Rotator cuff tears often require repair, and when the surgery for rotator cuff occurs, often the shoulder surgeons and the patient have had a discussion prior regarding repairability of the tear, whether or not the tear is going to heal, whether or not the muscle health (so called fatty atrophy or degradation – or in layman’s terms actual fat present in your muscle belly of the torn tendon) is sufficient, and also about size of the tear.
I know it’s been a bit since I posted. That is partially a consequence of my practice becoming overwhelming busy! However, I now have more help, and am making it my personal goal to show a lot of the interesting and unique cases that come across my clinic days.
More so than learning techniques from the best surgeons in the worldthat are seen as challenging or nearly impossible for average American shoulder surgeons, one of the greatest parts of my adventure in training that I will never take for granted are the international connections I was able to make with the next crop of rising shoulder stars.
Arthroscopy is a type of a surgical procedure where a small camera, the size of a pencil, is placed into a joint. The camera relays the image to a monitor allowing the surgeon to see in greater detail than any study possible the anatomy within the joint. This allows the surgeon to use arthroscopy to not only diagnose conditions, but treat them.
So any patient that has seen me has gotten my standard frozen shoulder talk: there is a capsular ballon between your muscles and your bones that supports the ball and socket type joint. In frozen shoulder, also known as adhesive capsulitis (which if you take about the name adhesive = sticky, capsule = shoulder capsule, itis = in medicine we use the suffix “itis” to denote inflammation; so you have a sticky shoulder capsule that is inflamed), this capsule contracts and becomes inflamed and usually appears red and almost angry.