Mr  Iossifidis    MD, FRCS Ed,  FRCS Ed  (orth.)

                 

             Consultant   Shoulder &  Elbow  Surgeon

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Fractures of the humerus (the arm bone)  can be reconstructed with inert metal plates or rods,  in many different ways  depending on where the fracture is situated along this long bone.

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Fractures of the humeral head  can be reconstructed according to the fracture type either by metal plate and screws or by metal  shoulder replacement.

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Fractures of the CLAVICLE  can be reconstructed with  inert  metal plate and screws

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One-stop diagnostic clinic and treatment of shoulder pain

 

 

 

 Shoulder subacromial decompression  for impingement

 

 

Shoulder impingement

 

The shoulder is a ball and socket joint with a bony arch forming the roof (acromion). There are muscles surrounding the joint (rotator cuff) which enable the arm to move the shoulder joint. As the arm is elevated the space between the humeral head and the acromion reduces which can cause pinching (impingement) of the rotator cuff and bursa. Repetitive impingement causes inflammation and pain.

 

Acromioclavicular Joint arthritis. (AC joint)

 

The acromioclavicular joint is at the top of your shoulder and formed by the top of the shoulder blade (acromion) and the outer end of the collar bone (clavicle). This joint moves as the arm is lifted and over time it may become arthritic (worn) and very painful.  In certain cases it may also be responsible of impingement of the underlying rotator cuff muscles.

 

If symptoms do not settle with rest, physiotherapy  and  pain relieving medications,  then surgery  is often the next option.

 

Sub Acromial Decompression  and /or  Acromioclavicular Joint Excision

 

This  high precision  operation is performed arthroscopically (key hole) – two or three small incisions are made and the procedure is carried out by camera visualisation, using small instruments. To increase the space between the humeral head and the acromion, the thickened bursa is excised and the  bony spur of the acromion is shaved. This allows the tendon to run smoothly within the subacromial space once again.  If the AC joint is arthritic an ACJ excision is also performed removing the arthritic ends of the joint and allowing movement.

 

 

 

 

 

 

 

 

 

 

Repair of  torn rotator cuff muscles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Stabilisation of shoulder dislocations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Realease of stiff or frozen shoulder

 

 

 

 

 

 

 

 

 

 

Open surgery for:

 

 

 

Shoulder total or  surface replacement for  arthritis

 

 

Acromioclavicular Joint dislocation.

 

 

 

 

internal fixation for  Bone  Fractures

 

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Emailexpert@shouldersolution.com

 

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