Common sporting injuries of the shoulder include dislocations, Acromioclavicular joint (ACJ) injuries, rotator cuff injuries, Labral tears, thrower’s shoulder, biceps injuries, bursitis and fractures.
It is often quite difficult to adequately assess the severity of a shoulder injury and the structures damaged following sports injuries, as simple muscle strains look very similar to more serious injuries.
Because the shoulder joint is the most mobile joint in the body it is potentially unstable. It is therefore the most common joint to dislocate in the body. In some people only minor trauma can cause the shoulder to ‘pop out’ of joint. If your shoulder does dislocate it needs to be ‘put back’ as soon as possible and you then require physiotherapy.
The hard small lump you feel on the top of your shoulder is your Acromioclavicular Joint (ACJ). This joint is very important for overhead and throwing athletes. It is commonly sprained by repeated falls on the shoulder and tackling. It can also dislocate resulting in a more prominent painful lump on your shoulder.
The rotator cuff is a very important group of tendons that provide movement and stability for your shoulder. Therefore when it is damaged pain and weakness can be significant. Tears caused by injury, especially in athletes, benefit from early repair because the tears can get bigger and more difficult to repair later on.
Superior Labral Antero-Posterior (SLAP) tears of the shoulder are more common in overhead throwing, heavy lifting and tackling sports. The biceps anchor in the shoulder is forcibly peeled or pulled off its bone attachment by a large pulling or peeling force. This can occur during a heavy lift, hard throw, tackle or fall.
With repetitive overhead throwing the front of the shoulder can stretch and the back get tighter. This can cause abnormal gliding of the shoulder joint and a ‘catching’ of the labrum and rotator cuff, leading to rotator cuff tears and abnormal wear of the labrum. It requires specific experise to diagnose and treat this condition.
The labrum is a cushion surrounding the socket of the shoulder joint (similar to the meniscus of the knee). Likewise, it can tear like the knee meniscus with injuries of the shoulder. Labral tears usually follow falls or direct blows to the shoulder, but may also occur with throwing or pulling injuries.
A diagnostic algorithm can be applied to both the young and the older golfer’s with a cut off age of approximately 35 years. The younger golfer’s are those that are more lax and more prone to sub clinical posterior instability, labral pathologies and secondary subacromial impingement. They may also progress to developing partial thickness rotator cuff tears.
Most patients with a labral injury and associated pathologies require surgical repair. Some may be able to cope through the season and can be repaired at the end of the season. These are usually the less significant injuries with lesser pathology on MR Arthrogram. Large structural lesions such as bony Bankart injuries, rotator cuff tears and large Hill Sachs lesion generally require early surgical repair. It is also better to perform an early repair on injuries sustained later in the season to avoid absence from play in the forthcoming season due to ongoing unresolved pathology.
Joint replacement surgery, also known as replacement arthroplasty, is a surgical procedure for your joint where a dysfunctional or decayed joint is replace with an artificial joint made of metals or plastic. At Dr. Chakri’s Clinic, a joint replacement surgery is suggested only when the health issue is really big and cannot be cured with medicines and physiotherapy alone.
Going for any surgery is a matter of strength and courage. Going for a surgery that would replace your human parts for artificial parts is a very big decision. At Dr. Chakri’s Clinic, we make sure that you explore all your options before making this decision. We suggest that you take a joint replacement surgery if you have extreme difficulty in movement or unbearable pain in a particular joint. Dr. Chakradhar can check for any future potential damage that your current issue might pose. This might also require you to take an artificial joint.
You will require a joint replacement surgery for one of the two reasons – one, your joint is diseased; two, you have injured or broken your joint or a part of it. Dr. Chakradhar will assess you condition and let you know if a surgery will be required. Chiefly, he aims at giving you better mobility and reduced pain through a joint replacement surgery. He is also watchful of the cosmetic outcome.
Joint replacement surgery is a very complex and delicate procedure. Only a professional orthopaedic surgeon can perform such a surgery. At Dr. Chakri’s Clinic, Dr. Chakradhar takes care of the complicated surgeries. Having taken his qualifying exams from the best Universities from India and Europe and with an experience of 14 years, he is the Best Orthopaedic Surgeon in Hyderabad and beyond. To a surgeon like him, joint replacement surgeries – from knuckles to knees – are parts of his daily routine.
Knee and hip are the joints which suffer most damage since they carry most of the body weight. Hence, Knee Joint Replacement and Hip Joint Replacement surgeries are most commonly done at Dr. Chakri’s Clinic. These are followed by Shoulder Joint Replacement in Hyderabad. However, smaller joints like elbows, ankles, wrists and even knuckles can be replaced. With the right doctor and the right medical equipment, nothing is impossible.
Based on the extent of the damage, a joint replacement surgery can be of two types – total and partial. As the names suggest, in a total joint replacement, the entire joint is replaced and a partial joint replacement is performed when only a portion of the joint in damaged which the other portion is healthy and not in any risk of degeneration.
Another type, called revision surgery is performed if the first surgery fails or proves to be inefficient or wears off. It is a slightly more complex procedure.At Dr. Chakri’s Clinic, all the types of replacement surgeries are performed by our expert surgeon Dr. Chakradhar Reddy.
All surgeries involve certain degree of risks. Dr. Chakradhar is very cautious about the basic potential risks of bleeding, infection etc. He not only is careful with the surgery, he will also give you detailed suggestion on post-operative care so that you don’t develop complications later on. However, any good doctor will like you to be informed of your potential health risks and Dr. Chakradhar is no exception. Even though when a surgery is done after proper testing, since the implant is an artificial object, your body might reject the artificial joint and lead to a failure of the replacement surgery.
Dr. Chakradhar also insists that you take your medicines regularly and attend to physiotherapy seriously to avoid the chances of blood clotting.Dr Chakri’s Clinic is stocked with the most-updated medical tools and surgical equipment. Minimally invasive surgical techniques and computer assisted surgeries have raised the rate of success of joint replacement surgeries tremendously. You can now forget any form of disability – with joint replacement surgery, you will heal faster and move better.