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What is Shoulder Surgery?

Shoulder surgery includes a range of procedures aimed at treating various conditions affecting the shoulder joint. One common type is rotator cuff surgery, which addresses tears or injuries to the rotator cuff, a group of muscles and tendons stabilizing the shoulder. Another prevalent procedure is shoulder replacement surgery, where damaged parts of the shoulder joint are replaced with artificial components. Shoulder arthroscopy is a minimally invasive technique used for both diagnostic and therapeutic purposes, allowing surgeons to visualize and treat shoulder issues through small incisions. Additionally, procedures for conditions like frozen shoulder, characterized by stiffness and pain in the shoulder joint, fall under the umbrella of shoulder surgery. Highly skilled shoulder surgeons perform these operations with precision to restore function and alleviate pain for patients.

How do you prepare for Shoulder Surgery?

Preparation for shoulder surgery involves specific steps to ensure a successful procedure and smooth recovery. Patients may undergo pre-operative evaluations, including physical examinations, imaging tests, and blood work, to assess their overall health and identify any potential risks. It’s essential to follow the surgeon’s instructions regarding medications, dietary restrictions, and cessation of smoking, as these factors can impact surgical outcomes. Patients may also receive guidance on post-operative care and rehabilitation exercises to optimize recovery. Additionally, arranging for transportation to and from the surgical facility and arranging for assistance at home during the initial recovery period are crucial aspects of preparation for shoulder surgery.

Why is Shoulder Surgery performed?

Shoulder surgery is performed to address a variety of conditions affecting the shoulder joint, ranging from injuries to degenerative diseases. Rotator cuff surgery is commonly indicated for rotator cuff tears, which can result from overuse, trauma, or age-related degeneration, causing pain, weakness, and limited range of motion. Shoulder replacement surgery may be necessary for severe arthritis or irreparable damage to the shoulder joint, providing relief from chronic pain and improving function. Shoulder arthroscopy allows surgeons to repair soft tissue injuries, remove loose cartilage or bone fragments, and treat conditions like frozen shoulder. Overall, shoulder surgery aims to alleviate pain, restore mobility, and enhance the quality of life for individuals with shoulder problems.

Shoulder surgery is often necessary to address shoulder dislocations as well. When a shoulder dislocates, the ball of the upper arm bone (humerus) is forced out of the shoulder socket, causing immense pain and instability. In many cases, especially when dislocations become recurrent, surgery may be recommended to repair the damaged structures and restore stability to the joint. Dr. Schildhorn specializes in an operation called Bankhart repair which helps fix shoulder dislocation. Banhart repair, also known as the Banhart procedure, is a surgical technique used in shoulder surgery to address instability or dislocation. It involves tightening the capsule and ligaments around the shoulder joint to enhance stability and reduce the risk of recurrent dislocations. This procedure aims to restore strength and function to the shoulder, particularly in cases of traumatic injury or chronic instability.

What can you expect during Shoulder Surgery?

During shoulder surgery, patients typically receive anesthesia to ensure comfort throughout the procedure. Depending on the specific operation, the shoulder surgeon may make small incisions to access the shoulder joint, utilizing specialized instruments and techniques for optimal visualization and precision. In procedures like shoulder arthroscopy, a tiny camera called an arthroscope is inserted through the incisions, allowing the surgeon to examine and treat the shoulder structures. For rotator cuff operations or shoulder replacement, damaged tissues may be repaired or replaced with implants to restore function and stability. The duration of the surgery varies depending on the complexity of the condition and the chosen surgical approach.

What is the followup and recovery like for Shoulder Surgery?

After shoulder surgery, patients typically undergo a period of recovery and rehabilitation to regain strength and mobility in the affected shoulder. Physical therapy exercises, prescribed by the surgeon or a qualified therapist, play a crucial role in restoring range of motion and function. Patients may need to wear a sling or brace to support the shoulder during the initial healing phase and avoid certain activities that could strain the surgical site. Follow-up appointments with the surgeon allow for monitoring of progress, evaluation of healing, and adjustments to the treatment plan as needed. Full recovery from shoulder surgery can take several weeks to months, depending on the type of procedure and individual factors such as overall health and adherence to rehabilitation protocols.

What are the potential risks for Shoulder Surgery?

While shoulder surgery and shoulder procedures can be highly effective in treating various shoulder conditions, it carries certain risks and complications, as with any surgical procedure. These may include infection at the surgical site, bleeding, blood clots, nerve injury, and adverse reactions to anesthesia or medications. Specific risks associated with different types of shoulder surgery, such as stiffness, weakness, or failure of repairs, vary depending on the procedure and individual factors. Surgeons take measures to minimize these risks through careful pre-operative evaluation, precise surgical techniques, and comprehensive post-operative care. Patients can also contribute to reducing risks by following pre-operative instructions, maintaining good overall health, and actively participating in rehabilitation programs following surgery.

Are there related procedures to Shoulder Surgery?

Several related procedures fall within the scope of shoulder surgery, addressing different aspects of shoulder pathology and dysfunction. For example, procedures like labrum repair or stabilization focus on injuries or instability involving the labrum, a cartilage structure in the shoulder joint. Biceps tenodesis or tenotomy may be performed to address issues with the biceps tendon, such as inflammation or instability. Additionally, procedures for shoulder impingement syndrome, acromioclavicular (AC) joint injuries, or shoulder instability may be considered depending on the specific diagnosis and treatment goals. Orthopedic surgeons specializing in shoulder procedures can recommend the most appropriate treatment options based on individual patient needs and preferences.

Meet Dr. Jeffrey Schildhorn

Dr. Jeffrey Schildhorn, an orthopedic surgeon educated at Duke and Temple University, specializes in minimally invasive procedures to optimize recovery. Practicing in New York, he prioritizes conservative treatment plans, including physical therapy, for sports-related injuries to enhance patient functionality. Learn More »

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The New York City office of Dr. Jeffrey Schildhorn is known for providing the highest level of attention and options for orthopedic treatment to patients. Some of his stellar reviews can be found on his Google page.