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...
Shoulder
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...
Calcific tendinitis is a very common condition for shoulder pain. The pain can be sudden and dramatic, often debilitating. People usually experience severe pain in the front or down the side of the shoulder. Patients have trouble lifting their arm up and finding a comfortable position. There is usually no history of trauma and a cause for the calcium deposit is usually never found. There are some associated conditions in the literature but 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...
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...