By Mr Harry Brownlow, December 2017 Tis falling over season! Mud, rugby, rain, cycling, ice, snow, skiing, alcohol. Whatever the combination someone will be falling over near you within the next few weeks! One of the risks of falling over is to get a dislocated shoulder. You will know intuitively if your shoulder dislocated. You…
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By Harry Brownlow, November 2017 Shoulder surgery comes in many forms and is performed for many reasons. The majority of shoulder problems can be treated without the need for surgery. For example, most shoulder pain due to calcific tendonitis or rotator cuff problems can be managed with physiotherapy and cortisone injections. However, if you have…
By Harry Brownlow, November 2017 It may sound obvious but in order to get the best results from a joint replacement it probably helps to put it in the right place! When it comes to a shoulder replacement the difficult bit is doing the socket (glenoid). This half of the shoulder joint is deep inside…
By Harry Brownlow, November 2017 Most people have heard of hip and knee replacements but many are surprised to hear that shoulder replacements are also widely performed. Last year 6000 shoulder replacements were inserted in the UK. The commonest indication for a shoulder replacement is osteoarthritis of the shoulder joint. But other common reasons are…
by Harry Brownlow, October 2017 I have just read a really nice article from my shoulder colleagues in Cardiff (Tim Matthews and colleagues, Shoulder and Elbow Journal, 2017). It made me think about some of the common issues surrounding cortisone injection. ‘Aren’t cortisone injections really bad for you?’, ‘I heard cortisone injections really hurt’, ‘cortisone…
by Harry Brownlow, October 2017 The Relationship Between Shoulder Stiffness and Rotator Cuff Healing: A Study of 1,533 Consecutive Arthroscopic Rotator Cuff Repairs. Wow! This is a great paper from Professor Murrell’s unit in Sydney. We have always worried about the shoulder getting stiff after a rotator cuff repair and whether or not we need…
by Harry Brownlow, October 2017 Really interested to see the London group publish their much anticipated study on clavicle (collarbone) fracture management (JBJS Jan 18, 2017) . They repeated an influential Canadian study from 10 years ago but with much bigger numbers (JBJS Jan 2007). Their results were identical! Patients with clavicle fractures were randomly…
by Harry Brownlow, September 2017 This makes for sobering reading. As rugby changes to a more southern hemisphere style of play I wonder whether the statistics will actually worsen. Bigger players moving faster and tackling harder is a recipe for worse injuries. Within the shoulder world it certainly feels like we are seeing more dislocations…
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