when is shoulder arthroscopy indicated?

Question

What can you do before shoulder arthroscopy ?

Answer 1

MRI findings: The MRI or mr arthrogram is usually done before considering performing an arthroscopy. This will show certain pathology that may be amendable to surgical arhtroscopy. Findings include tears of the rotator cuff or tears of the labrum most commonly.

Answer 2

After failed therapy: For most shoulder injuries or conditions, surgery is an option, but only after an adequate amount of time has been allowed for the condition to resolve, and conservative treatment with physical therapy, anti-inflammatory medication and activity modification have been tried. However, surgery might be the best option for painful rotator cuff or cartilage tears, instability, or impingement.

Answer 3

Maybe: Your symptoms may be from acid reflux from your stomach to your esophagus when you lay down. Try taking some Tums (calcium carbonate) (antacids). If the pain does not go away, i would call your doctor to make sure that it is not something more serious.

Answer 4

Chest pain: Sometimes this could be from a rare condition called aortic dissection which is an emergency. If the pain is severe i recommend you going to an emergency room right away.

Answer 5

Gallbladder: The old adage " female, forty, and fertile"among others may hold for you. I would go in for a gallbladder work-up because the pain can radiate between your shoulder blades and can radiate between the shoulder blades. See your family doctor. If the pain is unbearable or lasts greater than 4 hours, please go to the emergency room. Best wishes.

Answer 6

Pain: It occurs when there is damage to the brachial plexus, an area where a nerve bundle from the spinal cord splits into the individual arm nerves. Damage to the brachial plexus is usually related to direct injury to the nerve, stretching injuries (including birth trauma), pressure from tumors in the area, or damage that results from radiation therapy.

Answer 7

Parsonage-Turner: The plexus can be involved in widespread nerve disorders, such a nutritional deficiency or diabetes, but can be a site of tumor spread such as lung or breast. An autoimmune process, pars-turn, could occur after surgery, infections, or perhaps spontaneous. Trauma might affect the plexus by causing thoracic outlet syndrome, or brachial plexus stretch. Pain, numbs weakness in arm present.

Answer 8

Depends: The pain from your first dislocation should start to abate fairly rapidly. Usually within a 1-2 weeks people are feeling much better. If this is a chronic condition... Multiple recurrent dislocations, then the joint is "upset" because it remains loose. Most strengthening exercises and stretching exercises can be performed, as long as the shoulder does not feel like it wants to pop out again.

Answer 9

Exercise w/ caution: Dislocations occur from trauma and/or laxity of the shoulder capsule and ligaments. Prolotherapy or platelet rich plasma injections can help strengthen the tissue. Exercise will strengthen the surrounding muscles but not the lax tissues.

Answer 10

Safe exercises: For an anterior dislocation after a few days of rest and immobilization start with pendulum exercises and shrugs. Over the next few weeks increase the range of motion. Use a broomstick held in front of the body and move it side to side then upwards to the shoulder level and finally overhead. Always avoid positions that reproduce the sense of instability. Next, start gradual resistance exercises.

Answer 11

See doc first: A dislocation can result in a fracture, labral (cartilage) tear, capsular tear or a rotator cuff tear. Recovery may or may not initially include exercises, depending on the cause of your pain. See your ortho doctor for further evaluation.

Answer 12

Generally yes: Generally it would be expected that you have return of full motion after shoulder dislocation surgery, but specifics will depend on the type of dislocation, chronicity of the dislocation, and type of surgery performed. Consult with your orthopedist for your specific situation.

Answer 13

No: Probably not right away- and you will need rehab to keep things moving.

Answer 14

Yes / No: In massive rotator cuff tears the shoulder can sublux superiorly and caus significant arthritis but acute dislocation of the shoulder is not seen.

Answer 15

Dislocation shoulder: When dislocation occurs, some part of the shoulder fails to permit dislocation. In younger patients, anterior labrum tears (bankart tear). When dislocation occurs in patients over 40y, incidence of rotator cuff tear increases. If cuff tears in this setting, there is increased chance of redislocation. Many patients opt for cuff repair, but usually because of pain and weakness, not redislocation.

Answer 16

Rarely: A massive rotator cuff tear can lead to shoulder instability (typically a subluxation/partial dislocation, but not a full dislocation). This may depend on multiple factors including the size, location and chronicity of the tear. On the other hand a traumatic shoulder dislocation can sometimes cause a rotator cuff tear, particularly in patients over the age of 40.

when is shoulder arthroscopy indicated?

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