Orthopaedic Surgeons of the Shoulder
Mr Richard Dallalana treats disorders of the shoulder at Park Clinic Orthopaedics in East Melbourne.
The main shoulder conditions and treatments include:
Shoulder Arthroscopy
A shoulder arthroscopy is a procedure used to assess any damage to the shoulder joint and surrounding structures. It is performed by inflating the joint with fluid and making several small incisions through which a telescope and probe can be inserted. Procedures can then be done through small incisions using arthroscopic Instruments or sometimes through a separate incision.
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Acromioclavicular Separation
Acromioclavicular or AC Joint Injury results from falling directly onto the point of the shoulder and is most commonly seen following a sporting accident. Mild injury results in pain at the top of the shoulder, short term restricted use of the arm, and does not require surgery. More severe separation can result in persistent symptoms which may include restricted function of the arm and will often require surgery.
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Frozen Shoulder
Frozen shoulder is also called adhesive capsulitis. It is a common condition which is characterized by pain and restricted motion in the shoulder. The exact cause of the condition is unknown however it usually starts spontaneously. At other times there may be an initiating event such as an injury or surgery to the shoulder.
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Rotator Cuff Disease
Rotator cuff disease is the wearing out or tearing of the rotator cuff tendons of the shoulder. It is a common disorder most often affecting people in their 50s and 60s. Symptoms consist of pain and weakness with use, particularly when raising the arm. Arthritis of the shoulder can develop with long term disease in severe cases. Treatment can include rest, physiotherapy and injections but usually requires surgery to repair the tear.
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Shoulder Impingement
Shoulder impingement is a common condition of pain due to pinching of the rotator cuff tendons beneath the bone at the point of the shoulder. A “spur” frequently occurs on this bone and there is usually “bursitis” at the same location. The pain may restrict the ability to raise or rotate the arm. Treatment may include rest, injections, physiotherapy and surgery.
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Shoulder Instability
Shoulder instability refers to troublesome looseness of the shoulder joint. This may take the form of a single or multiple full dislocations, or episodes of partial dislocation (called subluxation). The unstable shoulder may result in pain without any actual dislocation having occurred. Over many years instability can lead to arthritis of the shoulder joint.
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SLAP Tears
SLAP tears are separations of cartilage from bone inside the shoulder which cause pain, clicking or feelings of looseness of the shoulder. They may arise after a single traumatic event such as a fall onto the shoulder or attempt to lift a heavy object, or through repetitive overhead or throwing sports or work duties. They can also exist alongside other cartilage and ligament damage following a shoulder dislocation.
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Contact Park Clinic Orthopaedics in East Melbourne
Please contact Mr Richard Dallalana’s rooms on (03) 8415 1907, or Mr John Salmon’s rooms on (03) 9415 7622 if you require further information.