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St. Vincent Medical Center



For physician referral, call (866) 478-8462. For general information, call (213) 484-7111.

To reach a patient, call (213) 484-7111. If you know their room number, call (213) 484-[7 + room number]. Patients can receive calls daily from 7:00 AM to 11:00 PM.


For physician referral, call (866) 478-8462. For general information, call (213) 484-7111.

To reach a patient, call (213) 484-7111. If you know their room number, call (213) 484-[7 + room number]. Patients can receive calls daily from 7:00 AM to 11:00 PM.

 

 St. Vincent Medical Center

Shoulder Joint Replacement

The shoulder is the joint with the largest range of motion in the human body. It is subject to a wide variety of pathologies, because its stabillity is essentially maintained by a complex matrix of ligaments, muscles, and tendons. Shoulder pain can often be treated with a conservative approach unless the cartilage of the joint between the humerus (the upper arm bone) and the scapula (the shoulder blade) is completely worn, in which case a total shoulder replacement is needed.

Non-Operative Treaments

Shoulder pain can have a number of origins. Our surgeons are committed to a conservative approach to treatment and usually explore non-invasive treatment options as a first step. Non-operative treatment options include:

  • Modification of patient activity
  • Physical therapy
  • Oral medications
  • Local injection

Arthroscopy

Arthroscopy is a procedure which utilizes a tiny camera to look inside the shoulder joint. This allows the surgeon to evaluate and treat certain shoulder conditions such as small rotator cuff tears, or to repair or shave any loose bodies that may be floating in the joint. For example, Impingement Syndrome (bursitis) can be treated with arthroscopic removal of bone spurs. Patients having shoulder arthroscopic surgery usually go home the same day, while the length of recovery depends on the specific type of shoulder arthroscopic surgery performed.

Surgeons performing Shoulder Arthroscopy at the Joint Replacement Institute:

  • Dr. Goring
  • Dr.McPherson
  • Dr. Mynatt
  • Dr. Samson
  • Dr. Wassef

Total Shoulder Replacement

Total Shoulder Replacement (also called Total Shoulder Arthroplasty) is the surgical replacement of damaged surfaces of the shoulder joint with a highly polished metal ball attached to a stem and a plastic socket. The goal is to relieve shoulder pain and restore the best possible function to the shoulder joint. The time for recovery after Total Shoulder Replacement is dependent upon the amount of damage to the muscles and tissues of the joint prior to surgery.

Reverse shoulder replacement is a special type of shoulder replacement for people with especially severe shoulder arthritis, very large rotator cuff tears or certain severe shoulder fractures.

Surgeons performing Total Shoulder Replacement at the Joint Replacement Institute:

  • Dr. McPherson
  • Dr. Mynatt
  • Dr. Wassef

Subacromial Decompression

Subacromial decompression surgery is used to treat shoulder impingement syndrome, a condition in which the rotator cuff tendon is being pinched between the humeral head and the acromion. This surgical intervention is usually recommended after conservative treatments have failed. Most subacromial decompressions can be performed arthroscopically. Scar tissue and bone spurs are removed and the inferior surface of the acromion cleaned off as well as the distal end of the clavicle if needed.

Surgeons performing Subacromial Decompression at the Joint Replacement Institute:

  • Dr. Goring
  • Dr. McPherson
  • Dr. Samson
  • Dr. Wassef

Rotator Cuff Repair

The rotator cuff is a group of muscles and tendons that hold the arm in its “ball and socket” joint and help the shoulder to rotate and move. The tendons can be torn from overuse or injury.

Rotator cuff repair is a type of surgery to repair a torn tendon in the shoulder. The procedure can be performed as open surgery or through arthroscopy, which uses smaller incisions.

Surgeons performing Rotator cuff repair at the Joint Replacement Institute:

  • Dr. Goring
  • Dr. McPherson
  • Dr. Mynatt
  • Dr. Samson
  • Dr. Wassef

SLAP Repair

The term SLAP stands for Superior Labrum Anterior and Posterior. In a SLAP injury, the top (superior) part of the labrum (the ring of cartilage that surrounds the socket of the shoulder joint) is injured. This top area is also where the biceps tendon attaches to the labrum. A SLAP tear occurs both in front (anterior) and back (posterior) of this attachment point. The biceps tendon can also be involved in this injury.

Surgery may be recommended if pain does not improve with nonsurgical methods. The surgical technique most commonly used for repairing a SLAP injury is arthroscopy.

Surgeons performing SLAP repair at the Joint Replacement Institute:

  • Dr. Samson

Shoulder Debridement

Shoulder debridement consists of the removal of debris and damaged tissue in the shoulder joint. This procedure is performed arthroscopically. Your doctor may recommend this procedure if you have damaged tissue in your shoulder joint, and conservative treatments are having no effect.

Surgeons performing Shoulder Debridement at the Joint Replacement Institute:

  • Dr. Samson
  • Dr. Wassef

Fracture Repair

A fractured bone will typically repair itself if the broken extremities of the bone are close enough and maintained immobilized. However, a surgical intervention will often facilitate a fast and complete recovery, depending on the location of the fracture and the degree of displacement between the two (or more) broken parts of the bone.

Bone fracture repair is a surgery usually involving metal screws, pins, rods, or plates to hold the bone in place. It is also known as Open Reduction and Internal Fixation (ORIF) surgery.

Joint Replacement Institute surgeons performing Fracture Repair around the Shoulder joint:

  • Dr. Wassef

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