In a shoulder replacement, the damaged bone is removed and replaced with plastic and metal components (implants). The name of this procedure is also called shoulder arthroplasty.
Patients with joint problems have the option of having shoulder replacement surgery. Osteoarthritis, rotator cuff tear arthropathy, avascular necrosis, rheumatoid arthritis, or (rarely) serious fractures from trauma or falls are the common reasons why it’s done. In general, all alternative treatment options—like physical therapy and medications—are taken into account first.
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The link between the chest and arm is formed at the shoulder. The clavicle serves as a strut holding the shoulder bone together (scapula). Approximately 70% of shoulder motion is a result of the scapula articulating with the humerus (the remaining motion occurs between the scapula and the thorax). Three bones make up your shoulder: the collarbone, the scapula, and the humerus, which is the upper arm bone (clavicle).
A stable gliding surface over bursal structures, the motion between the shoulder blade and scapula is not prone to dislocation. However, there is not much bone support at the articulation of the humerus and scapula. This is due to the humerus's huge ball and small scapular-side socket—consider the minimal stability a golf ball has on a tee.
The rotator cuff, a group of four muscles on the inside of the shoulder, provides stability and range of motion above shoulder height.
When shoulder arthritis is present along with an intact rotator cuff, an anatomic or conventional shoulder replacement is advised since the rotator cuff is required to stabilize the humerus ball.
Hemiarthroplasty: Only the ball and stem are changed during this treatment. Your natural socket and the stem that is attached to the ball are articulated.
Resurfacing hemiarthroplasty: This procedure includes removing the humeral head's joint surface and replacing it with a prosthesis that resembles a cap without a stem.
Anatomic Total Shoulder Replacement: A highly polished metal ball attached to a stem on the humeral side and a plastic cup on the glenoid socket replace the arthritic joint.
Stemless Total Shoulder Arthroplasty: This type of total shoulder arthroplasty preserves bone by attaching the metal ball to the upper arm without using a stem.
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