Question 1

What is the difference between total shoulder replacement and reverse shoulder replacement?

Accepted Answer

In a traditional total shoulder replacement, the ball of the upper arm bone is replaced with a metal ball and the socket is resurfaced with a plastic cup - closely mimicking the natural anatomy. Reverse shoulder replacement reverses these positions: a metal ball is attached to the shoulder socket and a plastic cup is placed at the top of the upper arm bone. Reverse shoulder replacement is designed for patients whose rotator cuff is severely damaged or torn and can no longer support a traditional implant. By reversing the geometry, different muscles take over the work of the damaged rotator cuff. Dr. Lonergan will evaluate your rotator cuff integrity, extent of arthritis, and activity goals to determine which approach is right for you.

Question 2

What is joint restoration and how is it different from joint replacement?

Accepted Answer

Joint restoration refers to procedures designed to repair, rebuild, or protect a damaged joint rather than replacing it entirely. This includes arthroscopic procedures to address cartilage damage, labral tears, impingement, or ligament injuries. Joint restoration is typically appropriate for patients whose damage is not yet severe enough to warrant full replacement, or for younger and more active patients who want to preserve as much natural joint as possible. Dr. Lonergan evaluates each patient's imaging and symptoms to determine whether a restorative or replacement approach is the better fit for their goals and anatomy.

Question 3

What is arthroscopic surgery and what are its advantages?

Accepted Answer

Arthroscopic surgery uses a small camera and thin instruments inserted through tiny incisions rather than a large open incision. This minimally invasive approach typically results in less trauma to surrounding tissue, less postoperative pain, a shorter recovery period, and faster return to normal activity compared to open surgery. Dr. Lonergan specializes in arthroscopic techniques for the shoulder, knee, hip, and ankle.

Question 4

Does Dr. Lonergan treat both athletes and non-athletes?

Accepted Answer

Yes. Dr. Lonergan's sports medicine fellowship in Denver included treating athletes from amateur to professional levels. Today his patients include competitive athletes, weekend warriors, and everyday active adults dealing with joint pain, injuries, or wear-related conditions like arthritis. His sports medicine training shapes how he approaches recovery planning and return-to-activity goals for every patient - not just athletes.

Question 5

What is a rotator cuff tear and how is it treated?

Accepted Answer

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and allow you to lift and rotate your arm. A rotator cuff tear can be caused by a sudden injury, repetitive overhead motion, or gradual wear over time - and can range from a small partial tear to a complete rupture. Not all rotator cuff tears require surgery. Many patients improve with physical therapy, activity modification, and anti-inflammatory treatment.

Question 6

Is Dr. Lonergan accepting new patients?

Accepted Answer

Yes, Dr. Lonergan is accepting new patients at all of his practice locations.

Arsen H. Manugian, MD

Arsen H. Manugian, MD

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