Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa
Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa
Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa

Shoulder Pain

The shoulder has a wide and versatile range of motion. When something goes wrong with your shoulder, it hampers your ability to move freely and can cause a great deal of pain and discomfort. The shoulder is a ball-and-socket joint that has three main bones: The humerus (long, upper-arm bone), the clavicle (collarbone) and the scapula (shoulder blade). These bones are cushioned by a layer of cartilage.

There are two main joints: The acromioclavicular joint is between the highest part of the scapula and the clavicle. The glenohumeral joint is made up of the top, ball-shaped part of the humerus bone and the outer edge, or the socket, of the scapula. This joint is also known as the shoulder joint.

The shoulder joint is the most mobile joint in the body. It moves the shoulder forward and backward. It also allows the arm to move in a circular motion, and to move up and away from the body. With all these movements possible, it also the leaves the shoulder as the most unstable and vulnerable joint in the body.

Shoulders get their range of motion from the rotator cuff. The rotator cuff is made up of four muscles and their tendons. Tendons are the tissues that connect muscles to bone. It may be painful or difficult to lift your arm over your head if the tendons or bones around the rotator cuff are damaged or swollen.

You can injure your shoulder by performing manual labor, playing sports or even by repetitive movement.

Shoulder Replacement

The typical total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket. These components come in various sizes. They may be either cemented or “press fit” into the bone. In most cases, an all-plastic glenoid (socket) component is implanted with bone cement.

Implantation of a glenoid component is not advised if:

  • The glenoid has good cartilage
  • The glenoid bone is severely deficient
  • The rotator cuff tendons are irreparably torn

Patients with bone-on-bone osteoarthritis and intact rotator cuff tendons are generally good candidates for conventional total shoulder replacement.

Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa
Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa
Shoulder Pain | Orthopaedics, P.C. Spencer, Iowa

Shoulder Arthroscopy

What is arthroscopy?

The diagnosis and treatment of shoulder joint problems have improved greatly since a minimally-invasive procedure called arthroscopy was developed. Arthroscopy allows a surgeon to see inside the shoulder and to carry out procedures through tiny incisions.

What can arthroscopic surgery treat?

Arthroscopic surgery can be used to diagnose and treat shoulder injuries. This minimally-invasive approach to surgery can help speed recovery, reduce pain and minimize scarring, when compared to traditional open surgery.

Orthopedic surgeons can use arthroscopic surgery to perform a variety of procedures, including:
– Removal of small bits of bone or cartilage
– Repair or removal of torn tendons
– Removal of inflamed bursae, or the removal of inflamed synovium. Bursae are small fluid-filled sacs that can reduce friction between moving parts in your body’s joints. The synovium lines the entire inner surface of the joint, except where there is cartilage.

What are the potential benefits of arthroscopic surgery?

– Less pain following the procedure
– Lower risk of complications
– Shorter hospital stay
– Outpatient surgery option
– Quicker recovery
– Less scarring

What happens during arthroscopic shoulder surgery?

Arthroscopy uses a device called an arthroscope. This tiny, pen-shaped instrument has a micro video camera attached to the end. The arthroscope is inserted through a tiny incision in the shoulder and the camera relays images to a computer screen. Surgeons can use the images to diagnose the joint problem and to carry out appropriate surgery.

During this procedure, you will probably be given an IV so you can get the right fluids and medications. Shoulder arthroscopy may be performed under general or regional anesthesia.

During the surgery, several tiny incisions are made to insert the arthroscope and surgical instruments. First, the surgeon uses the arthroscope to view the shoulder and evaluate the bones, tendons and ligaments. Then the surgeon uses small instruments to make necessary repairs.

From the office worker to the Olympic volleyball player, shoulder injuries can happen to anyone. If you are experiencing shoulder pain from a recent injury or just from overuse, make an appointment with Dr. Pruitt today.

Dr. Pruitt specializes in shoulder pain, sports medicine and joint replacement.

Let Orthopaedics, P.C. help you get on your way to a healthy recovery.

Let’s get your life back!


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