Anatomy
Rationales
Preparation
Surgery/Changes
Rehabilitation
100
These are the three most significant bones to the shoulder.
What are the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone)?
100
Reverse total shoulder replacement may be recommended if you have:
(Name one correctly)
- A completely torn rotator cuff that cannot be repaired
- Cuff tear arthropathy
- A previous shoulder replacement that was unsuccessful
- Severe shoulder pain and difficulty lifting your arm away from your side or over your head
- A complex fracture of the shoulder joint
- A chronic shoulder dislocation
- A tumor of the shoulder joint
- Tried other treatments, such as rest, medications, cortisone injections, and physical therapy, that have not relieved shoulder pain
100
These scans will be needed prior to the surgery to allow your surgeon to evaluate the severity of arthritis and the status of the rotator cuff, as well as determine the degree of damage to the bones (glenoid and humeral head) for surgical planning.
What are x-rays and ACT scans?
Always required before any kind of shoulder replacement.
100
The entire surgical procedure usually takes this amount of time.
What is usually about 2 hours?
100
These therapists will see you the day after surgery to begin your rehabilitation program.
What are physical or occupational therapists?
(Even massage therapists)
Therapy treatments will gradually improve the movement in your shoulder. Your therapist will go over your exercises and make sure you are safe getting in and out of bed and moving about in your room.
200
The rotator cuff, responsible for most of the shoulders functionality, the connects these two bones.
What are the humerus to the scapula?
The rotator cuff helps raise and rotate the arm. As the arm is raised, the rotator cuff also keeps the humerus tightly in the socket.
200
An unsuccessful surgical repair of this may warrant an arthroplasty.
What is surgery to repair a rotator cuff tear?
A rotator cuff tear is fairly common in people who are middle aged and older. Most rotator cuff repairs are successful, but in a portion of patients, the tendon has become so degenerated that the tendon can simply not be repaired.
200
You might want to do this to your house when preparing for post-operation Arthroplasty.
What is clean your house and move stuff to easy reach places.
For the first several weeks after your surgery, it will be hard to reach high shelves and cupboards. Before your surgery, be sure to go through your home and place any items you may need afterwards on low shelves.
200
This is the reason the surgery is called REVERSE shoulder replacement surgery.
What is the traditional location of the ball and socket are reversed?
In the normal artificial shoulder prosthesis, the glenoid prosthesis is a shallow socket made of plastic and the humeral component is a metal stem attached to a metal ball that nearly matches the anatomy of the normal shoulder. In the reverse shoulder replacement, the ball and the socket are reversed.
200
Most patients report being pain free after this amount of time.
What is 6-12 months?
If you completed all physical therapy as recommend, your muscle strength and range of motion should be fully restored to pre-surgery levels.
300
The part of the scapula that connects to the shoulder is called this.
What is the Acromion?
300
This is a type of shoulder classification where the arm cannot be lifted.
What is a pseudoparalytic shoulder?
Other reasons to consider a reverse shoulder replacement include failed rotator cuff surgery leading to a pseudoparalytic shoulder even without arthritis.
A pseudoparalytic shoulder appears paralyzed, but the reason that you cannot raise the shoulder is because the rotator cuff tendons that attach the muscles (that raise the shoulder) to the humerus bone are torn.
300
Who would it be a good idea to go visit to begin learning some of the exercises you will use during your recovery?
What is physical/occupational therapist?
Who will be managing your rehabilitation after surgery. This allows you to get a head start on your recovery.
300
This muscle typically takes over the lateral function of the shoulder after the surgery.
What is the deltoid?
300
Your arm will remain in this for protection and support up to two months post surgery.
Erick you should know.
What is a shoulder sling?
400
The shoulder joint goes by this name.
What is the Gleno-humoral joint?
400
This tear could heavily candidate you for reverse shoulder replacement surgery.
What is a rotator cuff tear?
The shoulder needs a functioning rotator cuff to remain stable as well as to create a joint capsule to hold the joint fluid that lubricates the joint. Over time, a shoulder without an intact rotator cuff becomes arthritic -
400
What determines how much pain you feel when you are getting hurt.
(It is different for everybody)
What is your pain tolerance?
After surgery, you will feel some pain. This is a natural part of the healing process. Your doctor and nurses will work to reduce your pain, which can help you recover from surgery faster. Get familiar with your pain tolerance and don't abuse pain relief.
400
These are some of the tools used to clean, shape, or remove bone structure for this procedure.
What are Bone Saws, Rasps, and reamers?
The ball portion of the humeral head is removed with a bone saw
The hollow inside of the upper humerus is prepared using a rasp.
The arthritic glenoid surface is prepared by grinding away any remaining cartilage and flattening the surface. This is done with an instrument called a reamer
400
Groups of selected exercises work to improve ____
of the new shoulder joint.
What are Range of Motion, (Flexibility), strength, and/or pain management. (Function)?
500
The rotator cuff is formed by the tendons of these four muscles.
What are the supraspinatus, infraspinatus, teres minor, and subscapularis?
500
| The most common reason for undergoing shoulder replacement surgery is this. |
What is Osteoarthritis?
Osteoarthritis is caused by the degeneration of the joint over time, through wear and tear. Osteoarthritis can occur without any injury to the shoulder, but that is uncommon.
Because the shoulder is not a weight-bearing joint, it does not suffer as much wear and tear as other joints.
500
You shouldn't eat this when preparing for a surgery or for any hospital operations.
What is food?
On the day of your surgery, you will probably be admitted to the hospital early in the morning. You shouldn't eat or drink anything after midnight the night before. Come prepared to stay in the hospital for several nights. The length of time you will spend in the hospital depends a lot on you.
500
Shoulder replacement surgery is done through this incision on the front of your shoulder.
What is an anterior (deltopectoral) approach?
500
These types of therapy may aid in the recovery of your shoulder after an Arthroplasty.
What is cryotherapy, thermotherapy, electrotherapy, even infrared light therapy?