There may be a need for surgical or conservative intervention on the shoulder for the following symptoms:
- Rotator Cuff tear
- Frozen shoulder
- Joint Replacement – Arthritis
Rotator Cuff Tear
This procedure is performed when the tendons that connect to the muscles on the shoulder blade become weak and inflamed and tear.
In some cases a tear can lead to a complete rupture where the muscle comes away from the bone.
Surgery usually involves an arthroscope being inserted into the shoulder to confirm the location and degree of the tear.
Once noted the Doctor will perform a surgical repair of the tear(s) using surgical anchors and staples to ensure the rotator cuff is mended and stabilised so that the shoulder can resume normal function.
Shoulder Replacement Surgery
In instances of severe arthritis or trauma the entire shoulder joint can be replaced. The intention of this surgery is that pain is relieved and function is restored.
A total shoulder replacement involves the socket and the humeral head being removed and replaced with a new prosthetic socket and head.
A part (hemi) shoulder replacement can be performed depending on your circumstances. A Hemi replacement involves the ball component being replaced but the socket remaining untouched.
Your Doctor will discuss the options best suited to you and can recommend either conservative treatment or surgical intervention depending on your circumstances.
Bursitis occurs in the shoulder commonly from over-use, injury or if a bone spur has occurred.
Bursitis in the shoulder can be treated conservatively with rest, medication +/- a steroid injection.
Surgery can be considered if the above measures are not successful.
Surgery involves removal of the bursa and scar tissue and can remove any bone or spurs present that may be interfering with the tendons.
Frozen shoulder can occur spontaneously and in many cases can resolve without surgery.
It is mostly managed with pain relief and anti-inflammatory medicines. Sometimes a cortico-steroid injection can provide improvement.
Range of motion exercises are recommended and in some more persistent cases manipulation under anaesthesia can be an option.