Shoulder and elbow surgery

Curriculum vitae

 

Roberto Rotini

  • Shoulder and elbow disorders
  • Knee pathologies
Activities:
  • Former head of the Shoulder and Elbow Surgery Department of the Rizzoli Orthopedic Institute.
  • Contract professor at the graduate school in Orthopedics and Traumatology of the University of Bologna.
  • President of the Italian Society of Shoulder and Elbow Surgery in 2013-2014.
After specializing in Orthopedics and Traumatology in 1981 and in Physiotherapy in 1984, I practiced surgery in the various sectors of Orthopedics at the Santa Maria Nuova hospital in Reggio-Emilia and, since 1989, at the Rizzoli Orthopedic Institute in Bologna. . I have dedicated the last 20 years of my career to shoulder and elbow pathology. From 2000 to 2020 I headed the Shoulder and Elbow Surgery Department of the Rizzoli Orthopedic Institute in Bologna. From 2012 to 2014, I was president of the Italian Society of Shoulder and Elbow Surgery. I am currently a full member of the European Society of Shoulder and Elbow Surgery. In recent years I have been particularly dedicated to exploiting the techniques of engineered surgery and computer assisted for the treatment of the most complex cases affecting these districts.

Insights

What are the most common causes of shoulder pain?

In young age, the most frequent cause of pain is undoubtedly shoulder instability, linked to a laxity of the ligaments. In adulthood, rotator cuff tendinopathy has a very high incidence. In old age, the cause of pain is usually linked to arthrosis.

In case of shoulder or elbow trauma, what are the checks to be performed?

If it is a question of suspected soft tissue injuries, ultrasound is the simplest and least invasive examination to perform. If a further diagnostic investigation is necessary, magnetic resonance imaging (MRI) allows to accurately frame the lesions of the ligaments and tendons.
If a lesion with bone involvement is suspected, the first examination to be performed is a standard radiograph. To better define complex fractures and with possible joint involvement, computed tomography (CT) offers the greatest amount of detail.
However, in the case of recent trauma with persistent pain and functional disturbance, the first thing to do is to go to an emergency room.
  • The advantages of ceramics at a glance: 
  • Excellent biological behavior 
  • No known risk of allergy 
  • Absence of concern about the release of Co, Cr ions and Ni
  • Reduced risk of revision due to periprosthetic joint infections (PJI) 
  • No known pathogenic reaction to ceramic particles 
  • Resistant to third body wear 
  • Cone corrosion significantly reduced Excellent wettability 

For years I have been carrying out shoulder, hip and knee arthroplasty operations or, using the latest generation and cutting-edge materials according to international indications: 

  • Ceramic / ceramic coupling Biolox Delta or Polyethylene added to Vitam. 
  • And in metal prostheses with low allergen effect and cross-linked polyethylene or with vitam. And in knee and shoulder prostheses.

If I have a shoulder or elbow fracture, is surgery always necessary?

Absolutely not. The indication is always asked by the orthopedic doctor on the basis of the characteristics of the fracture (compound or displaced) and the clinical characteristics of the patient (age, general conditions, functional requirements). Shoulder arthroscopy allows suturing of injured tendons due to pain and motor deficit. Finding out about your disease and participating in your treatment are winning ways to deal with any health problem. However, it is good to remember that only an orthopedic specialist can make an exact diagnosis and therefore prescribe and perform the appropriate treatment.

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