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Back to Shoulder Pain Overview
 Shoulder Pain - Surgical Options
Common Procedures
Total Shoulder Replacement Surgery
Arthritis or injury can also damage the shoulder joint preventing a person from lifting their arm. In severe cases, the only treatment available is shoulder joint replacement surgery. South Bend Orthopaedics, locations in South Bend, Mishawaka, Plymouth and LaPorte Indiana, performs both “shoulder replacement” and “reverse shoulder replacement” surgery. Shoulder replacement surgery has been around since the 1950s and was originally used for severe fractures, but because of its success, it has since been broadened to address arthritis. Today, about 23,000 people in the U.S. have shoulder replacement surgery. Patients with bone-on-bone contact are typically good candidates for shoulder replacement surgery, where an artificial ball and socket joint is installed into the shoulder.
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Reverse Shoulder Replacement
Reverse shoulder replacement is another variation that was developed in the 1980s. This is used for those with completely torn rotator cuffs or have had a shoulder replacement surgery that did not relieve symptoms or restore motion significantly. In reverse shoulder replacement surgery, the position of the ball and socket are “reversed” where the ball is applied to the shoulder and the plastic socket is attached to the upper arm. This enables the person to lift the arm using a different muscle than the rotator cuff.
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Shoulder Impingement Surgery
This minimally invasive procedure is often performed on an outpatient basis. Shoulder impingement helps relieve pain by decompressing
the small enclosed area around the rotator tendon of the shoulder
joint. During the procedure, the bursa is removed and the orthopaedic surgeon trims back the
acromion bone to allow for normal pain-free motion. In
most cases, this procedure is performed arthroscopically.
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Arthroscopy
Minimally invasive techniques (also known as
arthroscopy) and improved tools allow orthopedic
surgeons to fix rotator cuff tears usually through 3-4
small incisions, less than ˝ inch. The rotator cuff tear
is repaired by suturing the torn tendon back to the
humerus. Recovery is less painful and scars are less
noticeable.
During surgery for a rotator cuff tear, the surgeon
removes debris from the damaged shoulder cuff tendon.
This is called a debridement and is typically completed
arthroscopically. Next, if bone spurs are present, the
surgeon will next smooth the acromion area to prevent
the acromion from pinching the tendon.
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