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Shoulder · Shoulder and Sports Medicine

Shoulder Fractures

Breaks of the collarbone, the upper arm bone at the shoulder, or the shoulder blade, from falls and collisions. Many heal in a sling; some need fixation or replacement.
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Shoulder · Shoulder and Sports Medicine

Shoulder Cartilage Injury

Damage to the smooth cartilage surface of the ball or socket, from a dislocation, an injury or early wear, that causes pain, catching and the start of arthritis.
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Shoulder · Shoulder and Sports Medicine

Throwing Injuries

Overuse injuries of the shoulder and elbow in baseball, softball and other overhead athletes: labral tears, internal impingement, biceps problems and elbow ligament strain.
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ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Shoulder Cartilage Injury

The ball and socket are capped in smooth cartilage.
A dislocation can shear a piece off, a fall can crack it, and years of instability wear it. Loose fragments catch, and bare bone eventually becomes arthritis.Cartilage injuries sit between a sports injury and arthritis, and are treated with both in mind.
Treated by
J. Ryan Taylor, MD, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. TaylorShoulder and Sports Medicine
Kevin Christensen, MD, Knee, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. ChristensenKnee, Shoulder and Sports Medicine
Michael Carlson, MD, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. CarlsonShoulder and Sports Medicine
Shoulder Cartilage Injury

Symptoms

Deep pain with use, catching or grinding with rotation, and swelling after activity.A history of dislocation or a hard fall. Stiffness that is new.
Locking suggests a loose fragment.
Common signs
Deep pain with use
Catching or grinding
Swelling after activity
Stiffness that is new
See us sooner if
Locking
Repeated dislocations
Shoulder Cartilage Injury

Causes

Dislocations, falls, fractures into the joint, repeated instability, and long-standing rotator cuff tears that let the ball ride high.Some patients develop focal cartilage wear without a clear injury.The younger the patient at the first dislocation, the more cartilage is at risk over time.
Shoulder Cartilage Injury

How We Diagnose It

X-rays show established wear but miss early cartilage damage.MRI, sometimes with contrast, shows cartilage defects, loose bodies and the labrum. Arthroscopy is the definitive look.Grading the defect decides the plan.Usually follows a dislocation on the slopes or the mat; MRI is arranged locally. Dr. Taylor, Dr. Christensen and Dr. Carlson operate at Utah Valley Hospital and American Fork Hospital.
Shoulder Cartilage Injury

Treatment Options

Activity changes, physical therapy, anti-inflammatories, and injections including PRP help many patients for years.
Arthroscopic debridement removes loose fragments and smooths unstable edges.Focal defects in younger patients may be treated with cartilage procedures. Widespread loss is treated as arthritis, with replacement when pain limits life.
Your options
Non-surgical
Activity changes
Physical therapy
Injections, PRP
Surgical
Arthroscopic debridement
Cartilage procedure
Replacement
Related
Shoulder Cartilage Injury

Procedures That Address It

Shoulder Cartilage Injury

Surgeons Who Treat It

Dr. Taylor, MD
Dual fellowship trained in sports medicine and in shoulder and elbow surgery. Former Division I football player.
Dr. Christensen, MD
Andrews Institute sports medicine fellowship under Dr. James Andrews. Board certified in orthopedic surgery and orthopedic sports medicine. Fluent in Spanish.
Dr. Carlson, MD
Arthroscopic surgery of the shoulder, elbow, knee, hip and ankle. Published sports medicine researcher. Fourteen years in practice.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330