The shoulder joint is the link between the chest and the arm, its pathology is diverse, usually secondary to trauma: head fracture of the humerus, scapula, clavicle, tendon injuries, dislocations, etc; but also mechanical overload in the work or sports context: glenohumeral arthropathy, acromioclavicular osteoarthritis, ligament instability due to overload in pitchers, etc.
Pathologies most frequently treated:
Torn ligaments or a damaged or broken cartilaginous ring (glenoid ring).
Shoulder instability, where the shoulder joint is loose and slips too much or becomes dislocated.
A damaged or broken biceps tendon.
A broken rotator cuff.
A calcification of any of the rotator cuff tendons or inflammation around the rotator cuff.
Inflammation or damage to the joint lining, usually caused by a disease, such as rheumatoid arthritis, synovitis or synovial chondromatosis.
Arthritis of the end of the clavicle.
Loose tissue that needs to be removed.
Shoulder impingement syndrome (which may need to open more space for the shoulder to move without the tissues rubbing against each other).
Shoulder osteoarthritis (primary, after fractures or chronic cuff injuries).
The diagnostic tests commonly used are radiographs, ultrasound, CT and MRI, depending on the condition being studied.
The treatment of this pathology requires different types of surgical access as well as the use of shoulder arthroscopy as a minimally invasive treatment method. Sometimes depending on the pathology, the use of infiltrations (steroids, hyaluronic acid, platelet-rich plasma-PRP) is indicated, which allows us to heal some pathologies and sometimes improve pain in the recovery process.
