Shoulder
I'm heading into surgery to repair a shoulder problem called a SLAP. I don't want to miss any of baseball season. Can you fill me in on what to expect after the surgery?
Posted February 17th, 2009 by MattSLAP stands for superior labrum, anterior and posterior. It refers to a torn rim of fibrous cartilage (the labrum) that
edges the shoulder socket. The tear is at the top of the socket (that's what superior means) and goes from the front (anterior) to the back (posterior) of the socket. This is a common injury in overhead throwing athletes, but can also occur as a result of trauma from a fall.
My mother was recently diagnosed with a frozen shoulder for unknown reasons. She says she hasn't hurt herself or fallen down, but of course she wouldn't tell us if she did. She doesn't want therapy and says the doctor told her it would get better on its own. That doesn't sound right. What do you think?
Posted February 17th, 2009 by MattFrozen shoulder is the layperson's term for a medical condition calledadhesive capsulitis. Inflammation of the tissues in and around the shoulder joint leads to fibrosis (scarring). The result is the joint gets stuck and can't move smoothly anymore. Painful and limited shoulder motion are the two main characteristics of this condition.
After months of exercises, hot baths, acupuncture, and even hypnosis, my frozen shoulder is still as stuck as ever. I think I've gained a total of 10 degrees of motion I didn't have when I started. I've even tried steroid injections (against my better judgment). I am truly stuck. Is there any help for someone like me?
Posted February 17th, 2009 by MattYou didn't mention the reason why you have a frozen shoulder (also known as adhesive capsulitis). Sometimes the underlying cause (if there is one) is a predictor of what will happen or how to best treat it. For example, patients with diabetes who develop a frozen shoulder have a longer course of recovery with variable results compared to someone who may have fallen onto an outstretched hand or on to the elbow/upper arm.
I got involved in a touch football game with my 20-something-year-old adult children and their friends. I admit I'm a little out of shape and probably too old for this kind of thing. I broke my collarbone when I fell during the game. It healed on its own, but I still have a clicking sensation with I move my arm. And there's a bump on top of the collar bone. What causes those two things?
Posted February 5th, 2009 by MattMany people do heal from a broken clavicle (collarbone). They wear a sling for a while. They are told what shoulder and arm movements to avoid for a few weeks (up to a month). This type of nonoperative treatment is called conservative care. This is the traditional way to treat fractures of the clavicle.
New Treatment Ideas for Clavicular Fractures
Posted February 5th, 2009 by MattYou've probably seen a few folks along the way with a broken clavicle (collarbone). Most of the time, these injuries were left alone to heal on their own. Patients might have been given a sling to wear for a while. They were probably told what motions to avoid during the healing process. But that traditional view is no longer accepted. Now we know that these injuries occur on a continuum. Some people may need special care.
My mother had a shoulder replacement that ended up a dismal failure. She fell and broke her arm, developed an infection, and that was the end of the new shoulder. Now they are talking about removing the implant and starting over. Can they really do this?
Posted January 28th, 2009 by MattWith any surgical procedure (such as the shoulder joint replacement), there can be problems. The most common situation is shoulder replacement surgery that fails due to fracture or bone loss. Treatment options are limited. But surgeons are looking for ways to change that.
Dad has an infection in his brand new shoulder joint implant. We're afraid he's going to lose that arm. How do they treat this problem?
Posted January 28th, 2009 by MattIf the infection was discovered soon enough, it may be possible to treat it with antibiotics. Sometimes, it depends on the type of infection, location, and length of time left untreated.
I'm looking at having a total shoulder replacement. I thought I'd do some homework before going to see the surgeon. I see there are cemented and cementless implants. And plastic versus metal-backed parts. What are the differences in these features?
Posted January 28th, 2009 by MattIt's always a good idea to gather a little information that could help you when making major decisions such as having a total shoulder replacement (TSR). Knowing a bit about the different models and makes of implants can help you understand suggestions the surgeon might make.
Both of my brothers had total shoulder replacements that loosened up and had to be revised. It looks like I'm headed in the same direction. Is there any proof that being a woman will give me a better result?
Posted January 28th, 2009 by MattComplications can occur with any type of surgery. Implant failure due to fracture (breakage of the bone or the implant), loosening of the implant, or subsidence (sinking into the bone) are the most common problems with shoulder joint replacements.
Exploring Long-Term Results of Shoulder Replacement Surgery
Posted January 28th, 2009 by MattHip and knee joint replacements have been around long enough now to have the results of long-term studies. But total shoulder replacements (TSR) are still new enough that the first 10- to 15-year follow-up studies are just coming out. In this report, surgeons from the Rochester, Minnesota Mayo Clinic present the longest duration study on shoulders with cemented metal-backed glenoid components.
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