The rotator cuff is a group of four muscles surrounding the shoulder joint, located on top of the upper arm bone (humerus). It plays a crucial role in stabilizing the shoulder joint and enabling shoulder movement.
Rotator cuff tears can result from acute injuries, such as falling, or from chronic causes due to degeneration. It is commonly associated with tendinosis below the acromion (front of the scapula) after the age of 40. Symptoms include shoulder and arm pain, especially during overhead movements, increased pain while lying on the affected side, and reduced arm strength and mobility.
A detailed medical history and special tests are used to diagnose a rotator cuff tear. X-rays, medical ultrasound, and MR imaging are utilized to confirm the diagnosis and understand the extent of the tear and any accompanying conditions.
Non-surgical methods may suffice for about 50% of patients, which include rest, avoiding painful activities, medication, physical exercises, and steroid injections. Surgical treatment is considered when non-surgical methods do not provide relief or restore functionality. Surgical treatment is recommended for cases where symptoms persist for 6-12 months, loss of shoulder strength and function, or a tear larger than 3 cm.
A dislocated shoulder occurs when the humerus (ball) separates from the scapula (socket) at the shoulder joint, which has a high range of motion and is prone to dislocation. Symptoms include pain while lifting the shoulder, friction during shoulder movements, visible shoulder deformation, weakness, or fear of dislocation.
Medical history, physical examination, and radiographic techniques are used to diagnose a dislocated shoulder. Initial treatment involves immobilizing the joint in a proper position and applying ice packs to reduce swelling and alleviate pain. Recurrent dislocations may require surgical treatment through arthroscopic methods to repair tears in joint structures.
Shoulder arthroscopy is a minimally invasive procedure used to diagnose and treat various shoulder conditions, including recurrent shoulder dislocations, tendon injuries, impingement syndrome, arthritis, muscle tears, cartilage injuries, and more. Compared to open surgery, arthroscopy offers advantages such as smaller incisions, reduced infection risk, shorter hospital stays, faster recovery, and better intra-articular examination.
Total shoulder replacement is a surgical procedure used to address cartilage damage in the shoulder joint. The damaged joint cartilage is replaced with an artificial mobile surface. Treatment options such as painkillers and physical therapy are explored initially. Surgical intervention becomes necessary when pain relief is insufficient. The main goal of shoulder replacement is to restore functionality and reduce pain. A new procedure called "reverse prosthesis" is used in advanced cases with severe rotator cuff tears and joint cartilage breakdown, particularly in older patients, to improve shoulder functionality significantly.
All procedures includes: Treatment, Post Operative Medication, Pre & Post Consultation, Tests & Analysis.
The cost of operations can vary depending on the type of procedure performed and any additional treatments that may be added.
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