Painful Conditions of the Shoulder by: Dr. Craig Arntz

“My shoulder hurts”

Causes of shoulder pain Variety of conditions –  Rotator cuff abnormalities –  Arthritis –  Frozen shoulder –  Instability –  Fractures

•  Review some of these problems •  What you can do to prevent

these problems •  What the doctor can do

–  New techniques

•  Warning –  Pictures of surgery

“My shoulder hurts”

Terrific Doctors

Terrific Facilities

Great Staff

The Rotator Cuff –  Four muscles

•  Surround and stabilize the head against the socket

•  Provide power to lift and rotate the arm

•  Pass under a bony and ligament shelf

Rotator Cuff Tears

Total shoulder Arthroplasty New glenoid design “Anchor Peg” Biological fixation Fluted central peg

• Promotes bone growth between the flutes • Lower risk of loosening

•  Inpatient •  General Anesthesia

with a Shoulder Block •  Two night hospital stay

Features 40 to 60 Age group Often bilateral Symptoms

•  Pain at limits of motion •  Night pain

Treatment Must restore shoulder motion

Treatment goals –  Decrease inflammation

•  Icing •  NSAIDs •  Corticosteroid injections

–  Decrease stress applied •  Activity modification

•  Splinting

–  Increase tendon’s stress tolerance •  Physical therapy

Thank you!