All musculoskeletal injuries present a diagnostic challenge. Perhaps none more so than shoulder injuries. With its tremendous range of motion, the shoulder has a high propensity for a variety of injuries. Each decade of life can bring a unique subset of injuries to this highly specific and functional joint. Each sport or work-related activity can bring its own unique set of injuries as well.
The functional anatomy of the shoulder is complex. Shoulder injuries can occur in isolation or to multiple structures. Damage to one structure over time will lead to failure or injury to other structures. Further complicating the issue is whether the injury is traumatic or repetitive. Athletes are not alone when it comes to shoulder injuries. Many of our patients come from the work force and have sustained their own unique type of injury from repetition or direct trauma. Additionally, the elderly patient is susceptible to falls with fractures involving the bones of the shoulder.
In order to successfully treat these injuries your orthopedic surgeon has to have a fundamental understanding of the complex anatomy associated with the shoulder joint.
A SUCCESSFUL OUTCOME IS DEPENDENT UPON A SUCCESSFUL OPERATION. At Dayton Orthopedic Surgery and Sports Medicine, our team is well versed in the complexities and injury patterns associated with this highly diverse and complex joint. In addition to conservative and nonsurgical treatment focusing on interventional and nonsurgical rehabilitation, we specialized in the following procedures:
*This procedure requires the use of a specialized allograft tissue.
Arthroscopic management and treatment of rotator cuff tears, biceps tendon and labral injuries.
Arthroscopic management of subacromial impingement and acromioclavicular joint injury.
Arthroscopic and open management of shoulder instability including recurrent dislocation.
Supracapsular repair for massive rotator cuff tears.*
Total shoulder arthroplasty for glenohumeral arthritis that has failed nonsurgical treatment.
Reverse total shoulder arthroplasty for the rotator cuff deficient patient experiencing pain
Post surgically we make sure that you and your therapist understand the nature of any surgical treatment and what is expected in your convalescence. No two surgeries are alike but everyone has the same expectation of getting better so we make sure that the therapy program is specific to your needs giving you the best chance for a full recovery.
*This procedure requires the use of a specialized allograft tissue.
Shoulder Injury Knowledge Center
Why is my Shoulder Catching? If you've ever felt an unusual sensation in your shoulder, a kind of "catching" or "snapping," you're not alone. Shoulder catching is a common condition that can affect individuals of all ages. It can be quite frustrating and, at times,...
The Stryker Inspace Implant Have you ever felt a sharp pain in your shoulder while lifting something heavy? This discomfort could be due to a common condition known as a rotator cuff tear, where the group of muscles and tendons stabilizing your shoulder joint are...
Massive irreparable rotator cuff tears have usually been considered inoperable. That is, until now! Dayton Orthopedic Surgery & Sports Medicine Center is proud to announce the introduction of a new type of surgical procedure that allows massive rotator cuff tears...
Almost every movement you make involves your shoulder. It is a complicated and integral joint in your body, but it can easily damaged through sports injuries and repetitive motion, especially the shoulder labrum. Let’s find out about the diagnosis and treatment of...
Clavicle FractureSternoclavicular joint instability Acromioclavicular Joint ArthritisAcromioclavicular Joint Injury Subacromial ImpingementCalcific TendonitisRotator Cuff TearHumerus Fracture Over 35 Years Old:Frozen ShoulderShoulder ArthritisBicep...
What is Shoulder Arthroscopy?Shoulder arthroscopy is a minimally invasive surgery used to diagnose and treat shoulder problems. You might have arthroscopy for rotator cuff tears or shoulder impingement. Minimally invasive procedures require smaller incisions than...
Shoulder impingement, commonly known as impingement syndrome, swimmer’s shoulder or rotator cuff tendonitis, is the condition of inflammation of the tendons of the shoulder joint. It is one of the most common causes of pain in the adult shoulder. Impingement of the...
What is a Labrum?The Labrum are sections of soft cartilage that line the ball-and-socket joints of the shoulders and hips. The labrum helps guide movement of the joint and provides stability. When the shoulder labrum becomes torn, it can cause pain or a sensation of...
Frequently asked questions about a torn rotator cuff: What is a Rotator Cuff?The rotator cuff is a group of muscles and tendons in each shoulder that holds your upper arm bone in its socket. It keeps your arm stable while allowing it to lift and rotate. Too much...
Living with joint pain is difficult, but facing open surgery can be daunting. Fortunately, there are different types of surgeries available to modern patients. Arthroscopy is considered to be a less invasive type of surgery used for joint problems. But what is...
Types of Injuries That May Lead to a Rotator Cuff Tear: Acute Injury: Caused by sudden onset trauma such as a car accident, lifting a heavy object improperly or falling on your outstretched arms.Chronic Injury: Caused by slow wearing down of shoulder structures due to...
It can be difficult to tell when an injury is severe enough to warrant visiting a Doctor, especially when the injury occurs alongside the general aches and pains of aging and/or sports practice. We often find that many of our patients at Dayton Orthopedic Surgery...
Since 1993, Dayton Orthopedic Surgery has been dedicated to delivering the gold-standard for Orthopedic care in the Miami Valley. With over 60 years’ combined experience, our expert staff treats a wide range of bone and joint dysfunctions caused by trauma, sports injuries and degenerative conditions.
From initial diagnosis all the way through to physical therapy, Dayton Orthopedic Surgery is devoted to getting you back to you again.
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“Listened & understood my needs before surgery. The surgery went very well, and was just as he explained. Post surgery recovery time was much less than expected. Absolutely no pain, very minimal discomfort, and was back doing my normal routine with only slight modification within 2 months. I am very, very happy with Dr. Paley & his staff.”
After another Doctor screwed my knee up and told me it was all in my head I went to Dr. Paley he has done two surgeries to correct the first one and is by far the best and most caring Doctor I have seen. His whole office staff are wonderful people that are always happy to be there and his Physicians Assistants actually know what they are doing. Great great great!