Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function? - Orthopedics

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Left shoulder humeral head hypoplasia seeks surgery?


I have developmental dysplasia of the left shoulder humeral head and am considering surgery.
My arm cannot rotate normally due to the left shoulder issue.
I would like to know if undergoing surgery to implant an artificial humeral head will allow me to regain normal function in my left arm without deformity.
The affected area is the shoulder joint, and my arm and fingers are otherwise fine.
After the implantation of the artificial humeral head, will I be able to perform push-ups? What is the durability of the implant? Will the surgery affect the mobility of my fingers? This underlying issue has troubled me for a long time.

Xiang, 20~29 year old female. Ask Date: 2011/01/19

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, your situation is quite unique, and I cannot ascertain your diagnosis, let alone comment on what surgery to perform.
However, based on what you mentioned, you must have consulted a senior orthopedic physician who suggested surgery to improve your quality of life.
If you have any questions, you should consult that physician again to avoid delaying your treatment.
Wishing you all the best!

Reply Date: 2011/01/19

More Info


Surgery for underdeveloped shoulder conditions, such as the one you are describing, can indeed be a viable option to restore function and improve the range of motion in the affected arm. The use of artificial bone or prosthetic implants is a common approach in orthopedic surgery, particularly when dealing with structural deficiencies in the shoulder joint. However, there are several factors to consider regarding the potential outcomes of such a surgery.

Firstly, the primary goal of the surgery would be to correct the anatomical issues associated with the underdeveloped shoulder. This could involve the implantation of an artificial bone or prosthesis designed to mimic the natural structure of the humeral head (the ball of the shoulder joint). If successful, this could significantly enhance your ability to perform movements that were previously restricted, such as rotating your arm or performing push-ups (伏地挺身).
Regarding your specific question about performing push-ups post-surgery, it is essential to understand that recovery and rehabilitation play a critical role in regaining strength and functionality. After the surgery, a structured rehabilitation program will be necessary to strengthen the shoulder muscles, improve flexibility, and ensure proper movement patterns. Depending on the success of the surgery and your adherence to rehabilitation, many patients can return to activities like push-ups, but this may take time and effort.

The durability of artificial implants can vary based on several factors, including the type of material used, the surgical technique, and the individual’s activity level. Generally, modern prosthetic materials are designed to withstand significant stress and can last many years, but they may not be as durable as natural bone. Regular follow-up with your orthopedic surgeon will be crucial to monitor the condition of the implant and the surrounding tissues.

As for the impact on finger movement, if the surgery is focused on the shoulder joint and the surrounding structures are intact, it is unlikely that your finger mobility will be affected. However, any surgical procedure carries risks, including potential complications that could indirectly affect adjacent areas. Therefore, it is essential to discuss these concerns with your surgeon, who can provide personalized insights based on your specific condition.

In summary, surgery to implant an artificial bone in the case of an underdeveloped shoulder can potentially restore function and improve your quality of life. While you may be able to perform push-ups and other activities post-surgery, the success of these outcomes will heavily depend on the surgical technique, the rehabilitation process, and your commitment to recovery. Always consult with your orthopedic surgeon to discuss your specific case, potential risks, and expected outcomes to make an informed decision about your treatment options.

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