After seeing your MRI films & doing shoulder examination, Dr. Ankur Dhiman will advise you on the best treatment according to your injury.
Most of the rotator cuff tear can be healed without surgery. Our goal is to heal your shoulder without surgery. The percutaneous rotator cuff repair procedure is for individuals who have rotator cuff (supraspinatus) tendinosis or partial tear. Ortho biologics treatments (PRP) use your body's own healing agents to regrow and repair damage to the rotator cuff by concentrating and focusing them at the exact site of your injury. This approach allows for natural, efficacious healing without the need for surgery.
This arthroscopic (keyhole) minimally invasive surgery has revolutionized the way rotator cuff complete tear can be repaired. Patients benefit from minimal blood loss and postoperative pain, faster recovery times, shorter hospital stays, and less scarring. Dr Ankur Dhiman uses biocomposite knotless swivel lock anchor and Fiber tape in DOUBLE row rotator cuff repair which has a stronger and more stable construct in comparison to conventional SINGLE row fixation. It allows pain-free shoulder mobility from the next day of surgery. The patient regains a full shoulder range of motion after 6 weeks and gets back to sports after 3 months of surgery. Subscapularis or infraspinatus tear is also repaired if present.
Labrum tear (Bankart tear), due to it shoulder head get the pathway to get dislocate. It need to be repaired to prevent this dislocation.
Anterior glenoid bone loss along with labrum (Bony bankart). It need to be managed with Latarjet Procedure
After seeing your MRI films & doing shoulder examination, Dr. Ankur Dhiman will advise you on the best treatment according to your injury
This arthroscopic (keyhole) minimally invasive surgery has revolutionized the way Bankart tear can be repaired. Patients benefit from minimal blood loss and postoperative pain, faster recovery times, shorter hospital stays, and less scarring. Dr. Ankur Dhiman use biocomposite knotless suture anchor and suture tape which has a stronger and more stable construct in comparison to conventional fixation. It allows pain-free shoulder mobility from the next day of surgery.
If in MRI and CT scan bony Bankart is More than 25%, minimally invasive arthroscopic/mini-open latarjet procedure is done.
In this procedure, we remove a piece of coracoid bone and attaching it to the front of your shoulder socket. The bone will then act as a barrier which will physically block the shoulder from slipping out of the socket, while the muscles which are transferred with the bone will give additional stability to the joint.
If there is big Hill Sachs Lesion in the MRI Remplissage procedure is done with the arthroscopic Bankart or Latarjet surgery.
It stands for superior labrum anterior and posterior tear. SLAP lesions occur generally in the throwing sports and patient complaints of pain and instability while throwing. Other reasons for SLAP tear are:
In SLAP lesion fixation point of the biceps tendon and labrum is peeled off from the Glenoid margin. Early mobilization after surgery is very important for good surgical outcomes. Dr. Ankur dhiman uses suture tapes and knotless biocomposite Anchors in arthroscopic SLAP repair which is much stronger than the conventional fixation techniques and allows the patient to mobilize the arm Immediately after the surgery and return to sports is within 3 months.
Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. Signs and symptoms typically begin slowly, then get worse. Over time, symptoms get better, usually within 1 to 3 years.
Having to keep a shoulder still for a long period increases the risk of developing frozen shoulder. This might happen after having surgery or breaking an arm.
Diagnosis-
Frozen shoulder can usually be diagnosed from signs and symptoms alone. But imaging tests — such as X-rays, ultrasound or MRI — can rule out other problems.
It can help reduce pain and inflammation associated with frozen shoulder.
A physical therapist can teach you range-of-motion exercises to help recover your shoulder movement. Your commitment to doing these exercises is necessary to regain as much movement as possible.
Steroid injections- It might help decrease pain and improve shoulder mobility, especially if given soon after frozen shoulder begins.
Shoulder manipulation- This procedure involves a medication called a general anesthetic, so you'll be unconscious and feel no pain. Then the care provider moves the shoulder joint in different directions to help loosen the tightened tissue.
Surgery-if nothing else helps, surgery can remove scar tissue from inside the shoulder joint. This surgery id done by arthroscopy (key hole) surgery.