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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain Post Unsuccessful Hemiarthroplasy?

I had a hemiarthroplasy of the left arm in 2008 which has not been successful as the rota cuff was damaged beyond repair, now I am experiencing pain in the shoulder plus pins and needles I my hand and I m beginning to lose some of the strength and use in my hand. I don t know what to do
Fri, 16 May 2014
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Orthopaedic Surgeon,  's  Response
Hello,

Thanks for writing to us,

You can improve range of motion and strength through physiotherapy.

If the patient has a torn rotator cuff and shoulder arthritis, they may be candidates for a reverse shoulder replacement. The incision will be the same as the regular shoulder replacement. The major difference between the two types of shoulder replacement is location of the new metal round head. In a total shoulder the artificial round head is positioned on the top of the humerus. In a reverse shoulder replacement the artificial round head is positioned on the side of the glenoid.

As in patient with torn rotator cuff abduction of arm results in impingement of globular head hence globular head is positioned on glenoid on scapula.


Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Suggest Treatment For Severe Shoulder Pain Post Unsuccessful Hemiarthroplasy?

Hello, Thanks for writing to us, You can improve range of motion and strength through physiotherapy. If the patient has a torn rotator cuff and shoulder arthritis, they may be candidates for a reverse shoulder replacement. The incision will be the same as the regular shoulder replacement. The major difference between the two types of shoulder replacement is location of the new metal round head. In a total shoulder the artificial round head is positioned on the top of the humerus. In a reverse shoulder replacement the artificial round head is positioned on the side of the glenoid. As in patient with torn rotator cuff abduction of arm results in impingement of globular head hence globular head is positioned on glenoid on scapula. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care