REVERSE SHOULDER REPLACEMENT

AN ALTERNATIVE SURGICAL OPTION FOR WEAK OR DAMAGED ROTATOR CUFFS

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WHEN IS SHOULDER REPLACEMENT SURGERY RECOMMENDED?

A shoulder replacement may be recommended if there is a severe, irreparable rotator cuff tear. In the event that the rotator cuff cannot be restored to its proper function, a reverse shoulder replacement may be implemented to allow patients to raise their arms even without rotator cuff muscles.

ABOUT REVERSE SHOULDER REPLACEMENT SURGERY

In the event of a massive tear in the rotator cuff, it can become impossible to restore the natural rotator cuff to proper function. These massive tears often occur slowly over the course of many years as the cuff tears and begins to pull away from its normal attachment. Over time, scar tissue forms and arthritis develops as the ball and socket grind against one another.

By the time these massive tears can be addressed, they can be irreparable due to the amount of scar tissue, atrophy or shrinkage of the muscle and the increased distance between the cuff and its proper positioning. Without an operational rotator cuff, if the patient were to attempt to lift their arm, the ball of the shoulder would continue moving upward and out of the socket. Conventional total shoulder replacements also rely on the rotator cuff to work properly, meaning that those patients without a functional rotator cuff would not benefit from a traditional replacement surgery. In this case, a reverse shoulder replacement is recommended to reduce pain and improve mobility in the arm.

WHY REVERSE SHOULDER REPLACEMENT SURGERY?

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TOTAL SHOULDER REPLACEMENT VS. REVERSE SHOULDER REPLACEMENT

In a conventional total shoulder replacement, the replacement devices mimic the natural anatomy of your shoulder, with a cup fitted to the socket (glenoid) and a metal “ball” attached to the top of the upper arm bone (humerus). In a reverse total shoulder replacement, these attachments are reversed, with the ball attached to the glenoid and the cup fitted against the upper end of the humerus. This allows the replacement devices to rely on the deltoid muscle as opposed to the rotator cuff to power and position the arm.

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WHO MAY BENEFIT FROM A REVERSE SHOULDER REPLACEMENT

At G2 Orthopedics and Sports Medicine, Dr. Goradia provides each patient with personalized care to ensure that each person that comes through G2’s doors receives the best possible treatment plan for their needs. At your consultation, Dr. Goradia will go over your medical history and conduct any necessary tests to determine the proper treatment plan for your orthopedic concerns.

A reverse total shoulder replacement may be recommended for those patients who have:

  • An irreparable, massive tear to the rotator cuff
  • Cuff tear arthropathy
  • Prior shoulder replacement surgeries that proved unsuccessful
  • Severe shoulder pain that causes difficulty lifting their arms to the side or over the head
  • A complex fracture within the shoulder joint
  • Chronic shoulder dislocation
  • Tumors in proximity to the shoulder joint
  • A history of other nonsurgical treatments that were unsuccessful in reducing pain and improving mobility

REAL PATIENT RESULTS IN RICHMOND, VA

SHOULDER INJURY TREATMENT OPTIONS

For more information on G2’s treatment options for shoulder injuries, continue browsing our website for other procedures or contact us directly at 804-678-9000 or request an appointment online. Whether you’re a recreation athlete, injured worker or simply an individual looking for a second professional opinion on your injury and treatment options, Dr. Goradia is passionate about providing each patient with the quality of care given to professional athletes. Call or visit us today to set up your first appointment with our nationally-recognized care team.

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