Shoulder Joint

Shoulder

The shoulder is a ball-and-socket joint with a shallow socket. This gives you a huge range of motion. The joint capsule, ligaments, and rotator cuff muscles are essential for shoulder stability, but they must also be flexible and elastic to allow for mobility.

Symptoms of Shoulder Disorders:

  • Deep discomfort in the shoulder joint, in the rear or front of the shoulder, and in the upper arm; the discomfort in the shoulder is sometimes described as ‘catching pain’
  • Shoulder and upper arm weakness; there may be a sensation of the joint slipping out and back into the joint socket, or the shoulder may become fully detached, depending on the condition (dislocated)
  • Pins and needles (tingling) feelings and scorching pain; the nerves in the neck are more likely to be involved than the shoulder joint itself

Treatments:

Frozen Shoulder

Stiffness in your shoulder can be due to adhesive capsulitis. It can also happen following a shoulder injury or surgery, when the body’s inflammatory
response is heightened, resulting in increased scar development and loss of motion. Frozen shoulder pain is typically a dull soreness that spreads towards the elbow. Pain may also be felt around the scapula (shoulder blade).
If pain relief agents such as paracetamol, injections of anti-inflammatory agents and physiotherapy don’t work, surgical treatment procedures like arthroscopic capsular release can be considered under local anesthesia.

Rotator Cuff Tears

These can be treated by arthroscopic tendon repair (during this operation, surgeons use a small camera (arthroscope) and equipment to repair the
severed tendon to the bone through small incisions), open surgery, (an open tendon repair may be a superior alternative in some cases where, your surgeon reattaches the injured tendon to the bone through a wider incision, or tendon transfer (in which surgeons may elect to utilise a nearby tendon as a replacement if the ripped tendon is too damaged to be reattached to the arm bone.

Replacement of the shoulder

Replacement surgery may be required for severe rotator cuff issues, arthritis, rheumatoid arthritis fractures or osteonecrosis. Shoulder
replacement surgeries may involve anatomic total shoulder replacement or partial shoulder replacement.
A novel operation (reverse shoulder arthroplasty) places the ball part of the artificial joint on the shoulder blade and the socket part on the arm bone to improve the artificial joint’s stability.

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