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Shoulder and Elbow

Shoulder pain is one of the most common reasons why patients see an orthopedic physician. When your doctor at Castle evaluates your shoulder, he will determine the source of pain, which can be due to several factors. The shoulder joint is made up of the humeral head or ball at the top of the bone of the upper arm, the glenoid or socket of the shoulder joint, the acromion or upper part of the shoulder blade, and the clavicle or collar bone. The muscles that power movement of the shoulder include the muscles of the rotator cuff and the large deltoid muscle, which provides the rounded contour of the shoulder. The ligaments of the shoulder provide stability to the joint and keep the humeral head from dislocating from the glenoid. Any one of these bones, ligaments or muscle groups can potentially be a source of shoulder pain or disability. Some common sources of shoulder pain that your Castle physician will evaluate you for include rotator cuff tendonitis, a rotator cuff tear, rotator cuff impingement, torn ligaments of the shoulder, biceps tendon injuries, and arthritis involving the shoulder joint. All of these injuries among others can be diagnosed and treated at Castle Orthopaedics to help restore your shoulder function and decrease your pain.

In fact, Castle Orthopaedics is on the leading edge of treatment for complex shoulder problems. Dr Saleem, our shoulder and elbow subspecialist, was the first surgeon to perform a "Reverse" shoulder replacement in the Fox Valley area. This innovative procedure gives new hope to patients with un-repairable rotator cuff tears and shoulder arthritis. In addition, our physicians are performing advanced arthroscopic shoulder surgery in order to provide you with the least invasive procedure available. Along with our highly trained physicians, the physical therapy team at Castle has expertise in dealing with shoulder rehabilitation and they can provide the best hands-on care available, ultimately giving you a speedy and full recovery.

The elbow is a very complex joint that involves the articulation of three bones. The end of the humerus articulates with the radius and ulna bones of the forearm to allow for the extension and rotation of your elbow. Several muscles surround the elbow joint including the biceps, triceps, forearm extensor and forearm flexor muscles. Similar to the ligaments of the shoulder, ligaments in the elbow provide stability to the joint. The most common elbow problems include lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow), biceps tendon tears, triceps tears, ligament injuries and elbow fractures.

As with shoulder injuries, the physicians at Castle can readily diagnose your elbow problem and initiate appropriate treatment. Our skilled surgeons at Castle have performed advanced elbow procedures including ulnar collateral ligament reconstruction (i.e. "Tommy John procedure"), lateral ulnar collateral ligament reconstruction, complex fracture repair, elbow arthroscopy, and elbow replacement. In addition, we do employ a dedicated hand therapist who specializes in the treatment of difficult hand and elbow problems.

You don't have to travel far to get the most advanced and specialized treatment available for your shoulder and elbow. So rest assured that whether your shoulder or elbow is the problem, our team approach at Castle Orthopaedics is bound to get your arm working again!