Shoulders
I perform both arthroscopy and replacement – click on the links for some video content explaining, or visit: http://markhurworth.com.au
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SHOULDER ARTHROSCOPY
Shoulder arthroscopy is mainly used to treat impingement, rotator cuff tearing and instability. It is a common operation in western society – very common in my practice – and successful in around 85% of people. Again, rotator cuff tears are relatively common in the ageing shoulder (more than 15% of people in their 70’s) and not always symptomatic. If your shoulders are not giving you too much trouble, then not repairing a small tear may be a valid option. There are large studies suggesting that non operative treatment in the right patients gives good results, so make sure you discuss this with me.
I also do an increasing number of arthroscopies on “frozen” shoulders (adhesive capsulitis).
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SHOULDER REPLACEMENT
Shoulder replacement is divided into two main types. The first is conventional replacement, where the ball and socket are replaced. The second is a reverse shoulder replacement, which is generally done in shoulders where the rotator cuff muscles and tendons are no longer functional. Both are successful in around 85% of patients. Typically, you are in hospital for two nights, and spend a few weeks in a sling.
Because the shoulder is not a primary weight bearing joint, it is sometimes appropriate to arthroscope the shoulder first to treat some pathologies with a smaller operation i.e. lower risk higher yield surgery.