The Top of the Chain

Shoulder Conditions

The shoulder is the most mobile joint in the body, and it achieves that mobility by trading away stability. Every arm movement starts here, which is why shoulder problems so quickly change what the hand can do.

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Mobility Has a Cost

Four structures do the work of keeping the shoulder both free-moving and secure.

The Joint Surface

Cartilage that wears with time and leads to arthritis when lost

The Rotator Cuff

Tendons that lift and rotate the arm — vulnerable to tears and overuse

The Labrum & Ligaments

The rim that keeps the ball centered, commonly injured in sports

The Bones

A break near the joint affects alignment and long-term motion

Board Certified Orthopaedic SurgeonShoulder to Fingertip CarePersonalized Treatment Plans

When the Joint Is the Problem

Not Every Shoulder Needs Replacing

Most shoulder conditions are treated without replacing the joint. When arthritis has worn away the joint surface, or a fracture has broken it beyond repair, replacement becomes the option that restores motion and relieves pain.

Which type of replacement is appropriate depends on what is still working — the joint surface, the rotator cuff, or neither.

Non-Surgical Care FirstInjections When AppropriateJoint Replacement When Indicated

Related Areas

Shoulder problems often travel down the arm alongside elbow and hand conditions.

Shoulder Pain That Limits Your Arm

If reaching, lifting or sleeping on your side has become difficult, an evaluation can identify the cause and what to do about it.