Specialists

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Operative-Indications

After conservative treatment measures have failed, if the patient continues to have biceps associated symptoms, surgical management should be considered. The imaging studies previously discussed should be utilized prior to considering surgical treatment because of the significant overlap of biceps disorders and other shoulder conditions.

Biceps tendinitis is commonly associated with impingement syndrome and rotator […]

Subacromial Injection

Basics Shoulder injection sites: Subacromial area: Most common site Other potential sites include: Bicipital tendon sheath Glenohumeral joint Sternoclavicular joint AC joint To avoid confusion: Always refer to these injections by describing the anatomic location of the shot. Avoid describing any of these injections as a shoulder injection. Subacromial injection is reserved for pain […]

Shoulder Impingement Syndrome

Basics Description Shoulder pain with overhead activities is a common musculoskeletal complaint. Impingement syndrome: Inflammatory condition of the soft tissues of the subacromial space Most common cause of presentation for shoulder complaints to a physician’s office (>50% of all shoulder complaints) Represents a continuum, progressing from acute bursitis, to chronic bursitis, to partial-thickness tears […]

Shoulder Anatomy and Examination

Basics Description Bones: Glenohumeral joint: The humeral head articulates with the glenoid fossa of the scapula. Stabilized by the glenohumeral ligaments capsule and rotator cuff muscles The labrum of the glenoid deepens the joint and enhances stability. AC joint: The acromion process of the scapula articulates with the distal clavicle. Suspends the arm and […]

Rotator Cuff Injuries

Basics Description Comprises 4 musculotendinous structures (the supraspinatus, infraspinatus, teres minor, and subscapularis) that: Compress the humeral head into the glenoid, allowing the larger muscle groups to function properly Provide muscular balance to the glenohumeral joint Injuries to the cuff can occur at any age, but injuries to people >60 years old are likely […]

Common Shoulder Disorders

• Rotator Cuff Tear and Tendinitis

• Shoulder Dislocation

• Adhesive capsulitis/ Frozen Shoulder

• Bursitis

Treatment

• Physiotherapy

• Shock wave therapy

• Anti-inflammatory Injection

• Arthroscopy

• Arthroscopic repair and acromioplasty

WHAT IS A ROTATOR CUFF TEAR?

The rotator cuff is the network of muscles and tendons that forms a […]