Shoulder Impingement syndrome

Shoulder impingement syndrome also known as swimmer's shoulder is a common cause for shoulder pain. It occurs when there is an impingement of the tendons of the rotator cuff as they pass through the shoulder joint.

Causes and Risk factors of Impingement Syndrome

• Overhead use of the shoulder joint may cause impingement syndrome. The following are some of causes and risk factors of Impingement syndrome:
• Partial tear of a rotator cuff tendon
• Repeated activity using shoulder like tennis, swimming and other overhead sports
• Joint Abnormality

Symptoms of Impingement Syndrome

• The common symptoms of Impingement syndrome includes:
• Weakness of the shoulder muscles
• Pain in the shoulder that extends from the top of the shoulder to the elbow
• Pain when lying on sore shoulder
• Pain while using arm
• Difficulty in reaching up behind the back
• Muscle pain or weakness when lifting or attempting to reach
• Sharp pain when trying to reach the back pocket
• Diagnosis and Treatment of Impingement Syndrome

Impingement Syndrome can be diagnosed by an ultrasound scan which helps to visualize the dynamic impingement and detect associated injuries. An ultrasound can visualize what is happening as the shoulder moves through the impingement zone.
Usually, the doctor may suggest a non surgical treatment such as anti inflammatory drugs or cortisone injections while starting the treatment for Impingement syndrome. If the patient have problem after trying non surgical treatments, the doctor may suggest a surgery. The following are the surgical methods for treating Impingement syndrome:

• Acromioplasty: Surgery to increase the space between the acromion and the rotator cuff.

• Resection Arthroplasty: In this procedure if there is a arthritic AC joint, the end of the clavicle will be removed

• Arthroscopic Procedure: In this procedure the surgeon look in to the joint using an arthroscope and treat the problems inside the joints

Dr Bharani Kumar Dayanandam is a one of the best and experienced orthopedic surgeon in Chennai, In his health care institute Knee and Shoulder India he provides advanced and latest correction surgeries for Impingement syndrome at cost affective rates.

Revision Knee Arthroplasty

Advancements in science and technology has increased the lifespan of artificial implants. Still, some of these artificial implants wear away, making the need for a second surgery. Revision knee arthroplasty is the process of performing a second knee replacement surgery by replacing failed prosthesis with new implants. Revision knee arthroplasty requires proper planning, sophisticated implants, new surgical techniques and therefore is time consuming.

Need for revision knee arthroplasty

• Loosening of joint
• Infection in joint
•  Instability of implants
• Damage to implants
• Fracture of bone around joint

Types of revision implants
Cemented prosthesis and uncemented prosthesis are the two types of revision implants. Cemented prosthesis uses epoxy cement to attach the metal to the bone and uncemented prosthesis uses a mesh of holes which makes the bone grow into the mesh. In some cases both procedures are used based on the condition of the joint.

Surgical procedure of Knee Arthroplasty
Revision knee arthroplasty is a difficult procedure due to the bone loss around primary prosthesis. In order to overcome this problem the surgeon uses bone graft around artificial joint. After placing bone and other materials, new prosthesis is implanted. New artificial joints are only placed after making sure that the joint is infection free.
Like any other surgery, revision knee arthroplasty has also some complications like implant loosening, infection, wound complications, anesthesia complications etc.

After surgery
Special stocking and well padded dressings are provided to prevent blood clotting. Physical therapies are mandatory to improve the mobility of knees. Routine check ups are necessary to monitor the progress of recovery and to prevent further complications.

Knee and Shoulder India provides a complete solution for all your orthopedic issues with help of best joint replacement surgeon in India.

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