Shoulder Arthroscopy Great Falls MT

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Aimee V Hachigian Gould, MD
(406) 771-7051
1220 Central Ave Ste 2E
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt

Data Provided By:
Dr.Nicholas Bonfilio
(406) 454-2171
3000 15th Ave S
Great Falls, MT
Gender
M
Education
Medical School: St Louis Univ Sch Of Med
Year of Graduation: 1979
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Charles David Jennings, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1966

Data Provided By:
David R Neil, DDS
(406) 761-0314
2525 6Th Ave S
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Scot Tierney, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
John Howard Avery, MD
(406) 761-2399
401 15th Ave S Ste 110
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
Patrick James Thomas, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1990

Data Provided By:
Matthew D Hammit, MD
1300 28th Street South South
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx A & M Univ Coll Of Med, College Station Tx 77843
Graduation Year: 1998

Data Provided By:
Robert C West, DDS
(406) 761-8550
1301 12th Ave S Ste 100
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Edward Luckett, MD
(406) 455-3650
500 15th Ave S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1982
Hospital
Hospital: Benefis Hosp West, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

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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