• Seidengasse 16, 8001 Zurich
  • +41 43 543 22 79, +41 43 543 22 79
  • mschenkel@hin.ch
  • Mon-Fri: 08:00 - 17:30
    Sat-Sun: Closed
Seidengasse 16, 8001 Zurich

Shoulder

Movement without discomfort - we support you

LIVE PAIN-FREE

Shoulder

Your specialist team for shoulder complaints

Shoulder pain can be treated effectively if diagnosed correctly. This is why an individual assessment and the choice of the right therapy are crucial for successful treatment.

  • Anatomy

    The shoulder joint is a ball-and-socket joint consisting of the upper arm (humerus) and the shoulder blade (scapula). It is the most mobile joint in the body and stability is ensured primarily by muscles, tendons and ligaments. The rotator cuff - consisting of 4 muscles (supraspinatus, infrapsinatus, teres minor and subscapularis) - is crucial for the movement of the arm.
  • Diseases

    There are many shoulder disorders. Overloading, wear and tear, chronic complaints due to inflammatory or rheumatological diseases must be recognized. Rapid clarification and individual therapy are crucial. The aim of treatment is to restore freedom from pain and quality of life.
  • Injuries

    Injuries in the shoulder area can be caused by accidents, overloading or wear and tear - we can help.

WHAT WE TREAT

  • Arthroscopic reconstruction of rotator cuff ruptures
  • Shoulder dislocation and shoulder instability
  • Shoulder prostheses for osteoarthritis (wear and tear)
  • Acromioclavicular joint (AC joint) injuries
  • Bottleneck syndrome (impingement syndrome)
  • Calcified shoulder (tendinitis calcarea)
  • Shoulder stiffness (frozen shoulder/adhesive capsulitis)
  • Biceps tendon problems in the shoulder joint (long biceps tendon)
  • Treatment of broken bones (fractures) in the shoulder joint
Book Appointment

Frequently asked questions (FAQ)

What are the symptoms of a shoulder problem?

Typical signs include pain during movement, increasing restriction of movement, or even pain at rest.

When should I see a shoulder specialist?

We initially recommend measures such as rest and/or painkillers during the acute phase. If symptoms persist, we advise consulting a shoulder specialist.

Sports Injuries

Shoulder injury – what now?

What steps are important after a shoulder injury? It’s essential to quickly assess whether ligaments, tendons, or bones are affected. Depending on the severity, treatment is either conservative or surgical – always with the goal of restoring function and stability as quickly as possible.

Tendon tear in the shoulder (rotator cuff lesion)

How can I tell if I have a torn tendon in my shoulder? A tendon tear often presents with pain, increasing loss of strength, and limited mobility. Early diagnosis and targeted treatment improve shoulder function restoration and quality of life.

Shoulder dislocation and shoulder instability

What does it mean when the shoulder “pops out”? In a shoulder dislocation, the head of the upper arm slips out of the socket – usually due to an accident or pre-existing instability. Accurate diagnosis and appropriate therapy are key to restoring a “stable” shoulder joint and avoiding long-term damage.

Injury to the AC joint (AC joint dislocation) – what is that?

An AC joint dislocation often occurs after a fall on the shoulder or typically during contact sports (e.g., rugby). A visible elevation of the outer end of the collarbone and pain when lifting the arm are typical signs – treatment depends on the severity of the injury.

What happens with shoulder fractures?

Fractures in the area of the collarbone, humeral head, or shoulder blade require accurate diagnosis. Depending on the type of fracture, conservative or surgical treatment is used to best support function and healing.

Shoulder Prosthetics and Revision

Arthritis in the shoulder – what is it?

In shoulder arthritis, the cartilage in the joint wears down, causing pain and limited mobility. This leads to increasing functional impairment and loss of quality of life. Depending on the stage, conservative measures or joint replacement may be considered.

When do I need an artificial shoulder joint?

If the shoulder joint is so worn that you suffer from constant severe pain and poor shoulder function, then artificial joint replacement should be discussed. The goal is to restore a pain-free shoulder function – a gain in quality of life.

Are there different types of shoulder prostheses?

Yes – there is the anatomical (standard prosthesis) and the reverse shoulder prosthesis.

What is the difference?

In the anatomical prosthesis, the joint socket and the head of the upper arm are replaced. In the reverse prosthesis, this is also done – but reversed: the upper arm head is implanted where the socket was, and vice versa. This creates a new biomechanics where the large shoulder muscle (deltoid) controls the movement – ideal for patients without a functioning rotator cuff.

Who is the anatomical shoulder prosthesis suitable for?

This prosthesis replaces the joint in its natural form and is used when the rotator cuff is intact. It is especially suitable for patients with primary arthritis and an intact rotator cuff.

Who is the reverse (inverted) shoulder prosthesis suitable for?

When the rotator cuff is absent or damaged, the reverse shoulder prosthesis offers a good alternative. Due to the changed mechanics, mobility can be restored even without a functioning rotator cuff. It is increasingly also used in complex upper arm fractures.

Shoulder Conditions

Impingement syndrome – what is it?

In impingement syndrome, tendons and bursae are pinched between the shoulder roof and the head of the upper arm. This leads to pain – especially during overhead movements – and, if untreated, can lead to tendon damage.

What is calcific shoulder (calcific tendinitis)?

In calcific shoulder, calcium crystals are deposited in the tendons of the rotator cuff. The cause is unclear, and women are more frequently affected. The pain often occurs suddenly. Treatment is usually conservative (injections, pain relief), as the calcium rarely causes mechanical issues.

What is frozen shoulder?

Frozen shoulder is an inflammation-induced stiffening of the shoulder joint. It progresses through 3 phases: the freezing phase (inflammation), the frozen phase (stiffness), and the thawing phase (recovery). This can last from a few weeks to several months – correct and early diagnosis and therapy can significantly shorten the course.