Orthopedic Surgery Cedarhurst
Orthopedic Surgery Cedarhurst
Orthopedic Surgery CedarhurstOrthopedic Surgery CedarhurstOrthopedic Surgery Cedarhurst

Our Services

Pediatric Injuries and Fractures

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Reverse Total Shoulder Replacement

Reverse total shoulder replacement is a surgical intervention that aims to repair a condition known as rotator cuff tear arthropathy. This is different than total shoulder replacement because it switches the formation of the glenoid-humeral joint. Naturally, the "ball" of the joint exists as the terminal end of the humerus, but after this procedure the glenoid will be changed into a spherical object that the humerus head can articulate around. This allows the deltoid muscle to lift the arm instead of the torn rotator cuff.

Although this is a very effective method for relieving pain at the shoulder joint, it is normally the last option considered. It is still an invasive surgery that resurfaces the bones, which can be very risky, especially in patients most likely to require this surgery. The bones of elderly individuals are continually weakening as they age, so it is important for doctors to take this into account when determining if the surgery is worthwhile. Additionally, the patient may no longer be able to lift their arm more than a 90 degree angle after this procedure.

Rotator Cuff Repair

The rotator cuff is a group of tendons and muscles that support the shoulder joint and allow for complete movement while keeping the ball of the arm bone in the shoulder socket. These tendons and muscles may become torn or otherwise damaged from injury or overuse and can lead to pain, weakness and inflammation. Surgery may be used to treat this often serious condition.

Rotator cuff surgery may be performed laparoscopically or through an open procedure, depending on the type and severity of the condition. Both procedures are performed under general anesthesia and aim to reattach the tendon back to the arm, along with removing any loose fragments from the shoulder area.

Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored. Recovery time depends on the type of surgery, but can take several months. As with any surgery, there are certain risks involved with rotator cuff repair such as infection, pain or stiffness, nerve damage or the need for repeated surgery. These complications are rare and most people receive successful outcomes from this procedure.

Scoliosis Treatment

Scoliosis is a common childhood condition that involves an abnormal curvature of the spine. It may be present at birth or can develop later on, but the cause is unknown. Scoliosis affects about 2 to 4 percent of children between the ages of 10 and 16, and is more common in girls.

Mild cases of scoliosis may not cause any symptoms, but the condition can often be diagnosed through:

  • Uneven shoulders, hips and waist
  • Leaning to one side
  • Prominent shoulder blade
  • Fatigue

The condition can often be diagnosed simply through physical examination during a routine visit. More severe cases can cause back pain and difficulty breathing. Scoliosis can worsen during growth spurts, and is more likely to occur in young girls. The size and location of the curve may also be a risk factor for worsening.

Scoliosis does not usually worsen and can often be treated simply through regular doctor's appointments to monitor the condition. Worsening or severe cases may require treatment that can include a brace or spinal fusion surgery.

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