Shoulder surgery India, resurfacing, replacement,arthroscopic

Shoulder Orthopedic surgeon performs resurfacing, replacement, diagnostic arthroscopy, open & arthroscopic surgery for rotator cuff tears, instability, recurrent dislocation, SLAP lesion. Patients can learn about the common shoulder conditions like calcium deposition, rotator cuff tear, frozen shoulder or stiffness, dislocation, shoulder instability, subacromial impingement, SLAP lesion, HAGL lesion, fractures of humerus, clavicle, Acromio clavicular dislocation and arthritis, and Gleno humeral O steoarthritis .

Various surgical procedures performed by open and arthroscopic methods by him are diagnostic arthroscopy, Shoulder stabilisation, arthroscopic and open subacromial decompression, rotator cuff repair, open Bankart repair, shoulder replacements resurfacing, internal fixation of shoulder fractures. Patients with shoulder pain & problems will find this source of information on shoulder disorders very useful.

Shoulder injuries cut short the career of many sportsmen. Sportsmen in games like cricket, javelin throw, volleyball, basketball, baseball, rugby, football suffer shoulder injuries due to throwing or accidents. They can learn about their painful shoulder from the conditions listed here or can write to the surgeon.

Rotator cuff injuries are the leading cause of shoulder pain after middle age. Arthroscopic assisted mini open repair or all arthroscopic repair are equally effective in relieving pain. Massive tears in the elderly can be treated by arthroscopic sub-acromial decompression alone.

The commonest type of Dislocation or instability is to the front (anterior) and results after an injury. Other types are posterior (to the back) and multi directional in which there is a downwards or inferior component. This type can result without any trauma. Instability can present as a dead arm syndrome in sportsmen and swimmers. These are assessed by examination under anesthesia and shoulder arthroscopy. Treatment for the commonest anterior type is by an anatomical repair called Shoulder stabilization. For multi directional instability rehabilitation is the best treatment. Thermal capsulorraphy & Inferior capsular shift are surgical forms of treatment for this condition. People who use their arm in throwing can develop internal impingement and SLAP lesions. Arthroscopic repair is the best method for SLAP lesions.

Stiffness is the commonest complaint amongst Diabetics, post injury or surgery. Exercises are advised initially. Resistant cases are advised arthroscopic release or manipulation under anesthesia.

Elderly people can sustain fractures of the upper humerus. Minimally invasive methods of fixation with sutures, nails and wires are preferred over plate fixation. In severe fractures, replacement of the upper humerus alone may be indicated hemi-arthroplasty). Total shoulder replacement is advised for osteo and rheumatoid arthritis, post traumatic arthritis of the shoulder and rotator cuff arthropathy. Clavicle fracture, acromio-clavicular dislocations are discussed.

Dr.Venkatachalam is a consultant Orthopaedic surgeon in Chennai with over twenty four years of experience. His interests are Shoulder replacement, resurfacing, arthroscopic shoulder. He is on the panel of experts in Orthopedics for www.doctorndtv.com & www.gulfmd.com He has been invited to present guest lectures in the UAE and India. He was a consultant orthopedic surgeon in Dubai and Oman before this.