Our shoulders are the most movable joints in the body. They give our arms great range of motion. They allow us to lift and control heavy loads. Shoulder pain is a problem many of us feel at some time in our lives. Let's learn about shoulder pain, and what you can do about it.
Tendons are strong bands of tissue that connect muscle to bone. With this injury, one of the tendons anchoring your biceps muscle is torn. It may be torn partially or completely. Because the biceps is attached with two separate tendons, you may find that you can still use your biceps muscle even if one tendon is completely torn.
This is a swelling of a fluid-filled sac called the "subacromial bursa." It's in the shoulder, between a bony protrusion called the "acromion" and the rotator cuff. You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissue. Normally they have a small amount of fluid inside them. But sometimes they can swell. We call that "bursitis."
This is a shoulder injury. It's a break of the bony bump on the outer side of the humerus. That's the bone of your upper arm. The greater tuberosity is the place where three muscles of the rotator cuff attach. So a fracture here hurts your shoulder's stability and movement.
Frozen shoulder is a painful condition that usually results in decreased range of motion of the shoulder joint. It may develop gradually or suddenly and severely. This video offers information on how frozen shoulder occurs, who's at risk, and what treatments are available.
This procedure uses a small, metal, cap-like implant to cover damaged or missing articular cartilage in the shoulder joint. Articular cartilage covers the joint surfaces of bones, allowing them to glide smoothly against each other. In the shoulder, arthritis or an injury may result in loss or damage of the cartilage on the round humeral head, causing pain and limited motion. Resurfacing this damaged area can help relieve pain and improve motion.
During this procedure, a mixture of anesthesia and anti-inflammatory medication is injected into the space between the head of the humerus and the glenoid. This injection can be used to treat a variety of painful conditions, including osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The physician may choose an injection site on the front, side or rear of the shoulder.
Some of the muscles in your shoulder have opposing roles. When you move your arm, certain muscles contract while their opposing muscles relax. But when a muscle becomes much stronger than its opposing muscle, your shoulder can become unstable. You may have trouble moving it normally. We call this a "muscle imbalance."
Having shoulder pain or problems lifting your arms over your head? You may have tendonitis or a tear in the muscles and tendons that hold your shoulder in place, called the rotator cuff. This video explains symptoms of this syndrome, possible treatments, and ways you can prevent shoulder injuries.
Shoulder replacement surgery removes diseased or damaged bone in the shoulder and replaces it with an artificial joint. If your arthritis pain can't be eased by other methods, you may need replacement surgery. Learn how the shoulder works and what to expect in replacement surgery.
This is a looseness of the shoulder joint. With it, your arm slides around too much in the socket. It may slip out of the socket easily. Instability can happen because the ligaments that hold your shoulder together aren't tight enough. Or, the cartilage around your shoulder socket may be damaged.
This is an injury of the acromioclavicular joint (commonly called the "AC" joint). This is the joint where the clavicle meets the scapula. A shoulder separation is a stretching or a tearing of the ligaments that support these bones. This allows the bones to move out of position.
This surgery treats subacromial impingement. That's a pain you feel when you raise your arm. It happens when tendons in your shoulder press and rub against a part of your shoulder blade called the "acromion." This surgery is commonly done with the help of a special camera called an "arthroscope."
This non-operative, outpatient procedure is designed to provide relief for patients with pain in the shoulder from conditions such as osteoarthritis, rheumatoid arthritis and adhesive capsulitis. The technique allows the physician to inject an inflammation-reducing steroid with maximum accuracy.
To treat a frozen shoulder, stretches are tried first. If stretches alone don't help, your healthcare provider may suggest adding other treatments. Keep in mind that no treatment replaces shoulder stretches. After any of these treatments, you'll need to start your exercises again as your healthcare provider advises.
Surgery can help free up space in your shoulder joint. This relieves symptoms of impingement. Prepare for surgery as instructed. If you don't, your surgery may have to be rescheduled. Your healthcare provider will give you instructions for recovering at home. If you have any questions, be sure to get them answered.
The shoulder joint is enclosed by a sheet of ligaments and other tough fibers called the capsule. During a shoulder dislocation, fibers in the capsule can pull on the labrum and cause it to tear. A Bankart lesion is the name for a tear that happens in the lower rim of the tough, flexible tissue (labrum) of the shoulder.
You had a shoulder arthroscopy. It is a surgical procedure that helps the healthcare provider diagnose and treat shoulder problems. These include instability, arthritis, and rotator cuff problems. Below are instructions to help you care for your shoulder when you are at home.
This condition, also called "ulnar nerve entrapment," happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It's the nerve that makes the jolt you feel when you bump your "funny bone." With this condition, your ulnar nerve is compressed, stretched or irritated.
This is a swelling of a fluid-filled sac in the back of your elbow. This sac is called the "olecranon bursa." You have similar sacs near other large joints throughout your body. They act as cushions between your bones and your soft tissues. Normally they have a small amount of fluid inside them. But sometimes they can swell. That is called "bursitis."
This is an injury of a growth plate on the elbow's inner side. Growth plates are places where new bone tissue forms. They are found near the ends of the long bones of growing children. But growth plates are weaker than the surrounding bone. That makes them easier to injure.
This is a disorder that most often affects young athletes. It happens when part of a bone in the elbow loses its blood supply. It weakens, and so does the cartilage that covers it. Bone and cartilage may break off and drift around in the elbow. That can cause the joint to catch and lock up.
If you are an athlete, or if you work with your arms and hands, your elbows may be at risk for an overuse injury. This is an injury caused by repetitive motions. This type of injury can be a problem for people who play sports such as tennis or baseball. Children also have a higher risk, because their bones are still growing.
Throwing overhand again and again puts a lot of stress on your elbow. It can lead to injury. Young athletes, in particular, are at risk. Some play sports all year without learning how to throw properly. And, their bones are still growing. Let's look at how the elbow can be damaged.
Like other joints, the elbow is held together by strong bands of tissue called "ligaments." On the elbow's inner side is the ulnar collateral ligament complex. We call it the "UCL." It's made of three bands that connect the humerus (the upper arm bone) to the lower arm's ulna. The UCL is the elbow ligament most often injured by baseball pitchers and by other athletes who play throwing sports.
This condition is a break of the radius bone at the wrist. The radius is the larger of the two bones that connect the wrist to the elbow. The other bone is called the ulna. The radius supports the majority of forces at the wrist joint with its large joint surface. A fracture of the distal end of the radius - the end nearest the wrist -is one of the most common types of fractures. It may be part of a complex injury that involves other tissues, nerves and bones of the wrist.
This surgery is performed to relieve pressure on the median nerve, alleviating numbness and tingling in the fingers. The endoscopic carpal tunnel technique is performed on an outpatient basis. The endoscopic approach creates less pain and scarring than traditional open surgery, allowing for a quicker recovery.
A ganglion cyst is a fluid-filled sac that forms as a herniation from a joint capsule or tendon sheath. The sac is attached to the joint or tendon sheath by a "stalk" that allows fluid to move into the pouch from the joint or sheath. The stalk functions as a valve and often limits fluid drainage out of the cyst, allowing the cyst to increase - but not decrease - in size. In some cases the stalk functions as a two-way valve, allowing fluid to travel in both directions. This can enable the cyst to increase and decrease in size based on activities.
A scaphoid fracture, one of the most common types of wrist fractures, is a break in the scaphoid bone. The scaphoid, one of the most important bones in the wrist, has a limited blood supply. An improperly treated scaphoid fracture can result in significant wrist pain, arthritis, and loss of motion.
This minimally invasive outpatient procedure allows the surgeon to evaluate and treat injuries and disorders of the ligaments, cartilage, and bones of the wrist. The surgeon uses a small camera, called an arthroscope, and tiny instruments which are inserted through small incisions in the wrist.
Your wrist is a complex joint made up of many bones, allowing you to move your hand up and down, and side to side, as well as to rotate. A fracture can occur in any of these bones when enough force is applied—when you fall on an outstretched hand, for example. In this video, you'll find out other causes, as well as how a wrist fracture is treated.
Your hand is a complex and unique part of your body, composed of delicate tissues and an intricate network of bones, muscles, vessels, and nerves. The ability to generate great force for activities like rock climbing while also providing the fine dexterity to play a musical instrument make the hand an amazing balance of power and finesse. Hand problems can affect anyone young or old, and can significantly impact a patient's function and quality of life. Hand surgeons are physicians who specialize in the treatment of these problems.
This procedure, performed under regional or local anesthesia, replaces a diseased or damaged finger joint with an implant made of silicone rubber or hard metal, ceramic or pyrocarbon. This technique can be used to replace the middle joint of the finger (called the PIP joint) or the joint at the base of the finger (called the MCP joint).
A boxer's fracture is a break of the metacarpal of the little finger. The metacarpals are the long bones in the hand that connect the fingers to the wrist. A boxer's fracture refers to a break at the end of the bone nearest the knuckle, which is called the metacarpal neck.
This condition is a thickening of the fascia on the palm of the hand. The fascia is a connective tissue located just beneath the skin of the palm and fingers. This thickened fascia can form lumps or nodules under the skin, or long thick cords of tissue that extend from the palm to the fingers. Often, this thickened tissue contracts. This causes one or more fingers to curl toward the palm. This is called a flexion contracture.
The purpose of this procedure is to drain the pus and relieve the pressure and pain that results from an abscess in the pad of the fingertip, called a felon. Although commonly performed on an outpatient basis, severe infections may require hospitalization and antibiotics.
If you've fractured a finger, you've broken one or more of the finger bones we call "phalanges." Each individual bone is called a "phalanx." You've got three in each finger, and two in each thumb. They are supported by a network of soft tissues that can also be damaged during a fracture.
This outpatient procedure is used to resolve the pain of a severely arthritic joint of the finger by permanently stopping finger movement. This is most commonly used for the joint nearest the fingertip, called the DIP joint, although any joint in the finger can be fused.
Our fingers are often in harm's way, and our fingertips are prone to injury. A fingertip injury can involve skin, soft tissue, nerves and bone. It can involve the nail and the nailbed. These injuries can be serious, painful, and slow to heal. If you've injured your fingertip, you can take a few simple steps to minimize problems.
The flexor tendons of the hand are responsible for flexion of the fingers and thumb toward the palm. These long structures are connected to the flexor muscles in the forearm. An injury to one of these tendons can cause pain and inability to flex the finger or thumb and grasp with the hand. Common flexor tendon injuries include lacerations, ruptures and inflammation.
This surgical procedure is performed to treat fingers that have become flexed because of Dupuytren's contracture. In this procedure, the thickened and contracted part of the fascia - the layer of tissue just beneath the skin - is removed. There are many variations of this surgery based on the severity of the condition.
Raynaud's phenomenon is an exaggerated form of vasoconstriction - the body's natural response to cold and stress. It results from a spasm of the small arteries that supply blood to the fingers. This spasm temporarily decreases blood flow, resulting in cold, painful, and discolored fingers.
This condition is a degenerative or traumatic tear of one or more parts of the triangular fibrocartilage complex (TFCC), which stabilizes the ulna. The TFCC is composed of a group of ligaments that form connections between the radius, ulna and the carpal bones of the hand. At the center of these ligaments lies the most commonly injured structure, the triangular fibrocartilage disc, which is connected between the radius and the base of the ulnar styloid.
During this minimally-invasive procedure, the surgeon opens a narrowed tendon pulley at the base of a finger or thumb affected by trigger digit. Opening the pulley prevents the nodule from catching, allowing the the affected digit to flex and extend normally with no triggering or pain.
This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.
This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.
This condition is a stretching or tearing of the volar plate, which can allow the finger to hyperextend and can interfere with normal hand function. The volar plate is a strong ligamentous structure on the underside of the finger at the point where the proximal and middle phalanx bones meet, called the proximal interphalangeal joint (or PIP joint). The volar plate keeps the finger from bending backwards at the PIP joint, and, together with the collateral ligaments, stabilizes the PIP joint from displacement.