Shoulder
The orthopedic surgeon I saw at the clinic last week says I have a type I SLAP tear. It's in my left shoulder. Thankfully, I am right-handed. But I can't figure out how I got this because I haven't fallen down or done anything to hurt myself (that I remember, of course). How do these things develop?
Posted November 5th, 2009 by MattSLAP stands for superior labral anterior-posterior. It refers to an injury affecting the labrum, a fibrous rim of cartilage around the edge of the shoulder joint. To help you better understand this, it might be helpful to review some basic anatomy. The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). A part of the scapula, called the glenoid forms the shoulder socket.
I used to be a pretty good ball player but I haven't picked up a baseball in 25 years. During a family reunion, I was the pitcher for our team. Oh boy -- my shoulder has been pretty ouchy ever since. Do I wait it out or is it better to see someone right away? I can't decide.
Posted November 5th, 2009 by MattYou have nothing to lose by getting an exam and diagnosis. For most musculoskeletal aches and pains, rest and recovery is all that's needed. But with a little age behind you and a pattern of overuse, there may be need for a more specific treatment approach. And usually, early diagnosis and treatment yield better results.
Review and Update on SLAP Shoulder Injuries
Posted November 5th, 2009 by MattThe focus of this review article is a specific shoulder injury known as a SLAP tear. SLAP stands for superior labral anterior-posterior. It refers to an injury affecting the labrum, a fibrous rim of cartilage around the edge of the shoulder joint. Because the shoulder has such a wide range of motion, the shoulder socket can't be too deep. But if it's too shallow, there is an increased risk of shoulder dislocation.
I have some calcium deposits in the tendons of my shoulder. Nothing has worked to get rid of these. My doctor wants me to try shock therapy. I'm a little nervous to try something like this. How does it work and does it hurt?
Posted October 15th, 2009 by MattThe use of extracorporeal shockwave therapy (ESWT) has been shown successful in the treatment of calcific tendinitis (the medical term for your condition). It is not clear if ESWT is the best treatment approach (that remains to be determined in future studies), but a recent review of studies shows very favorable results.
I've just been diagnosed with calcifying tendinitis. What is it? How long will it last? Will it go away on its own?
Posted October 15th, 2009 by MattCalcific tendinitis is a degenerative condition affecting the four tendons surrounding the shoulder called the rotator cuff. These include the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. All four muscles can be affected, but usually it's just one of the four. And the tendons are listed here in declining order of frequency (i.e., supraspinatus is affected most often and subscapularis least often).
Shockwave Therapy for Calcium Deposits in Shoulder
Posted October 15th, 2009 by MattWhat's the best way to treat calcifying tendinitis of the shoulder that doesn't respond to physical therapy, medications, or steroid injections? The authors of this systematic review report that the use of extracorporeal shockwave therapy (ESWT) has proven successful, though we still don't know if it is the best treatment approach. That remains to be determined in future studies.
I confess I'm not much for exercise, so when I was diagnosed with snapping scapula syndrome, I skipped the surgeon's recommendation for physical therapy and just took the antiinflammatory pills. But six weeks later and I'm still not any better really. Maybe if I knew what was involved with therapy, I might be more motivated to go. What can you tell me?
Posted September 17th, 2009 by MattIf you have a snapping scapula syndrome, then you know that almost every time you raise your arm forward (shoulder flexion) or out to the side (shoulder abduction), you feel and/or hear a pop or crack. This sound is also referred to as crepitus. The sound is made by some soft tissue rubbing between the scapula (shoulder blade) and the thoracic wall. The tissue caught between these two structures could be a bursa, tendon, or muscle.
I found a few things on the Internet about something called snapping scapular syndrome. Most of what I found was on your site. What else can you tell me about this problem?
Posted September 17th, 2009 by MattThe snapping scapula syndrome is characterized by a loud pop or crack when the arm is raised up overhead. The medical term for this sound is crepitus. The sound is made by some soft tissue rubbing between the scapula and the thoracic wall. The tissue caught between these two structures could be a bursa, tendon, or muscle. The person with this problem may or may not experience pain with the movement.
Update and Review: Diagnosis and Treatment of Snapping Scapula Syndrome
Posted September 17th, 2009 by MattThe scapula (shoulder blade) is an amazing anatomical structure. It is suspended over the ribs between the spine and the arm by only two ligaments. There isn't a real joint between the scapula and the trunk. Three layers of muscle and bursae (plural for bursa) support this structure. The bursae are small fluid-filled sacs designed to reduce friction between muscle or tendon and bone.
I'd like to be a little more educated about surgical treatment for a shoulder I have that keeps dislocating. When I see the orthopedic surgeon next week, what might I expect to have happen?
Posted August 20th, 2009 by MattThe surgeon will ask you questions and interview you about your medical history and especially the details of your current complaints. The problem has to be identified and recognized for what it is. With chronic shoulder dislocations, treatment will fail if the full extent of the injury isn't treated. Next, a physical examination and then appropriate imaging tests are used to define the problem.
|
*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
|
|
| All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission. | |
