Reverse Shoulder Replacement Surgery
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- เผยแพร่เมื่อ 28 มิ.ย. 2023
- MEDICAL ANIMATION TRANSCRIPT: The shoulder joint is a highly mobile ball-and-socket joint made up of three bones: the humerus, or upper arm, the clavicle, or collar bone, and the scapula, or shoulder blade. The humeral head is the ball-like structure at the top of the humerus. The clavicle runs between the breastbone and the top of the scapula. The scapula is a flat, triangle-shaped bone that forms the back and top of the shoulder. The glenoid cavity, or socket, is a shallow depression in the part of the scapula closest to the arm. The ball of the humeral head fits into this socket. Articular cartilage is a tissue that covers the humeral head and lines the glenoid cavity. It allows the joint to glide smoothly. Four muscles start at the scapula and run toward the shoulder joint. These muscles are attached to the humerus with tendons, which are strong cords of tissue that connect muscles to bone. These tendons form the rotator cuff, which is a capsule that supports the bones of the shoulder joint and holds the humeral head within the glenoid cavity. The rotator cuff gives the shoulder joint stability, keeping the ball and socket in proper position. The rotator cuff also gives the shoulder joint its wide range of motion. Sometimes, the shoulder joint can become severely damaged from disease or injury. For example, arthritis can erode the articular cartilage in the joint, causing pain and less mobility. Injuries to the rotator cuff, such as a tear, can also cause pain and decrease shoulder joint mobility. Over time, a shoulder with a damaged rotator cuff may develop cuff tear arthropathy, a condition where the shoulder joint develops arthritis due to abnormal motion and instability from the tear. Severe disease or injury of the shoulder joint may need to be treated with a joint replacement. A standard shoulder replacement uses manufactured materials to create a new ball for the head of the humerus and a new socket for the scapula. However, when disease or injury of the shoulder joint is complicated by a severely weakened or injured rotator cuff, a reverse shoulder replacement may be necessary. A reverse shoulder replacement allows the deltoid muscle in the arm to take over movement of the shoulder joint from the weak and injured rotator cuff. In this repair, the position of the ball and the socket are reversed. The socket implant is attached to the top of the humerus, where the ball or head used to be. And, the ball implant is attached to the scapula, where the socket used to be. In a reverse total shoulder replacement, the procedure will begin with an incision over the shoulder joint. The surgeon will separate the head of the humerus from the shoulder joint …and remove it. The humerus will be hollowed out in preparation for placement of the socket implant. Next, the inside of the glenoid cavity will be reshaped to prepare it for placement of the ball implant. A metal base will be attached to the scapula with screws. The ball will be screwed onto the metal base. The socket implant is on a metal stem. It will be inserted into the humerus. Finally, the surgeon will put the new joint together by inserting the ball implant into the socket implant. At the end of the procedure, the incision will be closed with stitches.
#ReverseShoulderReplacement #ShoulderSurgery #OrthopedicSurgery
ANH16184
It had been TEN YEARS of intense pain and misdiagnosis of my shoulder issues, -then a two and one-half year wait and several months-long delays due to discovered and now resolved medical issues (irregular heart rate, and apnea,) but I have finally been cleared and ok'd for TRSR next week!! I am so excited to finally get this done! THIS is going to be LIFE-CHANGING!
I had a reverse shoulder replacement 5 weeks ago and these type exercises have been the key to my recovery.
I hope you are filling well. Would you recomend the surgery ? I need both of my shoulders replaced.
My mom is having this done today. Interesting to see.
I fell and fractured the ball of the humerus necessitating this surgery. So little information is given on how the remapped muscles work after this surgery. I had this surgery and my muscles are having such a hard time doing the work. I’m doing the exercises and PT, but this is a huge adjustment.
Just met with surgeon yesterday and having this done asap. I will eventually need my other done and had 2x TKRs in 2022. Starting to feel like the bionic woman hehe.
I had this operation in April 2023. It was the best thing I've ever done. DR. NAIK is my savior. The pain of the operation was nothing compared to the pain I was in.
God blessed this doctor with skills & patience.
Hello Laura! I am slated for this surgery this coming May 2nd for my right shoulder. I had rotator cuff surgery on the same shoulder back in 2013. I have great range of motion, I do have some slight tearing, but the arthritis is effecting my quality of life. I love being active, weight lifting, exercising, kayaking, etc. Can you please tell me how the recovery went, how was the pain level the next day after surgery and going forward please. My Doctor and everyone else in the office says the recovery is not that bad. How are you now? How is your range of motion? Thank you in advance!
@tony2tiger1 Good morning. I'm very blessed because the operation brought me back to totally normal. I follow my doctor's orders regarding physical therapy & was extremely cautious to do only as advised. I have an extremely high pain threshold, so I was truly only a bit uncomfortable. The only thing I couldn't do was lay flat. I purchased a wedge & still use it when I'm uncomfortable. My only advice would be to BECAREFUL! Go easy on the physical activity. God forbid you fall & the shoulder is injured. The ability to repair is almost nil. I pray God will send an angel to watch over you & guide the hands of your surgeon
@@lauracamuso6950 thank you so very much for your reply, and well wishes. Can you send me a link to this wedge? It's a pillow wedge I presume. How many days in the sling? My surgeon "Dr.Gobezie" is telling me just a few days in the sling. I have great range of motion, maybe that's why? But yes, slow and steady.
Good for you. Where did you have it done?
@@lauracamuso6950I need both replaced😢
My dad needs this surgery after sustaining a fall and healing from a broken shoulder. However, the rotator cuff is not healing correctly, so this surgery is needed. Thank you so much for this helpful and simple video. Fingers crossed that his surgery will go well!
I had the reverse shoulder operation in June and am doing quite well. Your Dad will be fine. It’s important to do physiotherapy to get your range of motion! All the best!❤
This is a GRAT video but I wish this would have included how the tendens are reattatched.
Typically they are just moved out of the way, if they’re torn and need repairing then they’ll address them but otherwise they clamp them out of the way of the joint
I'm nine weeks in recovery from reverse shoulder replacement. after fall and bad fractures The video was just as my surgeon had explained
Physio is going well Very little pain Wound healed really quickly
Hello Susan, how are you doing now?? My surgery is now slated for June 13th. How's the strength in your shoulder? Pain?? Thank you.
Just had this done! Great animation. Friends and family really can’t wrap their head around the concept!
How are you doing now ? My reverse surgery is coming up soon. Is the pain bad afterwards ? How about the rehab ?
@@carlacook9487any updates for you ? How are you ?
Awful, 5 months out and still aches. No help what else to do. I am pissed off.
This is very educational, simply explained for someone who doesnt even do medicine. The animations also help a lot. Thanks a lot, keep the good work .
Funny because I’m a doctor and I still see your videos. :)
I had a shoulder operation about 20 years ago which worked very well. It is now very painful and difficult to use, a scan shows that all the tendons are snapped and there is a rotator cup tear. I have tried for about six years to have it repaired.
I also have had two left shoulder operations. The first was done by a trainee surgeon and monitored by an orthopaedic surgeon. I was told the joint just needed cleaning out. The trainee surgeon did a lot of damage. I was left with a shoulder that was very painful and difficult to move. I later found out my shoulder had been damaged and now had a 30mm rotator cuff tear and snapped tendons as well as a snapped bicep tendon. The surgeon who had been training the trainee surgeon refused to examine me after the operation and informed me there was nothing more they could do. I was forced to see a second surgeon. He tried to repair the tendons and rotator cup tear but was unable to repair them which left me with a shoulder I cannot use. It has taken me many years to find a surgeon who will help me. I have been told I need both shoulders replaced. My question is. Can torn tendons be repaired when I have these operations?
Is time to see an attorney
I've always wanted/asked for a cadaver heel tendon to be sewn onto my shoulders.
The Dr only put on a f'n skin graft over my rotator cuff injury.
It didn't work/help.
Oh well, just deal with the misery.
I've been through 5 opps.
@@briankoski2532 I have now had my left shoulder replaced but despite lots of physio, my shoulder is still frozen and difficult to move. I exercise every day but it is as bad now as it was before the operation. My tendons were all snapped and the rotator cuff was unrepairable before my operation.
Just enjoying each and every videos from ur channel❤
Thanks Dr for a very easy to follow information
Has this done on Sept 14. Started PT on the 18th. Amazing how fast you recover.
This is good to know as I had this surgery done on the 24th Nov after a fall on the 18th. On the left shoulder. I play guitar and sing as a way of life and a living. Hopefully I will make enough of a recovery in time to go back to this living but it will take time.Luckily I have small pension which just kicked in on my 65th Birthday on the 31st Oct. I this had happened earlier in my life I would have been toast financially.
Hello, I am having this done on May 2nd. Can you please give me any advice for recovery? How long did you wear the sling. My Doctor is saying I won't have to wear it long.
That will be me in 2 weeks. I need it so badly after being in pain for 5 years.
Please share your experience. I'm having this done May 2nd. Thank you!
Can one get full abilities back with this. Could one do pull-ups, bench press, or be a pitcher or quarter back with this?
Thank you very helpful video ☺
Great animation!
Great presentation.
To get to those aspects of the shoulder joints, how does the surgeon handle the muscles in the way? Detach? Cut? Pull to the side?
There's a device that keep them pulled to the side (a clamp)
@@waelfadlallah8939 figured it was something simple like that. Thanks.
Can I use your video on my channel with translation into my language Urdu if no problem please give permission and tell in reply
Thank you!
Amazing!
Healing time?
Pleased upload pathophysiology of ca lung
❤❤❤😊😊😊 thank you ..🇵🇭🇵🇭
Is this successful surgery
In December 2023 I fell and Fractured (well shattered really) my left Proximal Humerus. In 2019 I had surgery on that same shoulder to repair a large rotator cuff tear. I have played the violin since I was 10, I'm now 62. Since the fracture 7 months ago I have not been able to play. I just had a CT scan of that shoulder and I may have to have the Shoulder Replacement Surgery. My PT seems to think I need it. After my surgeon reviews the CT scan I'll know more. My question is, will I be able to get the rotation that I need in order to play the violin again after having this surgery? I'm still a very active violinist (well, I was before the fracture) .
I was in a similar bind regarding musical instruments anf my left humerus being broken in a fall on very hard ground. A reverse shoulder replacement has been done in order to give me the best chance to recover sufficient flexibility and strength to play guitar again. I am right handed but the guitar demands almost equal dexterity in the left hand and arm when forming chords and scales to be picked out by the dominant right hand.
Because I made clear my desire to continue playing guitar to my consultant the decision was made immediately replace the broken joint.
@@jgdooley2003 had it helped you? My surgeon decided against it for me. Instead she referred me to a PT and OT that specializes in musicians and they've been able to make some changes in my setup that helps. It's not perfect but we're hoping with time it'll get better.
I need this but the surgeon says I can lift more than 10lb above the head after.
I've had the reverse replacement I dont know what happened but I think its come undone , if anyone who knows how it could happen please respond .
as a regular nondoctor human being this is absolutely mind blowing.
I can feel the pain
The inability to get a full 8 hour nights sleep at the moment is a right royal pain. This condition will take months to recover. I am on solpadeine, 1 gram 4 times daily, the max allowed and also ice packs 4 times daily to keep the swelling down and pain reduced. The tricky aspect is to avoid tensing of the neck anf fore-arm muscles as the body subconsciously tenses neighbouring muscle groups to minimise expected pain.
@@jgdooley2003
Lucky dude, I only sleep about 15 minutes to 4 hours per day.
Oh well. Time to go shovel snow... Happy New Year. Enjoy!
Damn
😮😮❤❤🙏👍🏻
डॉ कटर चा नंबर पाठवून द्या
I need 2 now fell [ut of bed
for me god is the doctor not a man up in the sky
God is everything except bad
Yep, Godzilla read that, and died of stroke...
Someone sensible, finally.
What a sad commentary on reality. Doctors aren't perfect, all knowing, all loving. Only God is.
@@jttierney1 Wrong. Your god is as human as its creators. Tyrannical, hypocritical, insatiable, stubborn, and just as stupid as we are.
Doctors do far more work to cure ailments or at least help them than whatever stupid prayers people hope will do.
Can I use your video on my channel with translation into my language Urdu if no problem please give permission and tell in reply