Total Shoulder Replacement

What is a shoulder replacement?

Shoulder replacements, also known as shoulder arthroplasties, are a common procedure aiming to relieve pain and restore your shoulder joint’s normal range of motion. The shoulder is a ball-and-socket joint. It consists of the glenoid fossa (socket) and humeral head (ball) that fits into the socket. Shoulder replacement surgeries replace these components with ceramic and plastic materials to restore joint functionality. Shoulder replacement encompasses procedures including: total shoulder replacement, hemiarthroplasty (partial shoulder replacement), resurfacing hemiarthroplasty, and reverse total shoulder replacement. Total shoulder replacement will involve replacing the ball and socket with synthetic implants. Partial shoulder replacements will involve only the ball on the humerus (upper arm bone) being replaced. A reverse total shoulder replacement will instead attach the socket onto the humeral head and the ball onto the shoulder bone.  The surgeon will decide on the appropriate treatment based on your age, humeral head and glenoid fossa condition, potential rotator cuff tearing, and overall stability of your shoulder joint.

Who needs a shoulder replacement?

Patients frequently mention pain and stiffness in their shoulder joint. Those requiring a shoulder replacement may experience difficulties reaching for objects especially if they are above their head. They may also experience recurring pain, especially if they sleep on the injured side. Osteoarthritis is one of the driving factors responsible for needing shoulder replacements because of the wear and tear the shoulder joint undergoes. Other complications like osteonecrosis (lack of blood supply) in the shoulder joint, severe fractures, and increasing age are risk factors involved in requiring shoulder replacement. A surgeon may opt for performing reverse total shoulder replacement upon assessing the health of the rotator cuff. This a group of 4 muscles and tendons (supraspinatus, infraspinatus, subscapularis and teres minor). Shoulder joint replacement candidates are those who did not respond positively to non-surgical treatments like cortisone injections and physical therapy.

More about shoulder replacements...

The shoulder joint is incredibly complex and your surgeon will tailor the chosen shoulder replacement approach to your unique factors! Approximately 3% of patients require revision surgery 10 years after the initial surgery. The rehabilitation process requires cooperation from the patient as they make a slow and cautious return to their normal activities.

Life after shoulder replacements...

More information coming soon!