A pain-free moving shoulder is elementary for our well-being and independence. The shoulder joint, together with the elbow, is very important for everyday activities such as personal hygiene, dressing, eating or computer work and, of course, for sports activities.
Wear and tear or an accident-related injury to the shoulder joint, such as a broken collarbone, can affect the free function of the shoulder or elbow and also have an impact on nighttime sleep. Additional irritation of the tendon insertions or bursa as well as age-related changes (osteoarthritis) can also lead to pain and restricted movement.
Our team carefully determines the cause of your discomfort and develops a therapy plan that is individually tailored to you. This can be a conservative therapy - i.e. non-surgical - . If this is not however sufficient then specialized surgery will be needed.
Clinical and radiological examinations
X-ray, ultrasound, CT and MRI.
Physiotherapy, exercise therapy, infiltration therapy.
for shoulder arthrosis
Arthroscopic therapy of shoulder pathologies,
for example, rotator cuff injuries, entrapment syndromes (impingement), tendon irritation and instability.
Open surgery on the shoulder
for example, rotator cuff reconstruction, bone fractures, shoulder prostheses.
Diseases and conditions of the shoulder
Arthrosis of the shoulder joint
Arthrosis of the shoulder joint can lead to considerable limitations to everyday life. It is comparable to osteoarthritis of the hip and knee, but with the big difference that the shoulder is not a load-bearing joint. There are different stages of wear and tear. The restrictions however to everyday life also play a major role, be it through pain or the limited mobility and quality of life. The most important symptoms are pain and limited mobility of the shoulder.
Osteoarthritis in complete muscle cuff rupture
The rotator cuff surrounds the humeral head and allows for the extreme mobility of the shoulder. With age, there is progressive wear of these tendons. This can lead to elevation of the humeral head and progressive wear of the articular cartilage, resulting in painfully limited mobility of the shoulder. A distinction is made between different stages of wear. The restrictions of the patient however to their everyday life also play a major role, be it through pain or through the limited mobility and quality of life.
The long biceps tendon runs through the shoulder joint. It is susceptible here to injuries in the course of falls and also to wear and tear. Its holding apparatus can be damaged following an accident, but also by injuries to the rotator cuff. This leads to discomfort when put under pressure, which can be very troublesome.
Lesions of the biceps tendon anchor in the shoulder joint
A SLAP lesion affects the upper part of the joint lip of the shoulder joint with transition to the long biceps tendon. The trigger is often a fall with sudden traction or pressure on the shoulder joint.
Humeral head fracture
About 5% of all fractures affect the humeral head. The risk of suffering a humeral head fracture increases with age and decreasing bone quality. Women over the age of 60 are most frequently affected. A distinction is made between displaced and non-displaced fractures. The more displaced the fracture, the more critical the blood supply to the humeral head. In addition, there are fractures with a simultaneously dislocated joint.
Injuries to the clavicle occur when falling on the shoulder, for example, while mountain biking, skiing or snowboarding. About 35% of all injuries to the shoulder girdle involve the clavicle. A distinction is made between fractures to the middle, inner and outer thirds of the clavicle. The middle third is most frequently affected.
Stiff shoulder (Frozen shoulder)
Frozen shoulder is a painful restriction to the active and passive mobility of the shoulder. The reason for this is a thickening of the joint capsule. The cause of so-called idiopathic frozen shoulder is unclear. However, it occurs more frequently in patients with diabetes mellitus, thyroid disorders or disorders of lipid metabolism.
Dislocated shoulder (shoulder dislocation)
A dislocated shoulder occurs predominantly after a fall, but can also occur due to a congenital weakness of the connective tissue. The shoulder dislocates most frequently to the front downwards, much less frequently to the back. It is the most common dislocation in humans and occurs mainly to active young men and in women of advanced age. Accompanying injuries to tendons, bones, nerves and blood vessels may occur.
- Injury of the acromioclavicular joint
The shoulder - explained in 60 seconds
The elbow is a hinged pivot joint and connects the upper arm with the forearm. It is formed by the forearm bones ulna and radius and the humerus and is guided by several strong ligaments. The ulna and radius are responsible for the rotational movement of the hand.
Disease patterns of the elbow
Like golfer's elbow, tennis elbow belongs to the so-called tendon insertion diseases. It affects the tendon insertions of the extensor muscles of the forearm, which originate above the elbow joint on the outer side of the humerus. Due to overstimulation, the tendon insertions develop tiny microtears, which can lead to inflammation and severe elbow pain.
The elbow - explained in 60 seconds
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