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Medical Negligence Solicitors
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Because the shoulder is the most flexible joint in the body, it is easily prone to injuries. There are multiple surgeries done on the shoulder that are needed to repair pain and loss of function. The shoulder joint normally can cause the arm to move in front of, to the side, above and behind the body. This is why it is prone to injury.
Non-surgical methods of therapy are usually employed before surgery but in some cases, the delay in getting surgery can worsen the condition so that it is more difficult to repair later. The doctor will often make to whether to wait or go ahead with surgery.
The shoulder joint is made up of three separate bones: the humerus, which is the upper arm bone, the shoulder blade or scapula and the collar bone or clavicle. The humerus has a ball at the top of it that fits into the glenoid or small socket within the scapula. The collar bone acts as a supporting bone to the shoulder joint. There is a soft tissue rim called the labrum, which lends support to the glenoid socket. Articular cartilage is at the head of the arm bone and there is a thin inner lining of the joint that together allow for a smooth joint motion.
There is a thin sheet of fibers surrounding the shoulder joint. This joint capsule provides stability but allows for a wide range of motion of the joint. The rotator cuff is a strong group of muscles and tendons that are attached to the upper arm. It covers the entire joint surface, protecting it. There are muscles attached to the rotator cuff that allow for motion of the joint. There are bursae, which are sac-like membranes that cushion and lubricate the joint.
Diseases of the shoulder include bursitis and tendonitis. This happens because of overuse of the shoulder, usually in sports. The rotator cuff becomes impinged beneath the acromioclavicular joint and may need surgery if extensive physical therapy or rest doesn’t take care of the problem.
You can also have a partial thickness tear in the rotator cuff that can be associated with spurs on the underside of the acromion or the acromioclavicular joint or with chronic inflammation of the joint. A cortisone injection and other conservative therapy might not be helpful to take care of the pain so that surgery is required for a partial thickness tear.
Full thickness tears are the result of impingement of the muscle and are associated with falls or heavy lifting. Nonsurgical treatment is preferred but if this doesn’t make a difference, surgery is recommended. If surgery is recommended, it can involve full-thickness rotator cuff repair, shaving of bone spurs, and arthroscopic evaluation of the rotator cuff may need to be done. Extensive rehabilitation of the joint will be necessary after the operation.
The shoulder joint becomes unstable when the head of the humerus is forced out of the socket itself. It can be from trauma to the joint or from overuse of the ligaments of the shoulder. There are subluxations and dislocations of the shoulder. A subluxation is a partial dislocation that can eventually become a dislocation. Surgery is required for recurrent dislocations of the shoulder to keep the shoulder in place.
A collarbone injury can involve a fracture or an AC joint separation. These are usually caused by injury and are treated without surgery unless the injury is severe and markedly out of place.
You can have an arthroscopic surgery of the shoulder joint which involves inserting a small device that has a lighted camera and tools within it to see the cartilage and bone. Repairs can be made through the laparoscopy. Complications include bleeding and infection. You can have a problem with the surgery so that you need to open up the surgical field in an open surgery.
Open surgery might be necessary because it gives a better outcome than laparoscopic surgery. Recovery depends on what was done in the surgery rather than whether or not it was a laparoscopic surgery or open surgery.
Infection can happen with an open or laparoscopic surgery and laparoscopic surgery can do damage to blood vessels and nerves, which can happen in open surgeries if the surgeon is especially unskilled.
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