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Sai Institute Sports medicine and Arthroscopic surgery
 
 
 Shoulder joint anatomy
Shoulder arthroscopy
Stiff Shoulder(Adhesive      capsulitis)
 Shoulder Impingement
 Rotator Cuff Tear
 Shoulder Dislocation/
     Shoulder Instability
 SLAP tear
 Shoulder Arthritis
 Acromio-clavicular joint      arthritis
 
   
 
Shoulder Arthritis  
   
  Arthritis implies inflammation of a joint, but in common usage usually means wearing out of that joint - either the joint surfaces (cartilage) or the muscles and capsule of that joint have degenerated.
 
 
Symptoms
   
  Grating with joint movement as the joint surfaces are irregular.

Night pain due to the accompanying inflammation - a reaction to the wear and tear particles within      the joint over a life time.

Movement restriction as the capsule has shrunk and the joint is too painful to move because of      above.
 
 
Investigations
   
  X-rays show the changes in the bone structures and the "joint" space between the bones.

CT.Scan: may show the 3 dimensional structure of the bones and the state of the muscles - whether      replaced by fat or good contracting muscle which will work to move the joint after a joint      replacement.

MRI: also to show the state of the muscles to predict the eventual functional recovery after a shoulder joint      replacement.
   
 
Treatments
Conservative
Anti inflammatory tablets

Physiotherapy: to reduce inflammation, maintain movement and muscle status.

Cortisone (or hydrocortisone or steroid) injections into the joint may help to settle a flare up of the      arthritis.
 
 
 
Operative - minimally invasive
   
  This procedure is done with the arthroscope to remove any loose bodies, any cartilage flaps,inflamed synovium (joint lining). Noxious enzymes or wear particles can be washed out of the joint. Postoperatively the patients are encouraged to undergo a rehabilitation programme.
 
 
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Andhra Pradesh, INDIA. Phone : +91 - 40 - 2330 2996, 6646 2996. Fax : +91 - 40 - 2331 0696
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