Lesiones de hombro

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More athletes and other active people in Louisville and Southern Indiana choose Norton Sports Health for treatment for shoulder injuries than any other health system in the area. Nuestros especialistas en hombros identifican el origen del dolor de hombros con imágenes sofisticadas y otras herramientas de diagnóstico. Luego le ofrecemos un plan personalizado de tratamiento y rehabilitación.

Innovación en la atención de salud deportiva

Nuestros especialistas en hombros están comprometidos con el desarrollo de tratamientos de vanguardia que le permitan volver a hacer lo que le gusta hacer más rápido. Ryan J. Krupp, M.D., orthopedic surgeon and executive medical director of orthopedics and Norton Sports Health, actively participates in clinical trials that provide patients access to new technology. Las innovaciones, como nuevos dispositivos e implantes de hombro, pueden ayudar a acelerar la recuperación tras la cirugía.

Los miembros de nuestro equipo de salud deportiva tienen experiencia en el tratamiento de lesiones de hombro y codo relacionadas con los deportes en atletas de todo tipo. Whether your sport is CrossFit or aerial performance, or if you’re a coach who needs to stay active, you can get back to doing what matters.

Obtenga atención multidisciplinaria cuando la necesite

A través del enfoque en equipo del tratamiento en el servicio de salud deportiva de Norton, los pacientes tienen acceso a diversas opciones de atención y apoyo. Los pacientes pueden esperar trabajar con varios profesionales, como entrenadores atléticos, fisioterapeutas y nutricionistas a lo largo de su tratamiento. Through these appointments, patients are assessed for treatment with orthopedic specialists, neurologists or athletic trainers.

Nuestro equipo multidisciplinario trabajará con usted para desarrollar el plan adecuado. Our treatment plans often start with ice, rest and anti-inflammatory medication. Once your pain has improved sufficiently, physical therapy can help restore motion and relieve pain. Surgery is considered in severe injuries or in cases that don’t respond to conservative approaches.

Shoulder injuries and treatments include:

  • Bankart lesion or tear  – When a shoulder ball of the shoulder joint comes out of the socket, a common side effect is a tear in the labrum. The labrum is the soft tissue that surrounds the socket. This specific tear is called a Bankart lesion. We first treat it with rest and over-the-counter medication. Physical therapy can help restore motion once the pain subsides. Surgery may be needed for persistent Bankart lesion pain.
  • Biceps tendonitis – Bicep tendons connect the top of your bicep muscle to the shoulder joint. It can become inflamed from overuse, especially from throwing, a golf swing and overhead tennis serves. Rest, ice, physical therapy and steroid injections are the first options in treatment. If the condition continues for three months, surgery may be needed.
  • Biceps tendon rupture – This occurs when the tendon tears and is usually the result of an injury. You may have heard and felt a “pop” in your shoulder. You may notice pain when you flip your hand from palm down to palm up. Treatment of ice, rest and anti-inflammatories is typically sufficient. Surgery may be needed if these steps don’t succeed or in cases of athletes and workers whose sport or occupation requires complete recovery of shoulder strength.
  • Shoulder cartilage repair – Between the shoulder blade and the top of your arm bone, cartilage cushions the joint and helps it move smoothly. The cartilage can wear down as a result of injury such as a shoulder dislocation or with time in the case of arthritis. Arthroscopic surgery can remove damaged cartilage and encourage the growth of new cartilage. In more severe cases, more aggressive treatments such as shoulder replacement may be necessary.
  • Shoulder impingement syndrome – This occurs when the outer edge of you shoulder blade impinges on the tendons that make up the rotator cuff that attaches the shoulder blade to your arm bone. An injury can cause the rotator cuff to swell, but in such a confined space, the swelling can cause more issues by reducing the space it has to move. Athletes and others who repetitively use overhead motions are susceptible to shoulder impingement syndrome. Ice, rest, anti-inflammatories, steroid injections and physical therapy take care of most shoulder impingement syndrome cases. If that doesn’t work, surgery to remove part of the shoulder blade bone to free up more space for the rotator cuff may be an option.
  • Shoulder labrum tear – The labrum is soft tissue that helps hold the ball-and-socket shoulder joint together. It’s attached the to the socket and wraps around the top of the arm bone or “ball.” Several ligaments in the shoulder also attach to the labrum. There are many different ways the labrum can tear, and treatment will depend on your specific injury. Often, the labrum needs to be reattached to the rim of the socket in a minimally invasive arthroscopic surgery.
  • Rotator cuff injury – The muscles and tendons that make up the rotator cuff help keep the top of your arm bone securely in the shoulder socket. A rotator cuff injury is more likely to happen with overuse in occupations that require repeated overhead motions. Physical therapy exercises are often sufficient to improve flexibility and strength. A tear from a specific injury may need surgery — often to reattach a tendon to the top of your arm bone.
  • Separated shoulder – Falls, auto accidents and sports injuries can tear the ligaments between the shoulder blade and the collarbone. Nonsurgical recovery from a separated shoulder can take a few weeks to a few months with your arm in a sling, treated with ice and anti-inflammatories. Surgery to reattach ligaments may be required in more serious cases.
  • Shoulder fracture – Three bones make up the shoulder joint: Upper arm, shoulder blade and collarbone. Nondisplaced fractures — where the bones remain in the proper position — make up most shoulder fracture cases and typically can be treated nonsurgically. When the bones are broken into pieces and move out of position, surgery may be required to put the bones back in place.
  • Shoulder instability – Once you’ve dislocated your shoulder, you are vulnerable to it happening again. Shoulder instability occurs when loose or torn ligaments, tendons or muscles allow the shoulder to slip out of the joint repeatedly. Nonsurgical treatment such as limiting activity, physical therapy and anti-inflammatories may take several months to show results. If surgery is required, the type of minimally invasive arthroscopic surgery will depend on the cause of your instability — the joint capsule may need tightening, or a torn labrum may need a Bankart repair. If you need a bone graft to repair the socket, the procedure is done with conventional open surgery.
  • Shoulder arthritis – Osteoarthritis in the shoulder usually affects people over age 50. After years of use, the cartilage in the shoulder’s ball-and-socket joint wears down. This once-smooth covering can become frayed and rough. Bones can rub against each other, causing pain. Osteoarthritis also can develop after a fracture or dislocation injury. The range of treatment options for shoulder arthritis is broad, depending on the severity of your condition. Conservative treatment involves rest, ice, anti-inflammatories and physical therapy. Shoulder replacement surgery may be needed in more severe cases.
  • Shoulder replacement surgery – This procedure, also called shoulder arthroplasty, removes damaged parts of the bone in your shoulder and replaces them with implants made of metal and plastic. Shoulder replacement can restore motion and relieve pain caused by osteoarthritis or rheumatoid arthritis, rotator cuff injuries or fractures. A shoulder replacement can replicate the existing ball-and-socket construction, or in the case of a reverse shoulder replacement, the ball is attached to the shoulder blade and the socket is placed at the top of the arm bone. Reverse shoulder replacements often are used to treat extensive rotator cuff damage.
  • Shoulder resurfacing – Your arthritis or mild rotator cuff condition may not require replacement of the shoulder bones. In some cases, patients benefit from having a cap placed at the top of the arm, covering the ball in the ball-and-socket joint.

Acerca de la salud deportiva de Norton

Independientemente del tipo de atleta sea, el servicio de salud deportiva de Norton puede brindarle la atención que necesita. Desde la escuela secundaria hasta el nivel profesional, desde los adultos mayores hasta los atletas de fin de semana, prevenimos las lesiones relacionadas con los deportes y lo llevamos de vuelta a las actividades que disfruta.

  • Los especialistas del servicio de salud deportiva de Norton están capacitados y tienen experiencia en la atención de lesiones y afecciones relacionadas con los deportes.
  • Nuestro equipo incluye ortopedistas, neurólogos, médicos de atención primaria, entrenadores atléticos profesionales y fisioterapeutas.
  • Nuestros proveedores trabajan juntos para brindar atención avanzada para atletas y personas de todas las edades.
  • Diseñamos programas personalizados que satisfacen sus necesidades específicas y lo ayudan a recuperar su estilo de vida activo.
  • Nuestros especialistas en salud deportiva se desempeñan como directores médicos del minimaratón/maratón del Festival del Derby de Kentucky.
  • Proporcionamos entrenadores atléticos a escuelas secundarias y universidades en Louisville y el sur de Indiana.

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