Shoulder & Elbow
At The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division, our board-certified, fellowship-trained orthopedic specialists bring extensive expertise in diagnosing and treating various shoulder and elbow conditions, like shoulder impingement syndrome and tennis elbow. With our comprehensive services including on-site diagnostic imaging, surgical center, and physical therapy, we ensure convenient, all-inclusive care for our patients under one roof.
Conditions We Treat
Our board-certified and multiple fellowship-trained orthopedic surgeons diagnose and treat a number of shoulder and elbow conditions including fractures, arthritis, and inflammatory conditions like tennis and golfer’s elbow.
Collarbone Fracture
A collarbone fracture, or clavicle fracture, is a common injury often caused by falls, sports injuries, or trauma. Symptoms include pain, swelling, and difficulty moving the arm. Treatment typically involves immobilization with a sling or brace, pain management, and physical therapy to aid in recovery. In severe cases, surgery may be necessary to realign the fractured bone. Seeking prompt medical attention is crucial for proper diagnosis and treatment of collarbone fractures.
Cubital Tunnel Syndrome
Cubital tunnel syndrome results from pressure on the ulnar nerve at the elbow, hampering its functionality. It ranks as the second most prevalent nerve entrapment syndrome, following carpal tunnel syndrome.
The ulnar nerve governs sensation in half of the ring finger and the pinkie finger, as well as motor functions in the hand's fine movements. Affected individuals may struggle with object handling and gripping actions. Common symptoms encompass pain, numbness, and a tingling sensation similar to the feeling experienced when hitting the funny bone.
Golfer’s Elbow
Golfer’s elbow, also known as medial epicondylitis, is a form of tendonitis that arises where the tendons of forearm muscles connect to the inner (medial) side of the elbow bone (epicondyle). It stems from the repetitive stress of activities like golfing, leading to tendon degeneration.
Common symptoms include pain and tenderness on the inner side of the elbow, exacerbated during wrist flexion or grasping movements. The discomfort may extend down the forearm. Treatment typically involves rest, ice, pain management, physical therapy, and possibly splinting. Surgery is considered only if pain persists despite conservative measures over six months.
Pitcher’s Elbow
Pitcher's elbow, also termed Little League Syndrome, manifests as pain on the inner side of the elbow, commonly affecting athletes engaged in repetitive throwing sports like baseball. Particularly prevalent among children and teenagers, this condition poses heightened concerns due to the ongoing bone growth process.
The condition arises from the repetitive strain placed on the elbow's tendons and ligaments during throwing motions, leading to stretching, tearing, or detachment from the bone. In severe cases, bone involvement may impede normal growth and result in deformity.
Shoulder Tears (Rotator Cuff Tears)
The rotator cuff, comprising four shoulder muscles and associated tendons, facilitates arm rotation and movement in various directions. Age, degeneration, and weakening of these muscles and tendons elevate the risk of rotator cuff damage. In younger individuals, tears may result from shoulder injuries like fractures or dislocations, while overuse or repetitive activities can also lead to such tears.
Treatment options range from rest and pain relievers to corticosteroid injections, limiting overhead arm movements, utilizing slings, undergoing physical therapy, or opting for surgery.
Shoulder Arthritis
Osteoarthritis, a prevalent degenerative joint ailment, commonly affects the shoulder. While typical among adults aged 50 and above, younger adults may develop arthritis following shoulder trauma, like fractures or dislocations.
The shoulder houses four joints, with the glenohumeral and acromioclavicular (AC) joints most susceptible to osteoarthritis. The glenohumeral joint, formed by the humerus's head and the glenoid cavity, and the AC joint, linking the clavicle to the acromion, endure cartilage degradation, leading to bone-to-bone contact and eventual osteoarthritis.
Shoulder Impingement Syndrome
Shoulder impingement syndrome, a distressing condition, arises when shoulder tendons undergo irritation, inflammation, or degeneration due to repetitive overhead movements or structural anomalies. Symptoms encompass aching pain in the shoulder and upper arm, weakness, and discomfort during arm elevation, often aggravated at night.
Treatment typically involves activity adjustments, medication, and physical therapy. In cases resistant to nonsurgical measures, surgical intervention may be necessary to alleviate symptoms and restore functionality.
Tennis Elbow
Tennis elbow, or lateral epicondylitis, manifests as tendonitis where forearm muscle tendons attach to the outer (lateral) side of the elbow bone (epicondyle). Chronic stress on the forearm muscles, often from repetitive motions like those in tennis, can lead to tendon degeneration.
Symptoms include intense burning pain and tenderness on the outer side of the elbow and forearm. Treatment typically involves rest, ice, pain relief, physical therapy, and cortisone injections. Surgery is a consideration if significant pain persists despite six months of treatment.
Upper Extremity Fractures
Upper extremity fractures encompass fractures occurring in the arm, elbow, wrist, or hand regions. These fractures can result from various causes, such as falls, sports injuries, or accidents.
Symptoms may include pain, swelling, deformity, and difficulty moving the affected limb.
Treatment varies depending on the severity and location of the fracture but may include immobilization with splints or casts, pain management, physical therapy, and, in some cases, surgical intervention to realign the fractured bones. Early diagnosis and proper treatment are crucial for optimal recovery and restoring function to the affected limb.
Treatments
At The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division, our comprehensive treatment options tailored to address various shoulder and elbow conditions, including tendonitis, fractures, and arthritis. Our expert team offers personalized care to restore mobility and alleviate pain.
Collar Bone Fracture
Treatment options for collarbone fractures depend on the severity of the injury. In mild cases where the bones are not significantly displaced, conservative treatments such as immobilization with a sling or brace, pain management, and physical therapy may be sufficient for healing.
However, for more severe fractures with significant displacement or multiple fragments, surgical intervention may be necessary to realign the bones and ensure proper healing. Surgical options may include open reduction and internal fixation, where the bones are repositioned and secured with plates, screws, or pins.
Arthroscopy
Arthroscopy is a minimally invasive surgical technique often recommended for persistent elbow and shoulder conditions that do not respond to conservative treatments. It is a great option for various shoulder conditions like rotator cuff tears and labral tears.
Utilizing small incisions and a specialized scope, our board-certified orthopedic surgeons can visualize and address issues within the joint. This outpatient procedure offers reduced postoperative discomfort and quicker recovery compared to traditional open surgery, making it an effective option for resolving joint problems.
Reverse Shoulder Replacement
Reverse shoulder replacement is a specialized procedure reserved for individuals with specific shoulder conditions, including complete rotator cuff tears, severe arthritis with rotator cuff damage, or previously unsuccessful shoulder surgeries.
Unlike traditional shoulder replacements, this technique involves placing the artificial joint components in reverse positions, enabling the deltoid muscle to lift the arm. Post-operative physical therapy is crucial for optimizing outcomes and restoring functionality.
Shoulder Tears (Rotator Cuff Tears)
Rotator cuff tears necessitate various surgical approaches, contingent upon tear size, shape, and location. Partial tears may require debridement, involving tendon trimming. In cases of complete tears, tendon suturing or reattachment to the bone may be required. Often conducted as outpatient procedures, many surgeries employ arthroscopy for minimally invasive treatment.
Total Shoulder Replacement
Total shoulder replacement, or shoulder arthroplasty, is a recommended option for individuals with severe shoulder arthritis, resulting in debilitating pain and reduced mobility. Unlike weight-bearing joints like the hip and knee, shoulder arthritis occurs less commonly but can still significantly impact daily life.
During the total shoulder replacement procedure, damaged bone and cartilage are replaced with metal and plastic implants, aiming to alleviate pain and restore shoulder function. As in most cases, physical therapy is employed to restore optimum shoulder function.
Shoulder Arthritis
Treatment options for shoulder arthritis include medications like NSAIDs for pain relief, physical therapy to improve joint flexibility and strength, and corticosteroid injections to reduce inflammation. Activity modification and assistive devices may also help manage symptoms. In severe cases, surgical interventions such as shoulder arthroscopy or total shoulder replacement may be necessary for long-term relief.
Upper Extremity Fractures
Upper extremity fractures may include fracture of the clavicle (most common), humerus, or elbow joint. Prompt tailored treatment offers the best long-term success for patients.
Treatment options for upper extremity fractures vary based on the fracture's severity and location. Minor fractures may be managed with splints or casts, while displaced fractures may require realignment through manual manipulation or surgery. Surgical fixation with implants like pins or plates may be necessary for complex fractures. Physical therapy aids in recovery by restoring strength and range of motion.
Tennis Elbow Treatment in Central Maryland
For the best treatment options for your shoulder and elbow conditions, like shoulder impingement syndrome or tennis elbow, schedule an appointment with the experienced board-certified shoulder and elbow orthopedic surgeons in The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division.
Booking an appointment with our board-certified surgeons is easier than ever. You can now book online, reach out via Klara messaging, or call us directly. For appointments, visit our website or call (410) 644-1880 or toll-free at (855) 4MD-BONE. For physical therapy services, please call us at (443) 478-4449.