Shoulder Arthroscopy Nashua NH

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Douglas A Joseph, MD
(603) 883-0091
17 Riverside St Ste 101
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1974

Data Provided By:
Ralph Robinson Wolf III, MD
(603) 889-1881
159 Kinsley St
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1969

Data Provided By:
Susanne E Zimmermann, MD
(603) 577-4340
21 E Hollis St
Nashua, NH
Specialties
Orthopedics
Gender
Female
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1986
Hospital
Hospital: Southern New Hampshire Regiona, Nashua, Nh
Group Practice: Dartmouth-Hitchcock Nashua

Data Provided By:
Louis Frank Candito, MD
(603) 883-0091
505 W Hollis St Ste 113
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1969

Data Provided By:
William Russell Price, MD
(603) 883-0091
505 W Hollis St Ste 113
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1984

Data Provided By:
Robert J Heaps
(603) 883-0091
17 Riverside St
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
Wesley Robert Wallace
(603) 577-4000
21 E Hollis St
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
Daniel Patrick Bouvier, MD
(603) 883-0091
17 Riverside St Ste 101
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1995

Data Provided By:
Dr.Sean Frost
(603) 577-4340
21 East Hollis Street
Nashua, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Dartmouth Hitchcock
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 10, reviews.

Data Provided By:
Ralph Robinson Wolf
(603) 889-1881
159 Kinsley Street
Nashua, NH
Specialty
Orthopedic Surgery

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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