Shoulder Arthroscopy Hickory NC

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Jeremy Clyde Johnson, MD
(704) 355-3184
PO Box 20500
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1998

Data Provided By:
Richard Marion Garlitz, DDS
(828) 322-1535
382 10Th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul Eugene Brown, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1969

Data Provided By:
Mark R Mc Ginnis, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1984
Hospital
Hospital: Catawba Mem Hosp, Hickory, Nc; Frye Reg Med Ctr, Hickory, Nc
Group Practice: Hickory Orthopaedic Center

Data Provided By:
Heber Grey Winfield III, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1970

Data Provided By:
David C Hamilton, DDS
(828) 328-1088
322 10th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Edwin Louis Peak
(828) 345-6468
36 14th Ave Ne
Hickory, NC
Specialty
Orthopedic Surgery

Data Provided By:
Heber Grey Winfield, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1970

Data Provided By:
Herbert John Schulten, MD
(828) 294-7793
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1970

Data Provided By:
Ralph J Maxy, MD
(828) 294-9135
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1994

Data Provided By:
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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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