MQ Health - Macquarie University

Complex shoulder clinic

MQ Health Complex Shoulder Clinic

MQ Health provides specialist care of complex shoulder conditions through the MQ Health Complex Shoulder Clinic. The clinic is available to all patients who are looking for a high level of specialist review and second opinions.

Our shoulder specialists have extensive experience, expertise and training in an academic research environment.

We provide care for patients who have complex shoulder problems including failed surgery. Our dedicated specialists can help you learn about your condition – including whether you should proceed with surgery or another treatment.

About the shoulder joint

The shoulder joint is one of the most complex joints in the body that requires subspecialist attention.

The shoulder joint has a fine balance of soft tissue and bony elements that allow a wide range of motion whilst maintaining stability.

Good shoulder function is integral for all activities of daily living, as well as recreational activities.

Many people are prone to shoulder injuries, whether through work, sports or after an unexpected fall. Major injuries often require surgical procedures.

Over time, the shoulder joint may undergo degenerative change that may also require surgical attention.

Our specialists

The MQ Health Complex Shoulder Clinic offers the highest level of evidence-based care with a collaborative and multi-disciplinary approach.

Associate Professor Des Bokor and Dr Sumit Raniga are dedicated, experienced and fellowship trained shoulder subspecialists.

Together, they consult and provide both non-operative and operative care of patients with complex problems related to the shoulder.

Multi-disciplinary approach

The clinic also collaborates with pain and infectious diseases consultants when complex problems require input from other specialists

The MQ Health Physiotherapy department works closely with our clinic and the physiotherapy team also have a specialist interest in rehabilitation of complex shoulder problems.

Conditions treated

The MQ Health Complex Shoulder Clinic offers both non-surgical and surgical treatment options for the full range of shoulder conditions and post-surgical problems.

Shoulder arthritis

Shoulder arthritis

  • Anatomic shoulder replacement
  • Revision of failed shoulder replacement

Shoulder arthritis due to degenerative tears of the rotator cuff (rotator cuff tear arthropathy)

  • Reverse total shoulder replacement
  • Reverse total shoulder replacement with tendon transfers to restore rotation
  • Revision of failed reverse shoulder replacement

Shoulder dislocation, instability and labral tearsĀ 

  • Arthroscopic shoulder reconstruction
  • Open shoulder reconstruction including the latarjet procedure
  • Revision of failed shoulder reconstruction

Rotator cuff

Rotator cuff tears (including subscapularis tears and massive tears)

  • Arthroscopic repair
  • Revision of failed repair

Unrepairable rotator cuff tears in high demand patients

  • Joint preservation surgery for high demand patients that are too young for shoulder replacement
  • Superior capsular reconstruction
  • Lower trapezius tendon transfer
  • Latissimus dorsi tendon transfer

Adhesive capsulitis or frozen shoulder

  • Arthroscopic capsular release

Calcific tendinitis

  • Arthroscopic evacuation of calcific deposits

Acromioclavicular joint (ACJ)

Acromioclavicular joint (ACJ) arthritis

  • Arthroscopic distal end of clavicle excision

Acromioclavicular joint (ACJ) separation

  • Arthroscopic assisted ACJ reconstruction

Biceps tendonitis and SLAP (superior labrum anterior and posterior) tears

  • Long head of biceps tenodesis
  • Long head of biceps tenotomy

Subacromial impingement, subacromial bursitis and rotator cuff insertional tendinitis

  • Arthroscopic subacromial decompression and acromioplasty

Fractures

Proximal humerus fracture or fracture dislocation of the shoulder

  • Fracture reconstruction – open reduction and internal fixation
  • Reverse total shoulder replacement

Scapular and glenoid fracture

  • Fracture reconstruction – open reduction and internal fixation

Humeral shaft fracture

  • Fracture reconstruction – open reduction and internal fixation

Clavicle fracture

  • Fracture reconstruction – open reduction and internal fixation

Pectoralis major tendon ruptures

  • Primary repair
  • Delayed reconstruction