The shoulder is the most mobile joint in our body therefore susceptible to injuries. Shoulder injuries and pain can be related to work, physical activity, age or trauma. Most of the injuries can be initially treated without surgery but some will require surgical intervention.
Mr. Negru is an expert in shoulder surgery and dedicated his last 10 years in treating patients with Upper Limb problems. He regularly performs a full range of shoulder surgeries and is continuously updating his knowledge and skills.
Please read below about common conditions treated by Mr. Negru.
Acromio-clavicular (AC) Joint Surgery
The AC joint is at the top of the shoulder and connects the collar bone (clavicle) to the shoulder blade (scapula). Injuries to the AC joint are common after a fall on the shoulder and patients complain of pain and sometimes a step-off at the joint level where the injury occurred. Read more about AC joint reconstruction surgery
Frozen Shoulder Treatment
Severe pain and limitation of shoulder movements (especially external rotation) can occur as a result of thickening of the shoulder joint capsule, a condition called Frozen Shoulder. This is more severe in patients who have diabetes and it may take years until movement is restored. Read more about Hydrodilatation and Arthroscopic Capsular Release
Subacromial impingement
Shoulder impingement occurs as a result of soft tissues compression between the rotator cuff and the acromion (bony roof) when the arm is moved in certain directions usually above shoulder level. It is the result of overuse or aging of the rotator cuff tendons (mainly supraspinatus) which fails to keep the shoulder joint congruency. Read more about Subacromial Decompression
Rotator cuff tears
There are four rotator cuff muscles which elevate and rotate the arm. Their tendons blend with the shoulder capsule and form the rotator cuff. Rotator cuff injuries are a result of normal wear and tear or can occur as a result of overuse and trauma. Read more about Rotator Cuff Repair Surgery
Subscapularis tears
Subscapularis is the most powerful muscle of the rotator cuff and is in the front of the shoulder joint. Subscapularis tears are found typically in middle aged individuals and are a result of trauma. Read more about Arthroscopic Subscapularis Repair
Biceps tendinitis/subluxation
Inflammation or tears of the long head of biceps tendon can be a source of pain around the anterior (front) aspect of the shoulder joint. Read more about LHB Tenotomy/Tenodesis
Shoulder Dislocation/Instability
Failed previous shoulder stabilisation surgery
Failure of a previous stabilisation procedure requires a more complex surgical procedure called Latarjet coracoid bone transfer to prevent shoulder from dislocating. This can be performed as a primary procedure when there is bone loss following shoulder dislocation. Mr Negru performs Latarjet bone blocks arthroscopically or open. Read more about Latarjet coracoid transfer surgery
SLAP tears
SLAP stands for Superior Labrum Anterior to Posterior and a SLAP tear involves a tear in the superior labrum where the long head of the biceps tendon attaches. Read more about Arthroscopic SLAP Repair
Labrum tears
The shoulder joint is a ball and socket joint. The high mobility of the shoulder requires a very shallow socket (glenoid). The Labrum is a circumferential cartilage rim that helps stabilise the shoulder joint. Read more about Arthroscopic Labral Repair
Multidirectional Shoulder Instability
Multidirectional Shoulder Instability or Atraumatic Shoulder Instability is a form of laxity of the glenohumeral joint in multiple directions. It can be congenital (be born with it) or a result of repetitive stretching of the capsule at the extreme of range of motion (usually in overhead sports). Read more about Arthroscopic Capsular Plication
Failed previous cuff repair surgery
Rotator cuff repair is normally a successful procedure in over 80 % of cases however in a number of situations the tendon fails to heal or re-tears. This happens when the tear was massive with a retracted tendon or when there was a long time between the tear and the surgery. Read more about Revision Rotator Cuff Repair, Superior Capsule Reconstruction and InSpace Subacromial Balloon Interposition
Arthroplasty
Shoulder osteo-arthritis OA
Osteoarthritis (OA) is the typical “wear-and-tear” arthritis, which can present at any age but typically appears in later life. Younger patients may have similar symptoms as a result of inflammatory arthritis. Read more about Shoulder Replacement
Shoulder Replacement
When the wear and tear in the shoulder joint is severe the pain may be difficult to control and a replacement of the articular surfaces may be necessary. Read more about Shoulder Replacement
Reverse Shoulder Replacement
Patients with osteoartrhritis and chronic rotator cuff tears or patients who experience ongoing pain and limited range of motion after Total Shoulder Replacement may be candidates for a Reverse Total Shoulder Replacement. Read more about Reverse Shoulder Replacement
Pain after Shoulder Replacement
Ongoing pain and limited movement after a Shoulder Replacement is difficult to treat. A Revision of the Shoulder Replacement is sometimes necessary and the decision to undergo surgery for the same problem is not easy. Read more about Revision Shoulder Replacement
