shoulder surgeon Archives | Mathew Mazoch, MD

Bone & Joint Clinic of Baton Rouge | Sports Medicine


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All Posts Tagged: shoulder surgeon

Rotator Cuff Tear Repair Surgery

Overview of Rotator Cuff Tear Repair Surgery

The rotator cuff is a common source of pain in the shoulder. It refers to a group of four muscles and tendons that attach to the head of the humerus and stabilizes the shoulder as it moves in space. The most commonly affected tendon is the supraspinatus tendon.  Issues with the rotator cuff commonly cause problems with overhead activity, pain with sleeping on the shoulder, and moving the shoulder in certain motions.  If torn, the rotator cuff can cause progressive pain and disability in the shoulder.  Unfortunately, the rotator cuff has poor healing potential on its own and often requires surgical repair in many cases.

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The image shows a stylized view of the shoulder with a small anterior supraspinatus tear.

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SLAP Tear in the Throwing Shoulder

Introduction to a Slap Tear in the Throwing Shoulder

The shoulder has the most range of motion of any of the major joints in the body. Maintaining stability in this highly mobile and versatile joint requires a finely tuned combination of many structures in the athlete.  The socket (glenoid), the cartilaginous rim around the socket (labrum), the capsular ligaments, and the rotator cuff muscles all play a role in stability.

A frequent cause of pain or instability of the throwing shoulder is a labral tear.  A particular kind of labral tear involving the superior labrum is a SLAP (Superior Labrum Anterior to Posterior) tear.  This tear originates where the long head of the biceps tendon attaches to the labrum and glenoid.

SLAP tears can be traumatic, from overuse, or degenerative.  Repetitive forces such as those seen with overhead and/or throwing athletes are frequently responsible for SLAP lesions.  Other common mechanisms of injury include blows to the shoulder, a fall on an outstretched arm, seatbelt/shoulder harness injuries, or heavy lifting.  People with a SLAP tear often feel a deep-seated pain often referred to the back of the shoulder.  But depending on the extent of biceps involvement can be felt anteriorly as well.  Sudden movements or extremes of motion, especially outwards and upwards as in throwing, often bring on the pain. Occasionally, catching sensations or instability symptoms are also felt.

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Shoulder Arthritis Pain and Shoulder Replacement

Shoulder Arthritis Pain

Arthritis means “inflamed joint,” and refers to any condition of the joint in which there is damage to the smooth cartilage covering a moving surface of a joint (called the articular cartilage).  Progression of arthritis eventually leads to cartilage loss and “bone on bone” of the joint surfaces.  Cartilage damage and loss can cause pain.

After the hip and knee, the shoulder is the third most common large joint affected by arthritis.  The loss of cartilage with shoulder arthritis is frequently a source of severe pain, limited function, joint stiffness, and significant diminished of quality of life. While there is currently no cure for advanced arthritis, there are many treatments, both non-surgical and surgical, that enable the symptoms to be well treated and for patients to maintain active lifestyles.

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The image shows a patient’s x-ray with primary osteoarthritis

 

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