Mr Donohue performs shoulder surgery for a wide variety of conditions. These include:
- Rotator cuff tear
- Treatment of fractures
Xrays as well as an ultrasound or an MRI are done prior to the surgery. This gives Mr Donohue information about what is wrong within the shoulder. Often shoulder surgery can be performed using an arthroscope. This involves a keyhole procedure looking into the posterior aspect of the shoulder.
Using keyhole surgery a decompression of the shoulder can be performed. This involves removing some of the subacromial bursa and a part of the acromion. This relieves pain related to overhead activities.
Mr Donohue performs rotator cuff repairs. He does this using arthroscopic assistance. Often a mini open procedure is used whereby the deltoid muscle is partially opened. This ensures a speedy recovery from surgery.
Osteoarthritis in the shoulder can be treated with a shoulder joint replacement. This can involve either replacement of the humeral head, which is called a hemiarthroplasty, or a total shoulder replacement.
Shoulder replacement surgery may also occasionally be performed for severe trauma. Fractures may be treated with open reduction and internal fixation (involving special titanium plates and screws).
Shoulder surgery generally has a good result but the recovery may take many months. Complications are rare but may involve things like infection, stiffness, ongoing pain, nerve or vascular injury, or weakness.
Mr Donohue reviews patients two weeks following shoulder surgery at which stage physiotherapy may be necessary. Full recovery may take months.
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