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Shoulder Surgery at World Class Hospitals in India.

The shoulder is one of the largest and most complex joints in the body.The shoulder joint is formed where the humerus (upper arm bone) fits into the scapula (shoulder blade), like a ball and socket. Other important bones in the shoulder include:

  • The acromion, or acromion process, is a bony projection off the scapula.
  • The clavicle (collarbone) meets the acromion in the acromioclavicular joint.
  • The coracoid process is a hook-like bony projection from the scapula.

The Shoulder has several other important structures:

  • The rotator cuff is a collection of muscles and tendons that surround the shoulder, giving it support and allowing a wide range of movements.
  • The bursa is a small sac of fluid that cushions and protects the tendons of the rotator cuff.
  • A cuff of cartilage called the labrum forms a cup for the ball-like head of the humerus to fit into.

The humerus fits relatively loosely into the shoulder joint. This gives the shoulder a wide range of movements, but also makes it vulnerable to injury.

Shoulder pain is quite common, affecting around three in 10 adults at some time during their lives.

What causes Shoulder pain?

The shoulder is a ball and socket joint with a large range of movement. Such a mobile joint tends to be more susceptible to injury. Shoulder pain can stem from one or more of the following causes:

  • Strains from overexertion
  • Tendonitis from overuse
  • Shoulder joint instability
  • Dislocation
  • Collar or upper-arm bone fractures
  • Frozen shoulder
  • Pinched nerves (also called radiculopathy)

Types of Shoulder Surgery

1.Arthroscopy

This is an arthroscopic procedure to widen the space between the upper arm and the shoulder blade so that the rotator cuff tendons do not get stuck between them. Arthroscopy with shoulder instability – In case of dislocation of the shoulder, it is normal to have an arthroscopy. It is often possible to repair damage to the shoulder but sometimes a separate operation is needed.

  • Bursitis/Impingement Treatment
  • SLAP Repair
  • Dislocation Treatment
  • Frozen Shoulder Treatment

2.Rotator Cuff Repairs

One of the most common surgical procedures for the shoulder is a rotator cuff repair. There are many options to repair a damaged rotator cuff, and each surgeon may have their own preferred techniques. The goal of any rotator cuff repair surgery is to identify the damaged part of the rotator cuff, then clean up and mobilize the surrounding tendon. Once​ the healthy tissue is identified, the goal is to repair the defect in the tendon without excessively stretching the remaining tendon. In most cases, this can be accomplished.

3.Total Shoulder Replacement

Shoulder arthroplasty – With loss of cartilage the patient will suffer severe shoulder arthritis. This will eventually make surgical treatment is necessary.

Different Types of Shoulder Surgery Procedures

The procedure and technique used in shoulder surgery varies depending on the specific surgery. Shoulder surgery is generally performed using one of the following approaches:

Minimally Invasive Surgery is performed by inserting special instruments and an arthroscope through small incisions in your shoulder. This approach is also known as arthroscopy. An arthroscope is a thin, lighted instrument with a small camera. The camera transmits pictures of the inside of your joints to a video screen viewed by your surgeon as he or she performs the surgery. Minimally invasive surgery generally involves a faster recovery, less pain, and less risk of complications than open surgery. This is because it causes less damage to tissues and organs. Your surgeonwill make small incisions instead of a larger one used in open surgery. He or she can then thread surgical tools around structures and organs instead of cutting through or displacing them as in open surgery.

  • Mini-Open Surgery uses newer technology and combines minimally invasive arthroscopic techniques with a smaller open procedure. The incision is one to two inches long, which is smaller than a standard open surgery incision. This technique may allow some surgeons to make more extensive repairs than are possible with minimally invasive surgery. However, it causes less damage than traditional open surgery because your muscles remain attached during the surgery.
  • Open Surgery : Open surgery may be necessary and, in some cases, may be associated with better results than arthroscopy. Open surgery often can be done through small incisions of just a few inches. Recovery and rehabilitation is related to the type of surgery performed inside the shoulder, rather than whether there was an arthroscopic or open surgical procedure.

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