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Shoulder & Elbow Surgery New York City

Medial Elbow Debridement

The initial treatment for medial epicondylitis involves rest, ice, anti-inflammatory medication, bracing, and physical therapy.  If symptoms continue despite conservative treatment, surgery may be an option.  The surgery performed for this problem is done through an open incision on the inside part of the elbow.  With this, the tendon insertion (flexor tendon) at the medial… Read more »

Subacromial Decompression

Subacromial decompression surgery relieves this pressure by making more room for the soft tissues around the rotator cuff. This is done by removing the inflamed bursa located above the rotator cuff, and shaving off some of the undersurface of the bony ceiling to the space, called the acromion (acromioplasty). Some patients develop a spur on… Read more »

Arthroscopic Subscapular Repair

This problem is approached by undergoing an Arthroscopic Subscapularis Repair. This surgery, along with all other rotator cuff surgeries, is approached athroscopically, so that the tear of the tendon is seen and the bone can be prepared. The bone is scrapped, and then sutures connect the bone back to the tendon. It takes about six… Read more »

Latarjet

An open Latarjet surgery results when a patient has undergone a previous shoulder stabilization surgery that has failed or has instability in the setting of bone loss. In this type of procedure, the coracoid process (a small hook-like structure on the front part of the scapula) is moved downward to the neck of the scapula…. Read more »

Revision Shoulder Surgery

Each shoulder revision surgery is different, so when you stop into Dr. Anthony Romeo, MD for your initial consultation, we’ll begin a through diagnostic process to determine your exact condition, the severity of your symptoms, and the best treatment plan for you. When we can, we will treat you non-surgically. If your mobility and interests… Read more »

Pan Capsular Plication / Capsulorrhaphy

Initial Multidirectional Instability Treatment An initial form of treatment is conservative in nature.  These include resting the shoulder, participating in physical therapy to help strengthen the shoulder, and possibly using anti inflammatory medication to help with soreness or pain.  If these treatments don’t seem to be improving the stability of your shoulder, the next step… Read more »

Reverse Total Shoulder Replacement

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For a reverse shoulder replacement procedure, much of the surgery is the same as the total shoulder replacement. The shoulder joint is a ball-and-socket joint that consists of a ball at the top of the arm bone (humerus) that fits into a socket at the shoulder blade (scapula). A reverse shoulder replacement uses an artificial… Read more »

Total Shoulder Replacement

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The essential part of the surgery is to remove the damaged area and replace it with a shoulder prosthesis (artificial joint). To get to the shoulder joint an incision is made on the front of your shoulder. After exposing the shoulder joint, the damaged ends of the bone are removed. The bone is prepared for… Read more »

Arthroscopic Rotator Cuff Repair

Nonsurgical: Some nonsurgical treatments may be something patients want to start with if the tear is not severe. These treatments include rest, activity modification, anti-inflammatory medication, physical therapy, a steroid injection, or a combination of the above. Surgical: If pain persists after six to twelve months, an all-arthroscopic repair may be necessary. In arthroscopy, the surgeon uses a small… Read more »

Biceps Tenodesis

Surgery is frequently performed to help eliminate biceps tendon pain, and is known as a biceps tenodesis.  Using small arthroscopic incisions, the damaged biceps tendon is released from its attachment in the shoulder joint.  The upper, or inflamed portion of the tendon,  is then removed and the remaining healthy portion of the tendon is anchored… Read more »

Bankart Repair

While physical therapy may help some, a good percentage of patients go on to dislocate their shoulder again. If this happens, a Bankart Repair surgery may be necessary. This process requires that the torn tissue be sewn back to the rim of the socket. Another option would be to transplant a tendon to compose new… Read more »

SLAP Repair

A SLAP Repair can be done in an outpatient environment, meaning the patient can go home the same day as surgery. The patient will need to wear a sling anywhere from two to four weeks, and physical therapy often starts 7-10 days after surgery. This, at first, will include a lot of stretching for flexibility… Read more »

Labral Repair

While some cases may respond to physical therapy, many patients require surgery to reattach the torn labrum back to the socket. This is an outpatient surgery which is performed arthroscopically. After anesthesia is given, the patient is placed on their side and a small weight is attached to a sleeve wrapped around their arm to… Read more »

Shoulder Arthroscopy

What is shoulder arthroscopy? Until recently, shoulder surgical procedures were done by making large incisions over the operative area. This resulted in somewhat large scars and significant discomfort after surgery. With the advancement of optical and orthopedic technology, we are now able to perform most procedures in the shoulder by making very small incisions and… Read more »

AC Joint Reconstruction

Options for treatment include placing the patient in a sling. This is usually utilized for mild cases in which the step-off in the joint is not so severe, and the CC ligaments are intact. The sling is usually used for a few weeks, which is followed by a course of physical therapy. Surgery is reserved… Read more »

Ulnar Collateral Ligament Repair

For this procedure, the arm is opened around the elbow area, and holes are drilled in the ulna and humerus bones. A tendon is taken from another location and is used as a graft, it is then woven through the holes and anchored in place. The ulnar nerve must be relocated to prevent pain from… Read more »

Elbow Arthroscopy

For minor cases, an anti-inflammatory might be prescribed, a brace might be worn to ease the pain, or a cortisone shot might be necessary. However, in extreme cases where there is immense pain such as difficulty picking up something light, or even shaking someone’s hand, an outpatient arthroscopic procedure may be in order. This is… Read more »

Distal Biceps Repair

This surgery is known as a Distal Biceps Repair, where the tendon that has moved to the front of the arm is located, and pulled back down to the radius bone. A hole is made in the bone, and part of the tendon is pulled out and inserted into the hole. To do this, we… Read more »

Cubital Tunnel Surgery

To fix this, we use a surgery known as Cubital Tunnel Surgery, or Ulnar Nerve Transposition, where we make a small incision over the top of the nerve and we carefully move the nerve by mobilizing it from the top part of the nerve down to the corner of the elbow. This nerve then can be… Read more »

Arthoscopic Shoulder Stabilization

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What is shoulder arthroscopy? Until recently, shoulder surgical procedures were done by making large incisions over the operative area. This resulted in somewhat large scars and significant discomfort after surgery. With the advancement of optical and orthopedic technology, we are now able to perform most procedures in the shoulder by making very small incisions and… Read more »

Pectoralis Repairs

A Pectoralis Repair is done if the tendon has completely ruptured from its insertion. For this surgery, an incision is made above the armpit, the edge of the ruptured tendon is located, and sutures are passed through the end of the tendon. The sutures are then passed through small metallic anchors, specially designed for this… Read more »

Sternoclavicular Joint Surgery

This surgery is known as sternoclavicular joint reconstruction, and is indicated if there is extensive damage to the ligaments that would normally stabilize the joint.  This surgery restores stability to the sternoclavicular joint by using a tendon graft, typically a tendon allograft, which means it is tissue that comes from a donor.  This tendon graft… Read more »

Scapular bursectomy with resection

Initial Snapping Scapula Treatment Initial treatment for this problem includes extensive physical therapy, and often times a cortisone injection into the space underneath the scapula where the inflammation occurs.  If symptoms continue despite conservative treatment, surgical intervention is an option.  Scapulothoracic bursectomy with medial angle resection is an arthroscopic procedure that is done using two… Read more »

Scapulothoracic Fusion for Fascoscapulohumeral Muscular Dystrophy

A scapulothoracic fusion is used to treat a disorder called Muscular dystrophy. Muscular dystrophy is a group of diseases that cause an ongoing weakness or loss of muscle mass in the body. The third most common type of muscular dystrophy is known as Fascioscapulohumeral Muscular Dystrophy. The symptoms of this include shoulder weakness or shoulder… Read more »

Scapulothoracic Fusion

Muscular Dystrophy Treatment Functional deficits occur because of the scapulohumeral involvement, meaning the patient is unable to stabilize the scapula against their chest wall. When these functional deficits become severe, the treatment for this would be a scapulothoracic fusion, which includes fusing the scapula to the thoracic ribs. A diagnosis of this condition is confirmed… Read more »

Tendon transfer for scapular winging

If the patient has failed to improve with therapy and has elected to move forward with surgery, the recommended surgery is a split-pectoralis tendon transfer. This surgery is performed by making a small incision near the patient’s armpit, on the arm. Through this incision, the pectoralis tendon is identified. Either a portion of the tendon,… Read more »

Latissimus Dorsi Repair

Latissimus Dorsi Tear or Rupture Treatment The latissimus dorsi repair is done by  making an incision in the back of arm, near the armpit. The ruptured tendon is then located, and sutures are placed in the end of the torn tendon. Those sutures are then used to pull the tendon back up to the arm… Read more »