humeral component may be implanted with bone cement.
Patients with bone-on-bone osteoarthritis and healthy rotator cuff tendons are typically considered good candidates for traditional shoulder replacement. Depending on the condition of patient's shoulder joint, the orthopaedic surgeon may decide to replace only the ball, preserving the rest of the healthy joint. In certain cases, the decision is most effectively made in the operating room at the time of the surgery when the orthopaedic surgeon has the most comprehensive view of the joint.
Who is considered for a Total Joint Replacement?Patients that are usually considered for a total shoulder replacement experience the following:
- Limited joint function that precludes the patient not only from work, but also from daily activities
- Pain is not relieved by non-surgical methods of treatment
- Stiffness in the joint limits range of motion of the arm
- X-rays show advanced arthritis or other problems