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It has been estimated that more than 7 million people annually see a physician for shoulder pain. More than half of the visits are for rotator cuff issues. We also see patients with:
Various factors contribute to shoulder pain or injury: sporting activities such as swimming, golf, or bowling; everyday activities such as painting walls or gardening; and repetitious tasks involving overhead motions.
The shoulder is the most complex joint in the body and has the largest range of motion. The humerus (upper arm bone) is loosely joined to the scapula (shoulder blade) and held in place by muscles, ligaments and tendons. Broken bones are less common shoulder injuries than injuries of the soft tissue surrounding the bones.
Shoulder problems are most often first treated with RICE (Rest, Ice, Compression, and Elevation):
If the pain persists, the injury may require medical treatments such as cortisone injections or physical therapy. Common shoulder injuries that typically resolve themselves without surgical treatment include separated shoulders, “frozen” shoulders, and tendonitis.
The rotator cuff is group of muscles and tendons that holds the shoulder joint together. Rotator cuff tears are common and some are small enough that they heal on their own with little or no pain. More extensive damage to the rotator cuff, however, can limit the ability to have a full range of motion in the shoulder and may require medical treatment.
Rotator cuffs are most often injured through falls or sports. If you think you have damaged your rotator cuff but the pain is minor, try the home remedies listed above.
You should see and orthopedic surgeon if:
Possible treatments for a severe rotator cuff tear that does not heal with rest and physical therapy include:
Dislocated shoulder is the general term for when the ball of the humerus pops out of the shoulder joint. Depending on the direction of this movement, a more specific term will be used in diagnosis. Anterior dislocation, where the humerus is in front of the joint, is the most common dislocation and happens when the arm is suddenly pulled backwards. Once a shoulder has been dislocated, the ligaments and tendons may become stretched, which will make the shoulder unstable and reoccurrences of dislocation likely.
Common signs of the humerus being dislocated include:
Stabilize and seek medical attention for suspected dislocated shoulders as delays can permanently damage the tendons and ligaments.
After the dislocated shoulder has been set, the pain will quickly stop. A sling may be used to reduce swelling and tenderness. Once the swelling has been reduced, exercises to strengthen and increase movement of the shoulder may be prescribed.
Frequent bouts of dislocation can be treated with arthroscopic surgery to tighten stretched or torn tendons or ligaments. Specialists at the Center for Orthopedics perform minimally invasive arthroscopic shoulder surgery, which requires just small incisions to look inside and repair the shoulder. Patients typically go home the same day and return to full activities in several weeks.
Different from a dislocated shoulder, separation occurs when the collarbone is moved out of position from the shoulder blade. This type of injury happens when a fall tears a ligament, causing the collarbone to move.
A separated shoulder is usually treated with rest and a sling. If it doesn’t heal quickly, or the ligaments have been severely torn, surgery may be necessary. The specialists at Center for Orthopedics perform this surgery through minimally invasive techniques, typically allowing the patient to return to normal activities within two weeks.
The collarbone, or clavicle, is a long bone connecting the arm to the ribcage. A broken collarbone is a common injury in small children and young adults. The most common cause of a broken collarbone is an automobile accident, but it also often occurs through sports accidents. The collarbone usually breaks either in the middle or close to the shoulder. Nerves and blood vessels run under the collarbone, but these are rarely damaged.
Seek immediate medical treatment for a broken collarbone to determine the extent of damage. Typically, the broken bones can be aligned and a sling used for several weeks to aid in healing.
Severely broken collarbones may require surgery to align the broken bones with plates, pins and screws. The orthopedic surgeons at the Center for Orthopedics provide on-call coverage to the Level II trauma center at Littleton Adventist Hospital and are specialists in traumatic orthopedic injuries, including broken collarbones.
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