• If u want to visit a DR. with knee and shoulder problems u have to atleast consult Dr. Vikram Mhaskar.... He is very honest, sincere with his treatments.. He will only do operation if needed .. His approach towards his client is very genuine and caring... His opinion matters so much that I my slelf was asked to undergo Spine surgery (I am just 38 years old)by Delhi's top 6 surgeons from all different hospital.. Dr. Mhaskar not just guided me to right direction but also suggest these surgeons..*** ** ** ****** Guys just once go and take his consultation before undergoing Artho surgery... Thank you Dr. Vikram Mhaskar for all Ur support and care for patients...you are doing amazing job...!!!

    Yogita Malhan

  • His demeanour makes the patient forget the pain almost immediately upon entering his clinic.He is very calm and comforting.

    Zille Huma Awan
    Visited For Shoulder Pain

  • Arthroscopy & Open Shoulder Surgery

    Tell me a little bit about the shoulder joint?

    The shoulder joint is a ball and socket joint. The socket is small and the ball big, thus we can move our shoulder almost 360 degrees. However this comes at a price, it is inherently unstable. To make it stable, the socket has its edges lifted up much like a plates edges that prevent the food from spilling out of the plate and here the balls from moving out of the socket. This banking is made of cartilage and is called the labrum. Around the shoulder are muscles that also contribute to stability. The muscles that facilitate movement of the shoulder are attached via ropes (tendons) on the ball (part of the arm bone, humerus). These are called the rotator cuff tendons. Above these tendons lie a bone called the acromion, and the space between the tendons and the bone are very little. Apart from the ball and socket (gleno-humeral) joint there are two more joints that form a part of the shoulder joint complex. The joint between the collar bone and chest (sternoclavicular joint) and the acromioclavicular joint. They facilitate only about 10% of shoulder functions with 90% being done by the ball and socket joint.

    What are the common arthroscopic procedures in the shoulder?

    Arthroscopic Bankart Repair

    This is a procedure where the banking (lifted edge of the socket) is repaired back via arthroscopic surgery in patients who have recurrent shoulder dislocations. It is a successful minimally invasive surgery with return to normal activities in about 4-6 weeks and sports in 6 months. We use all suture anchors for this so there’ll be no plastic/metal screw in the shoulder usually.

    Arthroscopic Rotator cuff repair

    This is an arthroscopic procedure where the torn rotator cuff tendons are repaired back with anchors (little plastic screw with threads attached to them). The rehabilitation is for around 3 months and return to normal activities takes around the same time.

    What is Frozen Shoulder and how is it treated?

    Sometimes the shoulder gets stiffer than usual. This usually starts gradually (freezing stage:2 months) , gets frozen (Frozen stage 1-2 months) and then opens up gradually (thawing phase 2-4 months). This is usually a self limiting disease but very debilitating. It occurs more commonly in diabetics and the treatment is initially physiotherapy, later a mild steroid injection in the shoulder, with 70-80 % people getting ok with one or both treatments. However if it persists over 6 months, arthroscopic release can be performed that facilitates full movement almost immediately after surgery.

    Can arthritis affect the shoulder and how is it treated?

    Yes however it becomes debilitating usually later than knee arthritis as the shoulder is a non weight bearing joint. The treatment range from local physiotherapy to ease the pain to joint replacement surgery. If surgery is required (usually when the pain is very severe, affecting sleep and at rest), it could be :

    • An anatomical shoulder replacement: Pre-requisite is that the rotator cuff needs to be intact.
    • A reverse shoulder replacement: Done in rotator cuff arthropathy where there is arthritis in the setting of a dysfunctional rotator cuff.

    Can shoulder fractures be treated without open surgery plates and screws?

    Yes, we specialize in treating fractures with wires from the outside fixing the bone, without any external cut. These can be done in certain fractures but not all.

    Arthroscopic Bankart Repair