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Shoulder Impingement Syndrome
Rotator cuff impingement syndrome, subacromial bursitis, and rotator cuff tendonitis are common causes of shoulder pain in patients 35 years of age and older. These three terns represent a spectrum of pathology involving the rotator cuff. The rotator cuff is a series of muscles that help with shoulder rotation and strength. The most commonly affected muscle of the rotator cuff is the supraspinatus.
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Rotator Cuff Tear
The rotator cuff is a series of 4 muscles in the shoulder that form a cuff of tissue around the humerus bone in the shoulder joint. These muscles provide rotational strength to the shoulder. Tears in the tendons of these muscles are called rotator cuff tears. The most commonly affected muscle is the supraspinatus.
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Shoulder Instability and Labral Tears
The shoulder ball (humerus) and socket (glenoid) have little inherent stability; the humerus rests on the glenoid like a golf ball would on a tee. The lack of inherent stability results in a glenohumeral (shoulder) joint that is prone to instability and dislocation.
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Shoulder Fractures
Dr. Gamradt has a special interest in the nonoperative and operative treatment of shoulder fractures. These fractures usually occur in the young during high energy falls and accidents. These fractures can also occur in the elderly due to less severe trauma such as a ground level fall. Many fractures can be treated with immobilization and rehabilitation without surgery. Certain severe fractures require surgery to restore shoulder function.
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Adhesive Capsulitis/Frozen Shoulder
Frozen shoulder or adhesive capsulitis describes a common shoulder condition characterized by painful and limited active and passive range of motion. The cause of frozen shoulder remains is not known in many cases, but patients typically demonstrate a characteristic history, clinical presentation, and recovery.
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Acromioclavicular Joint (AC Joint) Separation
An acromioclavicular (AC) joint separation is also referred to as a shoulder separation. An AC separation is a very common injury in sports and in falls onto the shoulder from a bike for example. The AC joint is the connection between the scapula (shoulder blade) and the clavicle (collarbone). An AC separation is not a shoulder dislocation. During the injury, the clavicle is forced upward and can be elevated in relation to the acromion.
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Acromioclavicular Joint (AC) Osteoarthritis
The acromioclavicular (AC) joint in the shoulder represents the joint between the clavicle and the scapula. The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). The part of the scapula that makes up the roof of the shoulder and connects with the clavicle is called the acromion. The joint where the acromion and the clavicle join is the AC joint.
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