Shoulder impingement, which people sometimes call swimmer's shoulder, is a condition that causes pain in the shoulder due to a tendon or bursa rubbing against the shoulder blade.
Advancements in implant design and more careful patient selection have improved outcomes and longevity of shoulder replacement in recent years. More than 70,000 of these surgeries are done annually, making shoulder replacements the fastest growing joint replacement.
Regional anesthesia – specifically, interscalene blocks – have been advocated as an alternative to intravenous opioids to manage pain in patients undergoing primary shoulder arthroplasty. They’ve generally done a good job of providing analgesia. [1-3] The problem, as described by Thomas (Quin) Throckmorton, MD, during a presentation at ICJR’s 7th Annual Shoulder Course, is that interscalene blocks are associated with some pretty serious side effects, including respiratory side effects similar to those associated with opioid use.
An elbow dislocation occurs when the upper arm and forearm get separated from their normal position. The bone of the upper arm (humerus) normally touching the bones of the forearm (the radius and ulna). When an elbow dislocation occurs, these bones are separated from their normal alignment. Elbow dislocations are the second most common joint dislocation, following shoulder dislocations.