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“My shoulder hurts”
Causes of shoulder pain
   Variety of conditions
  –    Rotator cuff abnormalities
  –    Arthritis
  –    Frozen shoulder
  –    Instability
  –    Fractures
“My shoulder hurts”
•         Review some of these problems
•         What you can do to prevent
          these problems
•         What the doctor can do
     –      New techniques
•         Warning
     –      Pictures of surgery
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!

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Painful Conditions of the Shoulder by: Dr. Craig Arntz

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  • 3. Causes of shoulder pain Variety of conditions –  Rotator cuff abnormalities –  Arthritis –  Frozen shoulder –  Instability –  Fractures
  • 4. “My shoulder hurts” •  Review some of these problems •  What you can do to prevent these problems •  What the doctor can do –  New techniques •  Warning –  Pictures of surgery
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  • 11. 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
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  • 45. Total shoulder Arthroplasty New glenoid design “Anchor Peg” Biological fixation Fluted central peg • Promotes bone growth between the flutes • Lower risk of loosening
  • 46. •  Inpatient •  General Anesthesia with a Shoulder Block •  Two night hospital stay
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  • 55. Features 40 to 60 Age group Often bilateral Symptoms •  Pain at limits of motion •  Night pain Treatment Must restore shoulder motion
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  • 61. Treatment goals –  Decrease inflammation •  Icing •  NSAIDs •  Corticosteroid injections –  Decrease stress applied •  Activity modification •  Splinting –  Increase tendon’s stress tolerance •  Physical therapy
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