Shoulder Repair & Treatment
You’ll find expert and effective treatment for shoulder problems from the specialists at the Abington Orthopedic & Spine Institute – Jefferson Health. Our surgeons use the latest leading-edge technology to perform minimally invasive procedures for conditions including:
- Frozen shoulder
- Rotator cuff tear and bone spurs
- Shoulder impingement syndrome
- Dislocated shoulder and instability
Our surgical specialists also excel at reverse shoulder replacement.
After surgery, your orthopedic physician will plan rehabilitation to help minimize pain as you recover and begin physical therapy. Following your personalized rehabilitation plan will help you achieve the best result.
This condition happens when the capsule surrounding the shoulder joint thickens or contracts. Symptoms include a dull, aching pain that radiates over the outer shoulder, with stiffness and limited motion.
Frozen shoulder may develop after the joint has been injured and immobilized. It occurs more often in individuals with diabetes, hypothyroidism, hyperthyroidism, Parkinson’s disease, or who have had cardiac disease or surgery.
Symptoms progress as pain gradually lessens but stiffness continues for months. Mobility returns slowly (called “thawing”), taking as long as two years.
Treatment for Frozen Shoulder
Anti-inflammatory medications and gradual physical therapy may decrease pain and restore mobility. Corticosteroid nerve blocks can be effective.
Minimally invasive arthroscopic surgeryand manipulation provide much faster pain relief and movement than waiting until the shoulder “thaws.” Our expert surgeons use small incisions and fiberoptic camera guidance to cut through restricted parts of thecapsule. Surgery helps if you do not see improvement over time, or you cannot be sidelined from work or activities until motion returns.
Rotator Cuff Tear and Bone Spurs
Formed by muscles and tendons over the shoulder joint, the rotator cuff holds the arm and helps the shoulder rotate. Cuff tendons may tear from overuse or injury, or be pinched by bone spurs, causing pain and restricted motion. Sports injuries are common causes of rotator cuff conditions.
Treatment for Rotator Cuff Problems
Our surgeons excel at minimally invasive surgery to treat tears, remove spurs and alleviate inflammation.Using a fiberoptic camera and one or two small incisions, they remove damaged tissue and re-attach the tendon to bone.
Older patients with long-term significant pain and little shoulder movement due to arthritic rotator cuff tears may be treated with reverse shoulder replacement. We are in a select group of U.S. hospitals offering this FDA-approved procedure.
You can expect less pain and stiffness and a shorter recovery period after minimally invasive rotator cuff repair than conventional surgical repair. You will have a period of immobilization after surgery and must sleep in a recliner to position the shoulder correctly.
Shoulder Impingement Syndrome
Damaged or inflamed tissue may restrict, or impinge on, parts of the shoulder, making movement difficult.
Using minimally invasive arthroscopic techniques, your surgeon will remove damaged tissue and other structures causing impingement. You will be prescribed physical therapy and other instructions for maximum recovery.
Dislocated Shoulder and Instability
You may have seen athletes experience a painful dislocated shoulder during a game, yet it can happen to anyone. The shoulder joint becomes loose and slides around too much (instability), or slips out of the ball and socket entirely (dislocation). Once your shoulder has dislocated, you have a greater chance of it occurring again.
Treatment for Dislocated Shoulder and Instability
Surgeons repair the source of instability, usually a torn labrum, or rim of the shoulder joint. Arthroscopic repair of ligaments attached to the labrum is performed simultaneously. Our expertise includes skill in treating Bankart lesion, a tear on the labrum in the lower joint, and SLAP lesion, involving the labrum and a ligament on the top of the shoulder.