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Shoulder Replacement

What is Shoulder Joint Replacement?

This is also called Shoulder Arthroplasty, which is an option when the shoulder joint pain deters performing the daily activities and other treatments don’t bring relief.

Usually, in a Shoulder Replacement surgery, the doctor replaces the ends of the damaged Humerus and scapula bones of the shoulder joint or caps them with plastic or metal and plastic and then the components are held in place with cement.

There are different Shoulder Joint Replacement options:

  • Total Shoulder Replacement
    The arthritic joint surfaces are replaced with a highly polished metal ball attached to the stem and a plastic socket.
  • Stemmed Hemiarthroplasty
    Head of the humerus is replaced with a metal ball and stem.

Shoulder Replacement in Bangalore

Shoulder Joint Replacement

  • Resurfacing Hemiarthroplasty
    Replacing of the joint surface of the humerus head with a cap-like prosthesis without the stem.
  • Reverse Total Shoulder Replacement
    The socket and metal ball are switched, i.e., the metal ball is attached to the shoulder bone while the plastic socket is attached to the humerus.

When is it needed?

The shoulder problems that bring about the need for shoulder replacement surgery are:

  • Osteoarthritis: wear and tear lead[ to softening and wearing away of the cartilage that cushions the shoulder. The bones rub against each other causing pain and stiffness.
  • Rheumatoid Arthritis: the synovial membrane surrounding the joint inflames and thickens, damaging the cartilage causing cartilage loss, pain and stiffness.
  • Post-Traumatic Arthritis: This follows a serious shoulder injury where the bones surrounding the shoulder fractures or torn shoulder ligaments might damage the articular cartilage over time. Shoulder pain and limited shoulder function ensue.
  • Rotator Cuff Arthropathy: The rotator cuff leads to arthritis and cartilage damage.
  • Osteonecrosis: deficiency of blood supply to the bone causes shoulder joint to deform.
  • Severe shoulder fractures and a previously failed shoulder replacement.

The need for shoulder surgery arises when:

  • Severe pain limits the daily routine like walking, climbing stairs, sitting and getting up from chairs.
  • Pain while resting or sleeping at night.
  • Weakness and loss of shoulder motion.
  • When other shoulders joint pain treatments, medications and physical therapy don’t bring relief.joint replacement treatment.

Shoulder pain may be localized or may be referred to areas around the shoulder or down the arm. Shoulder pain or tenderness and, occasionally, a bump in the middle of the top of the shoulder (over the AC joint) are signs that a separation may have occurred.

 the dislocated shoulder is when the head of the humerus is out of the shoulder joint. shoulder Fracture can include heavy pain in bones. The supraspinatus is most commonly involved in a rotator cuff tear. May occur fracture in rotator cuff tear.

Pre-Procedural activities

  • Shoulder replacement surgery preparation by taking blood tests, ECG, MRI or X-ray and a physical examination of the shoulder is done.
  • Inform the doctor of the medications and supplements, patient presently takes.
  • Refrain from eating and drinking 6-12 hours prior to the procedure.
  • Prepare your home for adjustments to post-surgery life, as per doctor’s recommendations.

During procedure

  • The patient will be given anaesthetic before the total shoulder replacement surgery, which might be:
    • Regional: Numb the arm and shoulder region
    • General: Puts the patient to sleep
  • Total shoulder replacement surgery takes around 2 hours.
  • The doctor will choose the Shoulder joint Replacement option depending on the situation.

Post-Procedural Activities

  • The patient usually takes a couple of days to recover.
  • The doctors will take the required measures to control any blood-clotting situation, pain and swelling.
  • The doctor will provide training to the patient and the caretakers on how to handle things.
  • The doctor will need to see you at a follow-up appointment after a few days.
  • You might have to follow an exercise regimen, as instructed by the doctor or physical therapist.
  • You might have to follow an exercise regimen, as instructed by the doctor or physical therapist.

Rotator cuff tear

A rotator cuff tear often occurs in people who repeatedly perform the same shoulder motions. we provide the best shoulder pain treatment in Bangalore. Rotator cuff injury, is another injury commonly seen in athletes participating in repetitive, overhead sports, including swimming and tennis. Rotator cuff injuries are typically characterized by weakness in the shoulder, reduced range of motion, and stiffness. ... Pain in your shoulder or arm may also occur.



Authored by Dr Banarji B.H - Shoulder Surgeon, Bangalore

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Baby Das

Last one year I was suffering from acute shoulder pain on my left shoulder. I went to several doctors, but not diagnosed.

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