Mr Iossifidis MD, FRCS Ed, FRCS Ed (orth.)
Consultant Shoulder & Elbow Surgeon
pictures provided by
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.
Fractures of the humeral head can be reconstructed according to the fracture type either by metal plate and screws or by metal shoulder replacement.
Fractures of the CLAVICLE can be reconstructed with inert metal plate and screws
One-stop diagnostic clinic and treatment of shoulder pain
Shoulder subacromial decompression for 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