Sunday, February 19th, 2012
This is a 50 something male who was a client of ours having undergone a hip replacement. He was extremely satisfied with the results and care he received and asked us to evaluate his shoulder. He complained of severe pain in the shoulder and restricted motion. He was tentative about undergoing treatment for the condition having been told he would need a shoulder replacement and not able to return to playing golf.
After evaluating his problem we recommended a shoulder resurfacing procedure as an effective surgical intervention that would eliminate his pain and still allow a return to sports activity including golf. Based on our reassurances and the confidence we had built as a result of the successful hip surgery he decided to proceed. The following video shows his motion at 4 weeks from the surgery. He is extremely pleased with the results and looking forward to returning to the golf course this spring.
Shoulder resurfacing is a new procedure and is a substitute for shoulder replacement surgery. The procedure is radically less invasive and allows for a much more complete restoration of function and return to sports.
Watch Video (Shoulder Resurfacing)
Read Client’s Testimonial (after hip replacement)
Monday, October 17th, 2011
The following case is a 45 year old male with marked shoulder pain and disability secondary to a complete rotator cuff tear. The rotator cuff was repaired arthroscopically ( minimally invasive surgery) as an outpatient procedure.
Upon entering the shoulder there is noted to be a massive tear of the rotator cuff involving the entire supraspinatus and a part of the Infraspinatus tendon with marked medial retraction exposing the entire numeral head ( image 1,2,3).
The rotator cuff tendon and muscle is released to allow restored excursion of the muscle and tendon so that it can be mobilized to again cover the numeral head. The greater tuberosity is prepared for a tendon to bone repair by removing remaining soft tissue and a very thin layer of bone to allow for biological activity at the bone surface ( image 4).
Next suture anchors are driven into the bone (image 5,6). 2 rows of anchors are placed- called a double row repair-for improved strength and stability of the repair. The sutures from the medial row anchors are passed throughout the tendon. A total of 4 fiber tape sutures are passed- fiber tape is preferred on account of it’s geometry allowing a greater surface area of contact with the tendon and less chance that the suture will cut through the tissue (image 7). Next the fiber tape sutures are brought over the tendon and crisscrossed over each other followed by tensioning and securing the suture tape with multiple lateral row anchors. The effect is to create a “suture bridge” which compresses the tendon down onto the prepared surface of the greater tuberosity and restores a wide footprint of tendon which contacts the bone surface for healing. When the repair is completed the numeral head is no longer visible now covered by the rotator cuff repaired and secured onto the bone ( image 8,9,10).
Full restoration of motion, strength and pain relief (please click on link to watch video: Rotator Cuff Tear – Post Surgery).
Sunday, September 18th, 2011
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