SHOULDER PAIN BLOG

Osteoporosis and Rotator Cuff Tear

Osteoporosis and loss of bone mineral density (BMD) are well known to increase the risk of fractures, but reduced BMD and osteoporosis also play a role in rotator cuff tears.  This study from the Journal of Bone and Mineral Research (http://onlinelibrary.wiley.com/doi/10.1002/jbmr.5650100817/abstract) concluded: … a rotator cuff rupture results in permanently reduced BMD in the injured […]

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Complex Shoulder Repair: Case Report #1

Many of our patients ask us for a video of their surgery and with this article we are starting a case series approach where the video of a particular patient’s surgery will be posted along with some highlights of the case to hopefully serve an educational purpose. This case report is about a 59 year […]

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Skill Matters: The Surgeon IS The Method

  A landmark study recently published in the New England Journal of Medicine (http://www.nejm.org/doi/pdf/10.1056/NEJMsa1300625)  raises some excellent points and provides patients looking for the best possible outcomes, more evidence that surgeon skill is directly correlated with outcomes.  An excellent article expounding on some of the implications of this study, including an interview with the study […]

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Trust but Verify: Take the Time to Find the Best Doctor for You Personally

Trust Your Doctor? Choosing a doctor to help you navigate the increasingly complex world of health care can be incredibly difficult and unfortunately sometimes hazardous to your health.  We all imagine physicians in general to be like Marcus Welby and deserving of our trust, but are also increasingly faced with the knowledge that there is […]

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Failed Rotator Cuff Surgery

Failed Rotator Cuff Surgery Failed rotator cuff surgery can be a very frustrating and complex issue for both the surgeon and more importantly the patient.  Part of the problem in getting a better handle on the issue is that we don’t have a uniformly accepted set of standards to determine success and failure. For example, […]

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Capsule Tear Can Cause an Unstable Shoulder

There can be many causes for an unstable shoulder as outlined in this recent article: NEW YORK (AP) — New York Mets pitcher Johan Santana has had shoulder surgery for the second time in 31 months. The Mets said the 34-year-old left-hander was operated on Tuesday at the Hospital for Special Surgery. Mets medical director […]

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CONFLICT OF INTEREST: Professional Team Doctors No Guarantee Of Top Medical Care

There is a common misperception among sports fans and the public that the very best physicians are providing the medical care for their favorite sports teams.  An investigative article by the New York Times shed some light on exactly how a medical group “earns” the right to cover a sports team: THEY PAY FOR THE […]

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SPUR ACROMIOPLASTY FOR IMPINGEMENT SYNDROME-GET A SECOND OPINION

When discussing treatment options with your surgeon, if the primary working diagnosis is impingement syndrome or you have been told you have a spur that needs to be removed in your shoulder, we would highly suggest you consider a second opinion before undertaking any invasive treatment.  Impingement syndrome first became a dominant part of the […]

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Hidden and Missed Rotator Cuff Tear: Subscapularis

Hidden and missed shoulder pathology can be one reason for failed shoulder surgery.  The supraspinatus is the most commonly torn portion of the rotator cuff so other parts of the rotator cuff may not receive the required scrutiny.  A recent study found subscapularis tears to be present in 37% of rotator cuff tear cases.  The […]

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GLENOID DYSPLASIA: A Not So Rare Cause of Shoulder Pain

Glenoid Dysplasia refers to an abnormality in the development of the glenoid portion of the scapula (the socket bone of the shoulder joint).  This can range from a mild abnormality in development of the bony glenoid to a very severe abnormality.  As the process is thought to occur at some point during development, the surrounding […]

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