Friday, October 27, 2023

Shoulder arthritis - second opinion,

Patients are encouraged to get a second opinion regarding the management of their shoulder arthritis.

Here's an example.

An active man in his late 60's presents with pain in his shoulder, but is still doing bench press with 30 pounds and has retained active elevation.  These CT images were obtained at his initial surgical consultation.





He was presented with the sole option of a reverse total shoulder (see this link) to help improve his shoulder performance.
    

This patient has clinical and radiographic findings that are commonly successfully managed with an anatomic total shoulder (see this link) or a ream and run procedure (see this link), should he continue to have disabling symptoms after a trial of rehabilitation exercises (see this link) and non-steroidal anti-inflammatory medications. A discussion of the pros and cons of these options is warranted.

You can support cutting edge shoulder research and education that are leading to better care for patients with shoulder problems, click on this link.

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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link).
Shoulder rehabilitation exercises (see this link).