Atlanta Bone and Joint Specialists
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    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
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        • Arthritis 101
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        • Total Hip Replacement
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        • Total Shoulder Replacement
        • Reverse Total Shoulder Replacement
      • Outpatient Joint Replacement Center
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        • Metal on Metal Hip Problems
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      • Arthroscopic Surgery
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        • Rotator Cuff Tears
        • SLAP Tears
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        • Meniscus Tears
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        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
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      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
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    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
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      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
    • Blog
  • Español
  • Online Scheduling
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
      • Elissa Ricker, PA-C
  • Locations
  • Appointments
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Decatur
        • Loganville >
          • Meagan
        • Snellville >
          • Cheryl
      • Billing & Collections >
        • Maurice Jové, M.D. >
          • Buffie
        • Nathan Jové, M.D. >
          • Mayra
          • Makenzie
        • Jeff Traub, M.D. >
          • Jennifer
          • Liz
      • Scheduling >
        • Jeff Traub, M.D. >
          • Andrea
        • Maurice Jové, M.D. >
          • Rachael
        • Nathan Jové, M.D. >
          • Lindsay
        • Brian Vanderhoof, D.O. >
          • Megan
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Oscar
      • Medical Records >
        • Team
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Arthritis Center >
        • Arthritis 101
      • Hip >
        • Anterior Hip Replacement
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
        • Reverse Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Knee Replacement
        • Revision Hip Replacement Surgery
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
        • Patella (Kneecap) Instability
        • Patella (Kneecap) Dislocation
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • EMG
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
    • Blog
  • Español
  • Online Scheduling

Total Shoulder Replacement

Your comprehensive guide to non-surgical and surgical management of shoulder arthritis.

Shoulder Pain

The shoulder is a complex joint with multiple different things that can cause pain. Depending on your age, various shoulder ailments have other treatments.  When our group looks at a shoulder, we use age, x-ray, physical, and sometimes MRI to guide treatment.  Typically, those under 50 rarely have arthritis and tend to have more sports injury -related problems like labral tears and SLAP tears.   Between 40 and 70, we see more issues with bursitis and rotator cuff injury as well as patients with early arthritis.  Over the age of 70, we will typically see chronic rotator cuff tears with arthritis.  As you can see, shoulders have a wide variety.  Please refer to our other pages for Rotator Cuff Tear page,  SLAP Tears page, or our Labral Tears and Shoulder Dislocation pages for more information on other shoulder problems.
Shoulder pain
Shoulder pain can be debilitating

Conservative Management

Management of shoulder pain is dependent on what your physical exam and imaging (X-Ray, MRI) show.  Our goal is always to avoid surgical intervention if possible, and we always start with conservative management.  Conservative management includes steroid injections and physical therapy.  Many patients can tolerate shoulder problems longer than equivalent problems in the knee or hip because the shoulder is a non-weight bearing joint- you do not walk on your arms!  Therefore, the shoulder is more resilient to lower grades of arthritis and therefore conservative management is extremely effective.  Once a diagnosis is obtained, we will tailor your physical therapy to the specific condition you have.   For some exercises to try at home, visit our page on Home Therapy.
Physical Therapy for shoulder Replacement
Passive motion assistance with a physical therapist.

Shoulder Arthritis

The shoulder is composed of a ball (humeral head) and a socket (glenoid). These two surfaces have very wide ranges of motion and are integral to using our arms.   Shoulder arthritis is far less common than hip or knee arthritis, and since we don't walk on our shoulders, we tend to notice shoulder arthritis when it is further advanced to comparable arthritic level in the knee or hip.  Shoulder arthritis most commonly presents with an inability to rotate the arm externally.   See diagram letter A to see how normal shoulder rotates 90*.  In shoulder arthritis, we can limit external rotation to less than 30*, depending on severity.  Other signs and symptoms include grinding, clicking, popping, and inability to lift the arm.
Picture
How to measure shoulder range of motion.

What is wrong with my shoulder?

This is probably the most challenging question to answer in an online format.  A physical exam is an excellent way to test the range of motion, function and compare it to an X-Ray to identify what the problem may be.  Shoulder conditions, as we age, tend to be due to more than one specific issue.  10-20% of all patients with shoulder arthritis will have rotator cuff tears.  Patients over 70 with arthritis tend to have severe arthritis and a much higher rotator cuff tears rate.  We will break down individual problems of the shoulder and how they are addressing.
Showing arthritis of a shoulder
Shoulder arthritis which will likely cause severe shoulder pain.

Partial Shoulder Replacement (Resurfacing Hemiarthroplasty)

Depending on how old you are, if you have arthritis of only the humeral head (ball), there is a specific procedure called a hemiarthroplasty or "cap" where we only replace the ball.  As this is a relatively easy resurfacing procedure, patients return to function extremely quickly.  Pain is minimal, and return to prior functional levels is excellent.  This procedure is typically performed in patients 45-60 who only have arthritis of the joint's ball component.
Resurfacing shoulder
Partial shoulder replacement replacing only the humeral head (ball) also know as shoulder resurfacing.

Total Shoulder Replacement

Total shoulder replacement is classically done for patients 50 and older for the ball and the socket's arthritis.  The rotator cuff must be intact or reparable in order to have this procedure upon placement of the shoulder implants, they most closely resemble normal shoulder anatomy.  Patients with total shoulder replacements typically have excellent results and regain nearly full range of motion.  Shoulder replacement is highly successful.   Patients can look for smaller incisions with cutting edge design implants when you have a shoulder replacement with Atlanta Bone and Joint.
We trialed much of the technology in the knee and hip, where much more research has classically been done due to significantly more joint replacements of the hip and knee.  However, as our population ages and grows, the amount of shoulder replacements continues to increase, and therefore,  much more dedication to shoulder replacement surgery is being done.  Our doctors, who have been at the forefront of hip and knee technology, have helped companies translate our hip and knee technology to the shoulder.
Total Shoulder Replacement Surgery Atlanta GA
Replacing the ball (humeral head) and the socket (glenoid) is known as a total shoulder replacement

Reverse Total Shoulder Replacement

The final group of shoulder arthritis are our patients over the age of 60 with irreparable rotator cuff tears.  Typically these patients will have had a prior rotator cuff repair and have had progressive arthritis with a steady decrease in function.  This patient can typically not lift their arm and have debilitating arthritis. There was no real procedure to be performed for this group of patients with massive rotator cuff tears in the past. However, a new design in the early 2000s was done and made it, so the rotator cuff was no longer needed to ensure a safe shoulder replacement.  By changing the kinematics by reversing the ball and socket, we have been restored motion to thousands that once were told there was nothing left that could be done.   
Reverse Total Shoulder Replacement Atlanta
A reverse total shoulder replacement. Notice how the glenoid (socket) has become round and the humeral head (ball) has become dished. We reverse the ball and socket.

What is the difference between a Total Shoulder Replacement compared to a Reverse Total Shoulder Replacement?

Shoulder replacement
On the left a primary total shoulder replacement while on the right a reverse total shoulder replacement. Notice how the ball and socket have been "reversed."

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  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
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Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM

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