http://www.or-live.com/WFUBMC/2385 WINSTON-SALEM, N.C. – Ethan R. Wiesler, M.D., an orthopaedic surgeon at Wake Forest University Baptist Medical Center, will perform a total shoulder replacement that will be broadcast at 5:00 pm, Tuesday, April 21, 2009. Christopher Tuohy, M.D., an orthopaedic surgeon who also performs shoulder replacements, will narrate the procedure. The webcast will be archived here and on the Wake Forest Baptist website. Patients interested in making appointments can call (866) 511-1932. The most common reason for needing a shoulder replacement is osteoarthritis, which causes a deterioration of the joint. Other causes are rheumatoid arthritis and trauma to the joint. Arthritis and trauma can cause pain, inflammation, swelling and stiffness in the joint, decreased activity and an impaired lifestyle, including an inability to sleep or use that shoulder. In addition to damage to the arm bone and shoulder blade within the joint, patients may have damage to the cartilage that supports the joint. Conservative treatments include lifestyle changes, less invasive surgeries, physical therapy, supplements, rest and ice, as well as pain management that includes anti-inflammatory medications, analgesics and steroid injections. If these treatments do not work, a patient may need to explore shoulder replacement. In order to properly diagnose shoulder problems, physicians will perform a complete medical history, a complete physical exam of the patient and a detailed exam of the affected joint, X-rays and a CT scan. The benefits of replacement of the shoulder joint include pain relief, enhancement of movement and mobility and improved quality of life. Replacement of the joint includes resurfacing or replacing the humeral head, which is the top or ball of the humerus or long arm bone, and the glenoid or socket of the joint that is part of the scapula or shoulder blade. Standard components for a total ...