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== Cleveland clinic

                  Florida






           Shoulder injuries treated  with  arthroscopy  heal

           faster with  less  pain



                                                                and  upper extremity surgery.  "Today,  my  patients
                                                                return  to their  preferred  activities  quickly."
                                                                   Instead  of  a  large  incision  circumventing the
                                                                shoulder,  Dr.  Evans  uses  an  arthroscope,  a  pencil-
                                                                sized  instrument  with  a  tiny camera  at the tip,  to
                                                                examine  and  repair the tissues  in  the joint.  Recovery
                                                                is  quicker and  less  painful  when  compared  to an
                                                                open  procedure.
                                                                   Using arthroscopy also  minimizes swelling
                                                                and  allows  patients  to  begin  their  post-operative
                                                                rehabilitation  sooner.  In  the  last few  years,  other
                                                                innovations  have  made the  recovery  process easier,
                                                                including surgical  improvements  and  better  post-
                                                                ctperative  pain  management.
                                                                   According tc)  Dr.  Evans,  sutures  today  use  new
               New surgical  techniques  and  better  pain      materials that do  not  require  intra~operative  knots.
           management enable easier recovery.  Remember         Overall,  the  procedures  are  less  abrasive to the
           Operafron,  that electronic  board  game  in  which  one  tissue.  New,  long-acting  pain  medications  used
           wayward  movement causes other body  parts to        following surgery  last for 72  to  96  hours.  Often
           spasm  and  a  loud  buzzer to  sound?               patients  need  little or  no  pain  medication  aftBr their
               Just  like  in  the  board  game,  an  injured  rotator  initial  recovery due  to  the  new  techniques.
           cuff can  wreak  havoc with  other body  parts -and     A  painful  shoulder  condition  or  injury  can
           everyday  actMties  like  writing and  eating -because  impede  writing,  eating,  dressing,  hair brushing and
           it's the  rotator cuff that  allows  us  to  lift and  rotate  other  activities  ctf  daily  living.  With  newer techniques
           the arm.  The  rotator cuff  is  composed  Of four   and  appropriate  rehabilitation,  arthroscopic  surgery
           muscles  plus attached  tendons  and  other tissue  in  can fully  restore  movement  in  the shoulder.
                                                                   "Prior to  arthroscopy,  rotator cuff  repair  required
           the shoulder,  lt  holds the  arm  in  the joint  and  helps
           attach  the  humerus  (long  bone  in  the  upper arm)  to  months  of  post-operative  rehabilitation  and  many
           the elbow,  neck and  torso.                         patients  avoided  the  surgery,"  said  Dr.  Evans,  who
               Rotator cuff tendons can  tear from  age,  overuse,  sees  patients  in  West  Palm  Beach,  Port St.  Lucie,
           traumatic  injury  or  a  fall.  When  it  is  injured,  even  Stuart,  Palm  City  and  Hobe  Sound.  "Using
           reaching for a  book  can  be  painful,  and  a  tennis  arthroscopy,  we  can  help  our patients  return to  a
           match  or golf outing would  be  nearly  impossible.  fuller  life  without  constant  pain."
           Understandably,  shoijlder  injuries  used  to  be
           among the  most dreaded  by weekend  warriors and
           professional  athletes  alike.  In  fact,  a  rotator cuff
           iniury was  often  a  career-ending  incident  in  sports.
               "Shoulder  patients  can  experience  much  quicker
           recovery  and  much  less  pain  using the  arthroscopic
           techniques  develctped  in  recent years,"  said  Peter
           J.  Evans,  MD,  PhD,  chair of the  Orthopaedic  &
           Rheumatologic  Institute  in  Florida  and  orthopaedic
           surgeon  with  subspecialty training  in  shoulder,  hand
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