All musculoskeletal injuries present a diagnostic challenge. Perhaps none more so than injuries to the shoulder. 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. 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:
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.
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.
“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!