Shoulder surgery

From Wikipedia, the free encyclopedia

Shoulder surgery
Intervention
ICD-9-CM	81.80-81.83, 81.23

As the shoulder is the most complex and unstable joint in the body, it can get injured easily. Many surgeries have been developed to repair the muscles, connective tissue or damaged joints that can arise from traumatic or overuse injuries to the shoulder.

List of Shoulder Surgeries (by attempted repair)

Dislocated Shoulder^[1]

Arthroscopic Repairs
- repair of the Glenoid labrum (anterior or posterior)
Rehabilitation
- The recovery depends upon many factors, such as where the tear was located, how severe it was and how good the surgical repair was. It is believed that it takes at least four to six weeks for the labrum to re-attach itself to the scapula bone (shoulder blade), and probably another four to six weeks to get strong. The labrum is a ring of cartilage on the rim of a shallow socket in the scapula into which the head of the upper arm bone normally fits and rotates. Once the labrum has healed to the rim of the shoulder blade, it should see stress very gradually so that it can gather strength. It is important not to re-injure it while it is healing. How much motion and strengthening of the arm is allowed after surgery also depends upon many factors, and it is up to the surgeon to let you know your limitations and how fast to progress. Because of the variability in the injury and the type of repair done, it is difficult to predict how soon someone can to return to activities and to sports after the repair. The type of sport also is important, since contact sports have a greater chance of injuring the labrum repair. However, a vast majority of patients have full function of the shoulder after labrum repair, and most patients can return to their previous level of sports with no or few restrictions. [^[2]]
- repair of the capsular ligaments (Bankart repair)
- repair of the biceps long head anchor or SLAP lesion
- tightening of the shoulder capsule (capsulorrhaphy or capsular shift)
Open Repairs (for dislocations with fractures, etc.)
Bicep Tenodesis Surgery
- Surgical treatment of the shoulder due to potential bicep tendonitis or a tear of the labrum otherwise known as a SLAP tear. The long head of the bicep passes through the shoulder joint and attaches to the labrum. During a biceps tenodesis procedure, the surgeon cuts the attachment of the biceps tendon from the labrum and reattaches it to the humerus bone by tacks. By doing this, pressure is relieved from the labrum significantly reducing pain. This surgery is performed to alleviate bicep inflammation and can be implemented in correspondence to a SLAP lesion surgery. Recovery is approximately 4 – 8 months depending on the individual and requires physical therapy.

Separated shoulder

Weaver-Dunn procedure
Weaver-Dunn with various additional fixations (sutures, suture anchors, tendon autograft) to replace the coracoclavicular ligaments. Note: various methods have been utilized to anchor the clavicle in place while the surgery heals. This includes
- Dacron graft/loop
- Bosworth screw
- Kirschner wires
- Hook plate^[3]
Anatomic Repair, or any repair using tendon allograft without sacrificing the coracoacromial ligament.
Arthroscopic Weaver-Dunn
Transfer of conjoined tendon and distal end of coracoid process to the clavicle

Sternoclavicular Separation

Tendonitis, bursitis, and impingement syndrome

Tendon Repair
Mumford Procedure/Acromioplasty

Rotator cuff tear

Arthroscopic Rotator Cuff Repair

Fracture

Open Reduction Internal Fixation (ORIF)

Arthritis of the shoulder (glenohumeral joint)

Shoulder replacement

Total shoulder replacement
Hemiarthroplasty (half a replacement)
Reverse Shoulder Implant (for arthritis with large rotator cuff tear)

Arthritis or Osteolysis of the AC (acromioclavicular) joint

Mumford Procedure (Open or Arthroscopic)

References

External links

American Academy of Orthopaedic Surgeons - Shoulder Surgery

Orthopedic surgery, operations/surgeries and other procedures on bones and joints (ICD-9-CM V3 76–81, ICD-10-PCS 0P–S)

Bones

Facial	Jaw reduction Dentofacial osteotomy Genioplasty/Mentoplasty Chin augmentation Orthognathic surgery

Spine	Coccygectomy Laminotomy Laminectomy Laminoplasty Corpectomy Facetectomy Foraminotomy Vertebral fixation Percutaneous vertebroplasty

Upper extremity	Acromioplasty

Lower extremity	Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus

General	Ostectomy Bone grafting Osteotomy Epiphysiodesis Reduction Internal fixation External fixation

Medical imaging	Dual energy X-ray absorptiometry/Digital X-ray radiogrammetry pQCT Skeletal survey Bone scintigraphy

Cartilage

Joints

Spine	Arthrodesis Spinal fusion Intervertebral discs Discectomy Annuloplasty Arthroplasty Back examination Straight leg raise Waddell's signs Schober's test

Upper extremity	Shoulder surgery Shoulder replacement Bankart repair Weaver–Dunn procedure Ulnar collateral ligament reconstruction Hand surgery Brunelli procedure exam: Shoulder examination Jobe's test Adson's sign Elbow examination Elbow extension test Wrist examination Tinel sign/Phalen maneuver Finkelstein's test

Lower extremity	Hip resurfacing Hip replacement Rotationplasty Anterior cruciate ligament reconstruction Knee replacement/Unicompartmental knee arthroplasty Ankle replacement Broström procedure Triple arthrodesis exam: Hip examination Knee examination Drawer test Ballottement Ankle examination Simmonds' test CPRs: Pittsburgh knee rules Ottawa knee rules Ottawa ankle rules

General	Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Arthrogram Arthrocentesis

M: BON/CAR

anat (c/f/k/f, u, t/p, l)/phys/devp/cell

noco/cong/tumr, sysi/epon, injr

proc, drug (M5)

M: JNT

anat (h/c, u, t, l)/phys

noco (arth/defr/back/soft)/cong, sysi/epon, injr

proc, drug (M01C, M4)

This article is issued from Wikipedia. The text is available under the Creative Commons Attribution/Share Alike; additional terms may apply for the media files.