The shoulder is a ball-and-socket type of joint and is anatomically referred to as the gleno-humeral joint, describing the two bony structures involved. The socket is the glenoid cavity, a cup-shaped piece of bone that juts out from a corner of the shoulder blade (scapula). The rim of theglenoid is formed by cartilage called the labrum. The ball that fits into the socket is the head (upper part) of the humerus (arm bone).
Often an initial forceful movement of the labrum attached to the biceps tendon to be torn away from the bone (glenoid). This may be associated with a Dislocation of the joint, but commonly occurs in sportsmen with a pull on the arm, weightlifting, throwing injury or tackle. If the initial condition does not heal properly, pain will result and worsen over time.
The typical symptoms are pain at the top of the shoulder, clicking and pain with overhead activities. These may be confused with AC Joint problems , but athletes with SLAP tears have pain with eccentric biceps loading (such as going down in a bench press). AC Joint pain is usually felt when pressing out at the end of a shoulder or bench press.
Risk Factors: Overhead and contact sports pose a greater risk of labral tears (SLAP lesions).
Types of SLAP Tears – Depending on the type and severity of injury, the labrum will tear in different ways and degrees. These are classified as a guide to treatment.
Painkillers and anti-inflammatories – help control the pain
Surgery is recommended if an athlete wants to continue their sports and training – SLAP lesions are repaired by keyhole surgery (arthroscopically) through 2 or 3 small incisions. Some SLAP lesions can be simply debrided and cleaned, whilst most need repairing depending on the severity of the lesion. The associated lesions are also treated such as labrum and ligament lesions with Instability.
Strong shoulder muscles remain the best defence against shoulder injuries. Exercises that build up these muscles around the shoulder should be done. Adequate warm-up before activity and avoidance of high-contact sports will help prevent of an instability-causing injury.
There are many things which will happen to the AC joint, but the foremost common conditions are arthritis, fractures and separations. Arthritis may be a condition characterized by loss of cartilage in the joint, which is actually wear and tear of the smooth cartilage that allows the bones to move smoothly.
When the cartilage is gone from the joint, there is no way to replace it. As a result, one way to treat arthritis is to modify your activities so as to not aggravate the condition. This does not mean giving up activities entirely but it may mean doing certain ones less often or with less intensity. For example, weight lifters may bench press only three quarters of the way down instead of doing a full bench press — or to exercise their pectoralis muscle (muscle made stronger by bench press), they may do a lift called a butterfly, which does not seem to irritate the joint as much as bench press.
Most patients get excellent pain relief with this operation, and nearly 95 percent return to their preinjury level of activity and sports. There are few complications and most patients are very satisfied with the result. There is always a possibility of infection but it is rare. Occasionally a patient may have some fatigue or pain with extreme lifting or with exercises if the shoulder is not in shape. However, most patients are very satisfied with the surgery and can be more active than before surgery.
Acromioclavicular joint injuries account for more than forty percent of all shoulder injuries. Mild injuries are not associated with any significant morbidity, but severe injuries can lead to significant loss of strength and function of the shoulder.
Joint replacement surgery, also known as replacement arthroplasty, is a surgical procedure for your joint where a dysfunctional or decayed joint is replace with an artificial joint made of metals or plastic. At Dr. Chakri’s Clinic, a joint replacement surgery is suggested only when the health issue is really big and cannot be cured with medicines and physiotherapy alone.
Going for any surgery is a matter of strength and courage. Going for a surgery that would replace your human parts for artificial parts is a very big decision. At Dr. Chakri’s Clinic, we make sure that you explore all your options before making this decision. We suggest that you take a joint replacement surgery if you have extreme difficulty in movement or unbearable pain in a particular joint. Dr. Chakradhar can check for any future potential damage that your current issue might pose. This might also require you to take an artificial joint.
You will require a joint replacement surgery for one of the two reasons – one, your joint is diseased; two, you have injured or broken your joint or a part of it. Dr. Chakradhar will assess you condition and let you know if a surgery will be required. Chiefly, he aims at giving you better mobility and reduced pain through a joint replacement surgery. He is also watchful of the cosmetic outcome.
Joint replacement surgery is a very complex and delicate procedure. Only a professional orthopaedic surgeon can perform such a surgery. At Dr. Chakri’s Clinic, Dr. Chakradhar takes care of the complicated surgeries. Having taken his qualifying exams from the best Universities from India and Europe and with an experience of 14 years, he is the Best Orthopaedic Surgeon in Hyderabad and beyond. To a surgeon like him, joint replacement surgeries – from knuckles to knees – are parts of his daily routine.
Knee and hip are the joints which suffer most damage since they carry most of the body weight. Hence, Knee Joint Replacement and Hip Joint Replacement surgeries are most commonly done at Dr. Chakri’s Clinic. These are followed by Shoulder Joint Replacement in Hyderabad. However, smaller joints like elbows, ankles, wrists and even knuckles can be replaced. With the right doctor and the right medical equipment, nothing is impossible.
Based on the extent of the damage, a joint replacement surgery can be of two types – total and partial. As the names suggest, in a total joint replacement, the entire joint is replaced and a partial joint replacement is performed when only a portion of the joint in damaged which the other portion is healthy and not in any risk of degeneration.
Another type, called revision surgery is performed if the first surgery fails or proves to be inefficient or wears off. It is a slightly more complex procedure.At Dr. Chakri’s Clinic, all the types of replacement surgeries are performed by our expert surgeon Dr. Chakradhar Reddy.
All surgeries involve certain degree of risks. Dr. Chakradhar is very cautious about the basic potential risks of bleeding, infection etc. He not only is careful with the surgery, he will also give you detailed suggestion on post-operative care so that you don’t develop complications later on. However, any good doctor will like you to be informed of your potential health risks and Dr. Chakradhar is no exception. Even though when a surgery is done after proper testing, since the implant is an artificial object, your body might reject the artificial joint and lead to a failure of the replacement surgery.
Dr. Chakradhar also insists that you take your medicines regularly and attend to physiotherapy seriously to avoid the chances of blood clotting.Dr Chakri’s Clinic is stocked with the most-updated medical tools and surgical equipment. Minimally invasive surgical techniques and computer assisted surgeries have raised the rate of success of joint replacement surgeries tremendously. You can now forget any form of disability – with joint replacement surgery, you will heal faster and move better.
Opening Hours at Dr. Chakri's Orthopedic Clinic
Contenental Hospital Timings
Monday to Saturday: 10am-4pm