At Core Orthopedics we provide treatment for an array of shoulder injuries and various types of shoulder pain. The shoulder is a highly complex joint made up of three different bones that give it a wide range of motion: the humerus, the scapula, and the clavicle (the collar bone). This wide range of motion makes it the most mobile joint in the body, but it also makes it extremely susceptible to injury. Core Orthopedics specializes in conservative, non-surgical treatment as well as complex surgeries of the shoulder. We offer treatments for the following common shoulder conditions, as well as many others.
Acromioclavicular (AC) Joint Separation Repair: This surgery repairs the severe separation injury of the AC joint in your shoulder, which is when the ligaments connecting the joint are torn and the clavicle shifts out of position. To repair the separation, the surgeon will either insert a temporary screw in the shoulder, realigning the clavicle and repairing the ligaments, or reconstruct using a cadaver tendon. In preparation for the procedure, the patient will be anesthetized. After the procedure, they will need to wear a shoulder sling during recovery.
Biceps Tenodesis: This surgery repairs a bicep tendon that is partially or completely torn in the shoulder. The surgeon pulls and cuts the top of the tendon away from the bone and trims away the damaged or diseased parts of the tendon. They then drill a hole into the humerus bone. The good, undamaged tendon is pushed into the hole and is anchored with a special screw.
In preparation for the procedure the patient is given general anesthetic and a local nerve block. After the surgery, the openings in their skin are closed, the shoulder is bandaged, and the patient’s arm is placed into a sling. Biceps tenodesis can be an arthroscopic or open repair.
Intracapsular (Glenoid) Injection: This is an injection that can be used to treat osteoarthritis of the shoulder, rheumatoid arthritis (RA) of the shoulder, frozen shoulder (adhesive capsulitis), and other painful conditions of the shoulder. In this procedure, a mixture of anesthetic and anti-inflammatory medicine is injected into the space between the head of the humerus and the glenoid. The medication reaches the joint space, reducing inflammation and pain in the joint.
In preparation for the procedure, the patient is placed in a seated position and their skin is cleaned and anesthetized. After the injection, a bandage is placed on the shoulder and the patient may be advised to avoid strenuous activities for a few days.
Reverse Total Shoulder Replacement: This procedure can help patients who have had a failed total shoulder replacement, a complete tear of the rotator cuff, and injuries that led to cuff tear arthropathy. The physician replaces the damaged shoulder joint with artificial components that reverse the structure of the patient’s shoulder. The implants reverse the joint, which allows the patient to control the joint with their deltoid muscle instead of the damaged muscles of the rotator cuff.
In preparation for the procedure, general or regional anesthetic is administered and the skin is cleaned. After the procedure, the incision is closed and bandaged and the arm is placed into a sling. Physical therapy will be required to regain shoulder strength and range of motion.
Rotator Cuff Repair (Arthroscopic): This procedure is for patients who have had tears to the rotator cuff. The surgeon makes a few small openings in the skin and inserts an arthroscopic camera into one of the openings, which displays onto a video monitor. The surgeon first uses surgical instruments to clean away any loose fragments of tendon or other debris. They also may remove bone from the underside of the acromial, to keep it from pinching the rotator cuff. The surgeon then repairs the rotator tear with sutures, anchors, or other devices.
In preparation for this procedure, patients are anesthetized. After the procedure, the openings are closed and the patient’s arm is put into a sling.
Shoulder Resurfacing: This surgery replaces damaged or diseased part of humerus head with a metal implant. The surgeon separates the humerus from the socket, removes the diseased part of the head, reshapes the head to fit the implant, and attaches the implant to the reshaped humerus. The newly repaired humerus with the metal head is then placed back into the socket.
After surgery the arm is placed into a sling and physical therapy is needed to regain range of motion and increase shoulder strength.
SLAP (Superior Labrum from Anterior to Posterior) Repair: This is an arthroscopic procedure used to repair a tear to the anchor of the biceps tendon at the point where it connects to the glenoid. The surgeon makes a few small openings in the shoulder and inserts an arthroscopic camera into one of the openings, which displays onto a video monitor. The surgeon first removes any loose bits of tissue and then drills one or more small holes into the glenoid bone before implanting an anchor attached to sutures into each of the holes. The suture or sutures are tied to the torn labrum, reattaching the labrum to the glenoid bone.
In preparation for SLAP repair, the patient is administered general and regional anesthesia. The shoulder is cleaned and sterilized before the procedure. After the procedure, the patient is usually able to leave within the same day. The patient is given a sling to wear for 2-4 weeks and physical therapy is required to strengthen the joint. Most patients can go back to their normal activities within 3-6 months after the procedure.
Subacromial Decompression: This surgery treats subacromial impingement, which is a pain felt when the patient raises their arm. The surgeon makes a few small openings in the shoulder and inserts an arthroscopic camera into one of the openings, which displays onto a video monitor. The surgeon inspects and reshapes the acromion to give the rotator cuff tendons more space. Damaged tissues are then removed or repaired.
In preparation for the surgery, patients are given general anesthetic and a regional nerve block. After the surgery, the openings are closed and bandaged. Patients will be briefly monitored before being released the same day. They may be required to wear a sling for a few days during recovery.
Total Shoulder Replacement: This surgery replaces the damaged or diseased head of the humerus and the cartilage from the shoulder joint with a metal and plastic joint. To do this, the surgeon has to resurface both the ball and socket of the shoulder. The humerus is typically resurfaced with a metal component and socket is typically resurfaced with a specialized plastic component. Most patients recover within 4 months.
Ultrasound-Guided Injection for Shoulder Pain: This is a nonsurgical procedure used to treat people with pain in the shoulder from conditions such as osteoarthritis of the shoulder, rheumatoid arthritis (RA) of the shoulder, frozen shoulder (adhesive capsulitis), and other painful conditions. The physician injects an inflammation reducing steroid into the shoulder by positioning a handheld ultrasound probe that allows the physician to accurately inject the medication.
In preparation for the procedure, the physician administers a local anesthetic to numb the area.
Please search below for more information on your shoulder condition or to learn more about some of the treatment options available to patients at Core.
Dr. Gregory Drake is dual fellowship trained in shoulder and elbow surgery and adult spinal reconstructive surgery.
Shoulder & Rotator Cuff surgery
Dr. Gregory Drake is dual fellowship trained in shoulder and elbow surgery and adult spinal reconstructive surgery. He graduated Magna Cum Laude from Rockhurst College in Kansas City, followed by medical training at Kansas City University of Medicine and Biosciences, where he graduated Summa Cum Laude. He completed a general medical internship at Botsford Hospital in Farmington Hills, Michigan, followed by an orthopedic residency in which he served as chief resident of the hospital.
Dr. Drake completed his spinal reconstructive fellowship through Michigan Spine and Brain Surgeons, where he completed over three hundred and fifty major spine surgeries. Deeply committed to the welfare of his patients, he specializes in minimally invasive treatment options and believes in a conservative, minimalistic approach to surgery. He has been trained in treating the complete spine, including the cervical, thoracic and lumbar regions. He also performs a form of spinal fusion leaving adjacent areas of the spine intact and treats compression fractures of the spine with vertebral kyphoplasty.
Dr. Drake's second fellowship was performed under the tutelage of world-renowned surgeons Dr. Gary Gartsman and Dr. T. Bradley Edwards at Fondren Orthopedic Group. He performed over seven hundred cases last year, including three hundred shoulder replacements and four hundred sports-related and degenerative arthroscopic shoulder procedures. Rotator cuff repair, shoulder instability, distal clavicle resection and labral repairs are all performed through small incisions and the use of a small camera. Shoulder replacement surgery includes the standard replacement for those with arthritis, as well as the reverse total shoulder in those whose rotator cuff is deficient. Other surgical procedures he performs on the shoulder include tendon transfers, arthroscopic suprascapular nerve releases, Latarjet coracoid transfers for shoulder dislocations, and resurfacing procedures.
Dr. Drake is recipient of the American Shoulder and Elbow Surgeon's prestigious Neer Award. This award recognizes leading surgeons who are advancing techniques used worldwide. He also has several publications, including book chapters, to his name and has also published research in major journals such as The Journal of Bone and Joint Surgeons, The Journal of Shoulder and Elbow Surgeons, The Journal of Arthroplasty, and Techniques of Shoulder and Elbow Surgery. He is excited to join Core Orthopedics and Sports Medicine.
Dr. Murray is a new addition to the Core Orthopedics and Sports Medicine orthopedic team, recently relocating with his family to the Chicago area following twelve years of practice in Durham, North Carolina. He completed orthopedic residency training at Duke University in Durham, North Carolina, followed by a year of specialized fellowship training in Sports Medicine in Knoxville, Tennessee. While there, he worked under the tutelage of Dr. William Youmans, longtime team physician for the University of Tennessee Volunteers, where he performed over 200 ACL reconstructions and complex knee ligamentous injuries, as well as at least as many rotator cuff repairs. He was a team physician for the Tennessee Volunteers football team that captured the 1998 NCAA Division I Championship, and cared for many athletes with later careers in the National Football League.
Dr. Murray is Board Certified by the American Board of Orthopedic Surgery, and also has a Certificate of Added Qualification for Orthopedic Sports Medicine. He is a member of the American Orthopedic Society for Sports Medicine, a fellow in the American Academy of Orthopedic Surgery, and a member of the American Orthopedic Association. He enjoys outdoor activities, golf, playing guitar, and spending time with his wife and three young children.
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