As the shoulder is the most complex and unstable joint in the body, it can get injured easily. Many surgeries have been developed to repair the muscles, connective tissue or damaged joints that can arise from traumatic or overuse injuries to the shoulder.
The shoulders are among the most important joints in the human body. Unfortunately, as we age our shoulders can wear out plus they may be subject to debilitating conditions such as arthritis, disease, or other injuries.
Bangkok Hospitals in Thailand are a leading orthopedic care provider offering shoulder operations including total shoulder replacement surgery and partial shoulder replacement surgery including total, partial, and rotator cuff surgery.
Shoulder Surgery Procedures
List of Shoulder Surgeries:
- Dislocated Shoulder
- Separated shoulder
- Sternoclavicular Separation
- Tendonitis, bursitis, and impingement syndrome
- Rotator cuff tear
- Arthritis of the shoulder (glenohumeral joint)
- Arthritis or Osteolysis of the AC (acromioclavicular) joint
Total Shoulder Replacement Surgery
A total shoulder replacement, also known as total shoulder arthroplasty (TSA), is a procedure intended to reduce the pain and improve function in patients who have a variety of arthritic conditions. Patients can develop arthritis due not only to wear and tear, so-called osteoarthritis. There are other causes such as rheumatoid arthritis, sequelae fractures and massive rotator cuff tendon tear.
The most common shoulder replacement surgery performed is a total shoulder replacement. This type of surgery involves replacement of both sides of the joint, namely the humeral head or ball and the glenoid or socket. Humeral head or ball is metal and is attached to a stem which is secured within the upper humeral canal. The glenoid isn’t polyethylene or plastic component. This was secured into the native glenoid which is contained in the scapular or shoulder blade.
Shoulder replacement devices typically last decades, although wear, loosening and failure are concerns – particularly to younger patients. A resurfacing arthroplasty is a bone sparing procedure which is employed for younger patients in order to reduce the impact of implant failure over the long run. Since glenoid loosening is the most concerning long term complication of a shoulder replacement in a younger person, the glenoid component is not implanted in most patients undergoing a resurfacing arthroplasty.
Replacement a shoulder may seem like a drastic step, but here in the San Francisco Bay Area, we tend to lead active lifestyles. Golfing, windsurfing, and football – to name a few – are many sports that require a working shoulder. Even if you are not into sports, the shoulder is an incredibly important joint for day-to-day living.
Whether it’s an outdoor shoulder-intensive activity in Marin County, being a superstar chef in San Francisco (even cooks need great shoulders), or any of the marvelous sports facilities in San Mateo – the San Francisco Bay Area is an active lifestyle.
Be positive – think of all the activities that await you after a successful total shoulder replacement, also known as total shoulder arthroplasty (TSA):
- Exercises such as Yoga or Tai Chi
- Daily routines, such as driving your car
- Cooking, lifting grandkids and many activities that are shoulder-intensive.
Not all patients, of course, recover full mobility. That will vary with the patient. But consult with our expert San Francisco shoulder surgeons to take the first step towards exploring your shoulder surgery options, whether total shoulder replacement or partial shoulder replacement.
Partial Shoulder Replacement Surgery
The shoulder is a ball and socket joint. The round end of one bone fits into a cavity, or socket, at the end of another bone. This type of joint allows you to move your arm in most directions.
Replacement of an arthritic or injured shoulder is less common than knee or hip replacement. Consequently, surgeries to repair shoulders are less common than knee or hip replacement surgeries. A partial shoulder replacement may be necessary if the patient suffers from arthritis or has suffered a traumatic injury to the shoulder. Those who play sports such as tennis can place a great deal of wear and tear on the shoulder joint. Overuse injuries can cause osteoarthritis to develop over time.
That said, shoulder replacement typically provides the same benefits as other joint replacement procedures, including relief of joint pain and restoration of more normal joint movement.
A partial shoulder joint replacement is used when the glenoid socket is intact and does not need to be replaced. In this procedure, the humeral component is implanted, and the humeral head is replaced.
A partial shoulder replacement consists of replacing only the ball of the shoulder joint. This removes the need for a plastic socket, requires the removal of less bone and has a smaller incision than a total shoulder replacement.
The first step as a patient is to reach out to our medical team for an assessment. Every shoulder is unique, and a trained shoulder surgeon is the best step forward towards repairing your shoulder, whatever its condition.
Rotator Cuff Surgery
Rotator cuff tear is a common cause of pain and disability among adults. Most tears occur in the supraspinatus muscle, but other parts of the cuff may be involved.
The rotator cuff can be torn from a single traumatic injury. Patients often report recurrent shoulder pain for several months and a specific injury that triggered the onset of the pain. Rotator cuff surgery, or shoulder surgery, is designed to alleviate the pain by repairing the rotator cuff.
When the tissue inside or around your shoulder joint becomes damaged, shoulder arthroscopy surgery, also known as rotator cuff surgery, is used to examine and/or repair the tissue of an injured shoulder or torn rotator cuff.
In anatomy, the rotator cuff or rotor cuff refers to the group of muscles and their tendons that act to stabilize the shoulder. The rotator cuff muscles are important in shoulder movements and in maintaining glenohumeral joint (shoulder joint) stability.
During rotator cuff surgery, the patient is put in a half-sitting position, with the head supported. Most shoulder operations like this are performed under general anesthesia, where the patient is under an anesthetic sleep.
In order to repair a torn or damaged rotator cuff, the surgeon must reattach the damaged tendon a stringy tissue that connects muscle to bone. Four tendons collectively form the rotator cuff. (or tendons) to the upper arm (humerus). (Note: Some rotator cuff injuries involve more than one torn tendon.)
Reverse Total Shoulder Replacement
Every year, thousands of conventional total shoulder replacements are successfully done in the United States for patients with shoulder arthritis. This type of surgery, however, is not as beneficial for patients with large rotator cuff tears who have developed a complex type of shoulder arthritis called “cuff tear arthropathy.” For these patients, conventional total shoulder replacement may result in pain and limited motion, and reverse total shoulder replacement may be an option.
A conventional shoulder replacement device mimics the normal anatomy of the shoulder: a plastic “cup” is fitted into the shoulder socket (glenoid), and a metal “ball” is attached to the top of the upper arm bone (humerus). In a reverse total shoulder replacement, the socket and metal ball are switched. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus.
A reverse total shoulder replacement works better for people with cuff tear arthropathy because it relies on different muscles to move the arm. In a healthy shoulder, the rotator cuff muscles help position and power the arm during range of motion. A conventional replacement device also uses the rotator cuff muscles to function properly. In a patient with a large rotator cuff tear and cuff tear arthropathy, these muscles no longer function. The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff, to power and position the arm.