Surgical Treatments

When surgery is appropriate, each procedure is selected based on the patient’s diagnosis, anatomy, and goals. The focus is on restoring function, reducing pain, and achieving durable long-term outcomes.

Rotator cuff repair is performed to treat tears of the tendons that stabilize and move the shoulder. These tears can cause pain, weakness, and difficulty lifting the arm. During surgery, the torn tendon is carefully reattached to the bone using advanced fixation techniques. This restores the normal mechanics of the shoulder and allows patients to regain strength, motion, and function over time.

Total shoulder replacement is used to treat advanced arthritis of the shoulder joint. The damaged joint surfaces are replaced with a prosthetic ball-and-socket implant designed to replicate the natural anatomy of the shoulder. This procedure is highly effective at relieving pain and improving range of motion in patients with intact rotator cuff function.

Reverse total shoulder replacement is designed for more complex conditions, including rotator cuff deficiency, severe arthritis, fractures, or failed prior surgery. In this procedure, the mechanics of the shoulder are altered so that the deltoid muscle can compensate for a deficient rotator cuff. This allows patients to regain elevation and functional use of the arm, often with significant pain relief.

Biceps tenodesis is used to treat painful disease of the long head of the biceps tendon and superior labral tearing, also known as SLAP tears. Arthroscopy of the shoulder is performed to evaluate the biceps tendon, labrum, and surrounding joint structures. When biceps tendon tearing or SLAP tearing is identified, the biceps tendon is released from its origin and reattached to the upper arm through a separate incision, reducing pain while preserving strength and function.