"Almost 1 in 3 of us will experience problems with our shoulders"

Shoulder Conditions

Symptoms arising from the shoulder are very common. Almost 1 in 3 of us will experience problems with the shoulder at any given time. Pain and stiffness are the most frequent symptoms people experience. Pain may be in the joint itself or radiate down the arm to the elbow. Certain movements of the arm may exacerbate the pain, such as using the hand stretched away from the body or reaching for something overhead. In severe cases, sleep may be disturbed, as it can be difficult to lie on the affected side. Stiffness often accompanies pain, frequently during rotational movements when the arm is held away from the body. Injury or degenerative changes in the joint and the surrounding muscles, tendons and ligaments are usually responsible for such symptoms.

A feeling of instability can also arise in the shoulder, often after an injury such as a dislocation, which may have damaged the fibrocartilage that supports the joint.

Total Shoulder Replacement

This procedure involves replacing the head of the humerus and the glenoid (socket). If the cartilage from the humeral head is worn but the shape is largely maintained, then a humeral head resurfacing may be most suitable. This is where the remaining worn cartilage is removed and then a metal alloy cap is placed on the humeral head. This may be done in isolation (resurfacing hemi-arthroplasty), or combined with glenoid (socket) replacement (total shoulder resurfacing).

Other types of shoulder replacement that I offer include:  

Humeral head replacement

Stemmed humeral head replacement

Reverse Geometry Shoulder Replacement

In situations when the muscles around the shoulder joint (the "rotator cuff") are either weakened or the tendons are torn from the bone, a traditional shoulder replacement will not work. In this instance, a different type of implant is required which uses muscle fibres from the front of the shoulder, to allow the arm to be lifted up. This is known as reverse geometry shoulder replacement.

In recent years, new techniques have been developed to allow preservation and/or augmentation of the remaining tendons in the rotator cuff to allow more rotational movement when the arm is elevated. I adopt these techniques wherever possible.

© Mr Daniel Neen, Neen Medical Services Ltd