Shoulder Surgery

Hip Surgery Information

Our Doctors

Drs. Abbott (Bo) Kagan and Todd Atkinson are fellowship trained orthopedic orthopedic surgeons who practice general orthopedic surgery with a concentration in their area of expertise.

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Knee Surgery Information

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Each of our fellowship trained orthopedic surgeons has special areas of interest.

Our Specialties

Arthritic Hand Surgery Information


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Rotator Cuff Repair Information

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Total Shoulder

The traditional total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket. Patients with bone-on-bone arthritis and intact rotator cuff tendons are generally good candidates for conventional total shoulder replacement.

Reverse Shoulder

Reverse total shoulder replacement is used for people who have: completely torn rotator cuffs and significant arthritis (cuff tear arthropathy), or had a previous shoulder replacement that failed. In reverse total shoulder replacement, the socket and metal ball are switched. That means a metal ball is attached to the shoulder bone and a plastic socket is attached to the upper arm bone. This allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.

Complex Shoulder Problems

Some patients suffer from more than one problem in their shoulder. Other patients continue to have pain despite previous operations. This can result in a complex problem and sometimes an opinion from a shoulder specialist can help.

Rotator Cuff Tears

The rotator cuff is the network of four muscles and tendons that form a covering around the top of the upper arm bone (humerus). The rotator cuff holds the humerus in place in the shoulder joint and enables the arm to rotate/elevate.  Rotator cuff tear is a common cause of pain and disability among adults.  Tears may be from a traumatic episode or from overuse

Shoulder Instability

Shoulder instability occurs when the head of the upper arm bone is forced out of the shoulder socket. This can happen as a result of a sudden injury or from overuse.  Once a shoulder has dislocated, it is vulnerable to repeat episodes. Surgery is sometimes necessary to repair torn or stretched ligaments so that they are better able to hold the shoulder joint in place.

AC Joint Reconstruction

The AC joint is where the collarbone (clavicle) meets the highest point of the shoulder blade (acromion).  During an injury, the ligaments attaching to the underside of the clavicle can tear. This causes the "separation" of the collarbone and wingbone. The wingbone actually moves downward from the weight of the arm. This creates a "bump" or bulge above the shoulder.