Total Shoulder Replacement: Episode 71

  • In this episode: We discuss total shoulder arthroplasty (TSA) both traditional and reverse.

  • Chip Review: Wilde Brand – Chicken Chips, Chicken & Waffles – (07:58)

  • Trivia question of the week: Which US state raises the most Turkeys? – (06:33)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief overview of the episode:

            Total shoulder replacement (TSR) more formally known as total shoulder arthroplasty (TSA). This is a common procedure these days but it was rare until about 20 years ago. Back then you would see about 2 a year. Now we see 2 a week.
            There is a traditional approach. This is where the ball and socket stay on their anatomical side, the ball at the end of the humerus and the socket on the shoulder blade. With a reverse total shoulder arthroplasty (rTSA) these positions are switched. The ball is now on the shoulder blade and the socket is on the humerus.
            The reverse is more commonly used when there is instability in the shoulder, usually due to a rotator cuff tears. Perform a rTSA allows the patient much improved joint congruency versus the typical anatomical position. The down side of a rTSA is that typically your range of motion will be slightly less. Maybe as much as 20 degress. If for some reason you would need a revision surgery on either a reverse total shoulder you would only be able to have a rTSA again. There is unfortunately a change in bone structure that won’t allow a traditional to be performed at that point.
            The opposite is true with a traditional total shoulder replacement. If a revision is needed you can perform another traditional or a reverse. There is also more range of motion possible. However, the first few months of recovery are typical slower due to increased pain and weakness.
            Both surgeries do incredible well long term. This is really a great surgery. We have found that most people find the rehabilitation portion to go more smoothly than they would have expected with less pain and better functional outcomes.

 

Other episodes you might enjoy:

Biceps Tendonitis: Episode 24

Knee Replacement: Episode 58

Osteoarthritis & Rheumatoid Arthritis: Episode 57

 

 

Joint Replacement: Episode 33

  • In this episode we discuss joint replacement broadly. We cover the 3 primary joints that get replaced, Shoulder, Hip & Knee. Then touch on some of the lesser-known joints.

  • Chip Review: Paqui – Haunted Ghost Pepper compliments of Becky & Dustin

  • Trivia question of the week: Which city was the first to reach 1 million inhabitants?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

Today we are discussing joint replacement. The large version, all versions. All joint replacements. Covering them as a whole. And reviewing the Paqui Haunted Ghost Pepper chips compliments of Becky and Dustin. Thank you Becky and Dustin for trying to kill us. The bag says “Freakin’ Hot” on it so… Actually right now they are melting through the tissue we put them on. I’m not kidding. They are really red.

 

Hey we had fun in Chicago. We did. For those of you who listened to last week’s episode, we realize that the quality was not all that good. But boy was it fun. Now we are back in our friendly confines.

 

Joint replacement, there are 3 main types. Shoulder, hip and knee. Those are all the same type just at three different joints. Yeah, yeah, yeah, those are the main ones. Correct. There are some, elbow, ankle relatively new, toe, finger, thumb have been around for a long time. They don’t really fit the… They are not common. The stuff we are going to be talking about.

 

I’ve seen a couple ankles, they are different. Tend not to do very well. They are still in the experimental phase I think. Plus it’s an alternative to fusing the ankle. So I guess it all depends on how you define function. Do I want my ankle fused or do I want to see if the ankle replacement will give me some relief.

 

Shoulder, probably the most uncomfortable of the group. Huh? When you have the shoulder replacement. I think the knee is more uncomfortable. People with knee joint replacements complain all the time of pain. I think the knee is hardest. I think having your shoulder replaced, up by your head, trying to sleep, all that throbbing early on, it gets better sooner. Most of these people can’t lie down, they sleep in a chair, they sleep in a reclined position. Which is advisable at first. They are all uncomfortable.

 

Hip is the easiest. By far and this is not based on our experience this is based on our clients experience. Over the course of the last 30 years hip replacement is by far the easiest. People recovery really well, really quick. Regardless of the approaches.

 

For additional episode recommendations check out:

Knee Pain: Episode 2

Shoulder Pain: Episode 4

Hip Pain: Episode 15

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