Shoulder And Upper Limb Surgery

Shoulder & Elbow - Fracture surgery - Total shoulder replacement - Reverse shoulder replacement - Shoulder arthroscopy - Rotator cuff repair - Surgery for tennis elbow - Elbow arthroscopy

Wrist & Hand - Fracture surgery - Carpal tunnel release - Wrist arthroscopy - Wrist joint replacement - Wrist fusion

Shoulder arthroscopy is a type of keyhole surgery that is used to look inside and treat damage to your shoulder caused by an injury, arthritis or certain health conditions. Because the arthroscope and surgical instruments are thin, surgeon can use very small incisions (cuts), rather than the larger incisions needed for standard, open surgery. This results in less pain for patients and shortens the time it takes to recover and return to routine activities. Injury, overuse, and age-related wear and tear are responsible for most shoulder problems. Shoulder arthroscopy may relieve painful symptoms of many problems that damage the rotator cuff tendons, labrum, articular cartilage, and other soft tissues surrounding the joint. Common arthroscopic (keyhole) procedures include: -Rotator cuff repair -Removal or repair of the labrum -Repair of ligaments -Removal of inflamed tissue or loose cartilage -Repair for recurrent shoulder dislocation Less common procedures such as nerve release, fracture repair, and cyst excision can also be performed using an arthroscope. Some surgical procedures, such as shoulder replacement, still require open surgery with more extensive incisions.

Joint Replacement for Shoulder, Elbow and Small Joints of Hand Shoulder Joint Replacement - Total shoulder replacement, also known as total shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis. Elbow Joint Replacement - During elbow replacement, a surgeon replaces your elbow with an artificial joint made from two implants that attach to the bones in your arm. A metal and plastic hinge joins the implants together. The procedure is similar to hip and knee replacements. You want a surgeon who has a lot of experience.

In a joint replacement, the abnormal bone and lining structures of the joint are removed surgically, and new parts are inserted in their places. These new parts may be made of special metal or plastic or specific kinds of carbon-coated implants. The new parts allow the joints to move again with little or no pain.

Rheumatoid arthritis causes inflammation and destruction of the cartilage in the joints of the wrist and hand, leading to pain, swelling, and deformity. Rheumatoid arthritis can also lead to swelling of the ligaments and tendons, causing instability and deformation of the joints. The classic features of rheumatoid arthritis include nodules along the fingers or elbow, angulation or collapse of the fingers, inability to straighten the finger due to tendon rupture, and prominence or collapse of the wrist bones. The treatment of rheumatoid arthritis focuses on decreasing the inflammation, reducing pain, and restoring function. Optimum treatment involves a team approach, including the patient's primary care physician, a rheumatologist, a hand surgeon, and therapists. The surgical treatments for RA of the hand and wrist include synovectomy, tenosynovectomy, tendon realignment, reconstructive surgery or arthroplasty, and arthrodesis. Surgical treatment is much more likely to be successful if it is implemented early in the course of the deformity.

Congenital deformities of the upper limbs are complex conditions that include transverse deficiencies, longitudinal deficiencies of the forearm, and deficiencies of the hands and fingers. They are classified into two types ie Congenital Deformities and Acquired Deformities - Congenital Deformities The causes of some birth defects can be difficult or impossible to identify. However, certain behaviors greatly increase the risk of birth defects. These include smoking, using illegal drugs, and drinking alcohol while pregnant. Other factors, such as exposure to toxic chemicals or viruses, also increase risk. - Acquired Deformities An acquired deformity is a change in the normal size or shape of a body part as a result of an injury, infection, arthritis, or tumor.Common causes of acquired deformities include misaligned broken bones, osteoarthritis (a disease that causes the joints to degenerate), and conditions like cancer and thyroid disease that cause tumors, goiters, or other masses to form. Some acquired deformities may be visible, but many are not.

-Scapula (Shoulder Blade) The shoulder blade (scapula) is a triangular-shaped bone that is protected by a complex system of surrounding muscles.The most common symptoms of a scapula fracture includes extreme pain when you move the arm, swelling around the back of the shoulder and scrapes around the affected area. Treatment of Scapula Fractures: Non Surgical Treatment - Nonsurgical treatment with a simple sling works for most fractures of the scapula. The sling holds your shoulder in place while the bone heals. Your doctor may want you to start moving your shoulder within the first week after the injury to minimize the risk of shoulder and elbow stiffness. Surgical Treatment - Scapular fractures may require surgery if fractures of the glenoid articular surface in which bone has moved out of place (displaced), fractures of the neck of the scapula with a lot of angulation, fractures of the acromion process that cause the arm bone to hit against it (impingement syndrome). During surgery, the bone fragments are first repositioned (reduced) in their normal alignment, and then held together by attaching metal plates with special screws to the outer surface of the bone. Pain after an injury or surgery is a natural part of the healing process. Your doctor will work to reduce your pain, which can help you recover faster.