Shoulder & Elbow Conditions

Dr. Levin provides expert evaluation and individualized treatment plans for the full spectrum of shoulder and elbow conditions.

01

Shoulder arthritis

Shoulder arthritis is the gradual breakdown of articular cartilage within the glenohumeral joint, leading to bone-on-bone contact, pain, and progressive stiffness. It can occur as primary osteoarthritis or secondary to rotator cuff disease, prior trauma, or inflammatory conditions.

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02

Rotator cuff tears

The rotator cuff is a group of four muscles and tendons — supraspinatus (most commonly torn), infraspinatus, teres minor, and subscapularis — that lift the arm, rotate the arm, and provide stability to the shoulder joint. A tear occurs when one or more tendons becomes damaged or pulls away from the bone, ranging from partial-thickness (damaged but not completely torn) to full-thickness (completely detached). Tears can involve one or multiple tendons and vary widely in size and severity.

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03

Shoulder instability

Shoulder instability occurs when the capsule, labrum, and ligaments surrounding the glenohumeral joint fail to keep the humeral head centered within the socket, resulting in repeated dislocations or a persistent sensation of the shoulder slipping. It most commonly follows an initial traumatic dislocation but can also develop from repetitive overhead stress.

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04

Shoulder fractures

Proximal humerus fractures — breaks of the upper arm bone near the shoulder joint — are serious injuries that most commonly result from falls, particularly in older adults with osteoporosis. Treatment ranges from immobilization for minimally displaced fractures to surgical fixation or joint replacement for complex, displaced, or comminuted patterns.

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05

Elbow fractures

Elbow fractures encompass a spectrum of injuries including distal humerus fractures, olecranon fractures (the bony point of the elbow), radial head and neck fractures, and coronoid fractures. Complex elbow injuries can involve multiple fractures combined with ligament tears, requiring precise surgical management.

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06

Biceps and triceps tears

Biceps and triceps tendon tears occur when the tendons connecting these muscles to bone rupture, either at the shoulder (proximal) or at the elbow (distal). These injuries most often result from a sudden eccentric load — such as catching a heavy object — and cause significant loss of arm strength if not repaired.

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07

Elbow arthritis

Elbow arthritis is the gradual breakdown of articular cartilage within the elbow joint, leading to bone-on-bone contact, pain, and progressive stiffness. It can occur as primary osteoarthritis or secondary to prior trauma, inflammatory conditions, or repetitive use.

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08

Tennis and golfer's elbow

Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are overuse conditions caused by repetitive stress to the tendons that attach to the elbow. Despite the names, they affect many people beyond athletes — from office workers to manual laborers.

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09

Thrower's elbow

Thrower's elbow encompasses a spectrum of injuries common in overhead athletes — particularly baseball pitchers — including ulnar collateral ligament (UCL) tears, valgus extension overload, and osteochondral lesions. These injuries result from the repetitive high forces generated during the throwing motion.

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