Arthur Black, MD

06/27/2022

Watch below to see how Dr. Black utilizes new technology to perform the glenoid aspect of Reverse Total Shoulder Arthroplasty and click here to learn more: https://shoulderarthroplasty.arthrex.com/

This animation provides an overview of the Univers Revers™ Modular Glenoid System surgical technique for a baseplate with a monoblock screw configuration.

06/27/2022

What is a "Frozen Shoulder"?

Frozen shoulder is a thickening and inflammation of the layer of tissue/capsule surrounding the glenohumeral joint.

Frozen shoulder can occur after an injury, in which the patient is unable to move the shoulder for an extended period of time. However, the majority of cases occur without a pre-existing injury or known cause. Research has demonstrated that women between the ages of 40-60 years old, patients with diabetes or thyroid disease or patients that have had a recent viral infection may be at higher risk.

Learn more about Frozen shoulder here: https://www.orthoillustrated.com/shoulder/inflammation

06/27/2022

How is rotator cuff impingement syndrome treated?

Non-operative treatment of bursitis/impingement syndrome is usually the first line of treatment. Your surgeon may recommend anti-inflammatory medicine, physical therapy, and or cryotherapy to help reduce the pain and inflammation. An injection into the space above the rotator cuff may help resolve the pain. Non-operative treatment is minimally effective for bursitis cause by bone spurs or acromion abnormality.

If non-operative treatment fails to relieve the pain, your surgeon may suggest surgery. A subacromial decompression and/or AC joint resection can be performed through a minimally-invasive arthroscopic surgery or large open incision. Surgery removes the inflamed and thickened bursa, as well as corrects any bone abnormalities of the acromion or spurs at the AC joint that cause the bursitis. After the surgery, physical therapy is restarted to restore motion and strength to the shoulder.

Learn more about the causes, symptoms, and diagnoses here: https://www.orthoillustrated.com/shoulder/inflammation

06/27/2022

What is shoulder arthritis?

Arthritis is inflammation of a joint. In the shoulder, it can occur at the glenohumeral (ball and socket), acromioclavicular (AC), or sternoclavicular joint (SC). Over time, the loss of the smooth covering on the ends of bones (aka - articular cartilage) causes pain and stiffness. This can lead to pain with motion or at rest, clicking or grinding and a loss of strength. When the cartilage is damaged or decreased, the bones rub together during joint motion, resulting in “bone-on-bone” arthritis. When arthritis becomes severe, inflammation occurs around the joint and extra bone is formed in an attempt to protect the joint, resulting in limited motion and strength.

Click here to learn more about the causes. symptoms, diagnoses, and treatment of shoulder arthritis: https://www.orthoillustrated.com/shoulder/arthritis

06/27/2022

What is the biceps muscle?

The biceps muscle has two origin points around the shoulder: the long head starts on the glenoid and the short head on the coracoid. The long head is more commonly injured/inflamed as it exits the “ball and socket” joint near the rotator cuff in the front of the shoulder. Proximal biceps rupture is spontaneous tearing of the long head of the biceps from its origin on the glenoid.

Learn more about proximal biceps rupture and the associated causes, symptoms. diagnoses and treatments here: https://www.orthoillustrated.com/shoulder/tears

06/27/2022

How are ACL tears diagnosed?

Your surgeon will perform a thorough history and physical exam with X-rays. On exam, swelling and loss of motion and strength is present. Your surgeon will perform maneuvers to check stability of all the knee ligaments and the meniscus. An MRI is helpful to confirm the diagnosis, showing the ACL tear. The type of tear (partial, complete, avulsion from either the tibia or femur) can be defined, which may assist in surgical planning. The MRI may also show bone bruising secondary to the injury.

Learn more about the causes, symptoms, and surgical treatment for ACL tears here: https://www.orthoillustrated.com/knee/tears

06/27/2022

What are the causes of rotator cuff tears?

Rotator cuff tears have multiple causes. Acute trauma, longstanding impingement syndrome (caused by abrasion on the acromion or bone spurs at the AC joint), repetitive overhead activities and degeneration in the older population are all common.

Learn more about rotator cuff tear symptoms, diagnosis, and treatment here: https://www.orthoillustrated.com/shoulder/tears ://www.orthoillustrated.com/shoulder/tears

06/06/2022

Biceps tendinitis occurs as a result of overuse of the shoulder or from an injury, such as a fall. Because the tendon is closely associated with the rotator cuff, injuries to rotator cuff tendons in the front of the shoulder will place more stress on the biceps, leading to inflammation or injury. It is more common for biceps tendonitis to occur with another injury than by itself.

Watch below to see how Dr. Black surgically repairs the proximal biceps if needed or click here to learn more about biceps tendinitis: https://www.orthoillustrated.com/shoulder/inflammation

The OrthoIllustrated® animation for biceps tendon repair is an educational tool to help patients better understand this treatment.

06/06/2022

Check out how Dr. Black utilizes the Virtual Implant Positioning™ (VIP™). This system offers online preoperative planning and includes reusable patient specific surgical instrumentation for total shoulder arthroplasty and reverse shoulder arthroplasty.

The OrthoIllustrated® animation for the shoulder replacement system is an educational tool to help patients better understand this technology.

06/06/2022

This animation shows a reverse total shoulder replacement for rotator cuff disease using a reverse shoulder replacement system. The rotator cuff is a group of muscles that are responsible for shoulder movement. When they are damaged and not reparable, loss of function occurs at the ball and socket joint of the shoulder, causing pain and dysfunction of the shoulder.

The animation shows a reverse total shoulder replacement for rotator cuff disease using a reverse shoulder replacement system. The rotator cuff is a group of...

06/06/2022

What are the symptoms of labral tears?

Labral tears may cause different symptoms depending on the area of torn tissue. Labral tears in the front of the shoulder (anterior) are usually due to dislocations, so patients may experience pain and laxity in the shoulder. Labral tears in the back of the shoulder (posterior) are typically caused by repetitive stresses forcing the ball to the back of the socket. Patients may experience pain with stressful forces but not laxity in the shoulder. Labral tears in the top of the shoulder (superior) typically have pain and weakness, particularly with overhead activities like throwing. Pain may also be referred to the biceps, as its insertion on the labrum may have damage. Patients with labral tears may experience clicking in the shoulder.

Watch below to see how Dr. Black performs labral repairs surgically or click here for more info: https://www.orthoillustrated.com/shoulder/tears