Shoulder Arthroscopy Flagstaff AZ

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Roman T. Lewicky, MD
(928) 774-7757
1485 N. Tourquoise Dr.
Flagstaff, AZ
Business
Northern Arizona Orthopaedics, LTD.
Specialties
Orthopedics
Insurance
Insurance Plans Accepted: Blue CrossUnited Healthcare
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: No

Doctor Information
Primary Hospital: Flagstaff Medical Center
Residency Training: Northwestern University Medical Center Orthopaedic Surgery 1975
Medical School: Northwestern University Medical School, 1968
Additional Information
Member Organizations: ABOS AAOS AANA ArMA
Awards: Arizona Sports Medicine Doctor of the Year, 1982.
Languages Spoken: English,Spanish,Ukrainian,Polish

Data Provided By:
Darius Mirza Moezzi, MD
(928) 773-2280
77 W Forest Ave Ste 301
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1998

Data Provided By:
Robert T Caskey, DDS
(928) 774-2745
710 N Beaver St Ste 4B
Flagstaff, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Donald D Hales
(928) 774-7757
1485 N Turquoise Dr
Flagstaff, AZ
Specialty
Orthopedic Surgery

Data Provided By:
John F Hall
(928) 773-2535
77 W Forest Ave
Flagstaff, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Paul Kingsley Forberg, MD
(928) 527-0904
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1967

Data Provided By:
Joel Thomas Rohrbough, MD
(928) 774-7757
77 W Forest Ave Ste 302
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1992

Data Provided By:
Dr.Amber Randall
(928) 773-2534
77 W Forest Ave # 301
Flagstaff, AZ
Gender
F
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
Timothy John Bonatus, DO
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1983

Data Provided By:
Roman T Lewicky
(928) 774-7757
1485 N Turquoise Dr
Flagstaff, AZ
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Data Provided By:

Shoulder Arthroscopy

A Patient's Guide to Shoulder Arthroscopy

Introduction

The use of arthroscopy (arthro means joint and scopy means look) has revolutionized many different types of orthopedic surgery. During a shoulder arthroscopy, a small video camera attached to a fiber-optic lens is inserted into the shoulder joint to allow a surgeon to see without making a large incision. Today the shoulder is one of the joints in which the arthroscope is commonly used to both diagnose problems and to perform surgical procedures inside the joint.

This guide will help you understand

  • how the condition develops
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy


The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). A part of the scapula, called the glenoid, forms the socket of the shoulder. The glenoid is very shallow and flat, shaped somewhat like a dinner plate rather than a bowl. The humeral head forms the ball portion of the joint. Both the glenoid and the humeral head are covered with articular cartilage. Articular cartilage is the smooth, white material that covers the ends of bones in most joints. Articular cartilage provides a slick, rubbery surface that allows the bones to glide over each other as they move. Articular cartilage also functions as a shock absorber.


The rotator cuff connects the humerus to the scapula. The rotator cuff is formed by the tendons of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. Tendons attach muscles to bones. Muscles move the bones by pulling on the tendons. The rotator cuff helps raise and rotate the arm. As the arm is raised, the rotator cuff also keeps the humerus tightly in the shoulder socket, the glenoid. The upper part of the scapula that makes up the roof of the shoulder is called the acromion.


The shoulder joint is surrounded by a water tight pocket called the joint capsule. This capsule is formed by the rotator cuff tendons, ligaments, connective tissue and synovial tissue. When the joint capsule is filled with sterile saline and is distended, the surgeon can insert the arthroscope into the pocket that is formed, turn on the lights and the camera and see inside the shoulder joint as if looking into an aquarium. The surgeon can see nearly everything that is inside the shoulder joint including: (1) the joint surfaces of the glenoid socket and the humeral head (2) the rotator cuff tendons, (3) the glenoid labrum and (4) the synovial lining of the joint.

The arthroscope can also be placed in the space outside the shoulder joint known as the subacromial bursa. This bursa is a water tight pocket that sits above the shoulder joint. By placing the arthroscope into this space, the surgeon can see the underside of the distal end of the clavicle (collarbone) and the acromion as well as the joint that is for...

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