SHOULDER surgery in a nutshell
Shoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough.
Low time preference: Exercise, physical therapy. Have patience to wait until it gets better.
Trauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time.
Instability surgery gives good results in anterior instability.
AC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option.
Fracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly.
#docchain
Nostr Surgeon /
npub1ns…qtdz6
2023-12-21 16:40:38
Author Public Key
npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6Published at
2023-12-21 16:40:38Event JSON
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"content": "SHOULDER surgery in a nutshell\n\nShoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough. \nLow time preference: Exercise, physical therapy. Have patience to wait until it gets better.\nTrauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time. \nInstability surgery gives good results in anterior instability. \nAC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option.\nFracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly.\n#docchain",
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