Our last post talked about anterior instability of the shoulder especially with dislocations or subluxation events.  I have seen this with overhead squats or snatches. What if someone is loose or unstable in different directions? What are the symptoms that can occur and how does this happen? If someone has loose ligaments then they may have something called multidirectional instability.  Typically this can occur in females from 20 to 50 years...

I want to update biceps tenodesis as the treatment of some conditions has evolved over time. Studies show that this procedure is a very reliable procedure for people with SLAP (superior labral anterior-posterior) tears, biceps labral complex tears, or even biceps tendonitis that has not improved with conservative measures. People who have pain in the front of the shoulder over the biceps tendon radiating down the arm to the muscle belly are...

The rotator cuff is made up of 4 muscles that attach to the ball of the ball and socket joint known as the shoulder. There is a space between the rotator cuff and the bone that lies directly above it. On top of the muscle is a bursa that allows the muscles to glide against the bone easily. When the bursa becomes inflamed it is called bursitis. Here is the shoulder with its 4 muscles. When you lift your arm overhead, there is a tendency for the...

1. Bone Preparation The first step is to get a bleeding surface so the cops and the bone heal together. 2. Anchor Insertion  We then screw the suture anchor into the bone. It is an anchor with sutures coming out of it that we will pass through the cuff.  3. Passing Sutures We can use a unique device to pass the sutures through the rotator cuff and retrieve them.  4. Tying Knots We then tie the sutures together to secure the...

This post will focus on frozen shoulders as in frozen not moving, not frozen as in cold outside.  The most common story is that someone will notice, they can no longer reach above their head, behind their back, or off to their side without severe amount of pain. They have trouble in the shower, drying off, putting on underarm deodorant, and getting dressed. They have trouble at the box pressing or jerking overhead. The basic problem is loss of...

Has anyone told you that you are UNSTABLE?  An unstable shoulder can be very dramatic or more often a silent issue that rears its ugly head only in certain situations or movements. Who would have thought that your shoulder could give way on you? What does giving way mean?  People will describe looseness, laxity, a weak feeling, instability, that their shoulder is not in the right place. Normally a shoulder provides stability with ligaments,...