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Shoulder Surgery

Advanced options for shoulder arthritis, rotator cuff deficiency and complex injuries.

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When shoulder pain and loss of function persist despite nonsurgical treatment, replacement may be an option. Treatment depends on rotator cuff function, bone anatomy, activity goals and health.

Two approaches to shoulder replacement

A QUICK SIDE-BY-SIDE GUIDE

Both procedures replace damaged joint surfaces, but they are designed for different shoulder conditions.

01 / ANATOMIC

Anatomic shoulder replacement

Restores the shoulder’s natural ball-and-socket arrangement.

Rotator cuff
Generally works well enough to support the replacement.
Often considered for
Shoulder arthritis with a functioning rotator cuff.
How it’s evaluated
Examination, X-rays, and additional imaging when needed.
Explore anatomic replacement
02 / REVERSE

Reverse shoulder replacement

Reverses the ball-and-socket arrangement to change how the shoulder works.

Rotator cuff
Can be an option when the cuff is severely damaged or insufficient.
Often considered for
Rotator cuff tear arthropathy, certain irreparable tears, or selected complex cases.
How it’s evaluated
Examination, X-rays, and CT or MRI when appropriate for surgical planning.
Explore reverse replacement

Which is right for you? Rotator cuff function, bone anatomy, arthritis severity, and your goals all matter. Advanced 3D planning can help guide implant sizing and positioning when shoulder replacement is appropriate.

When is it time to consider surgery?

  • Persistent pain despite a thoughtful trial of nonoperative care
  • Night pain or difficulty with ordinary daily activities
  • Loss of motion or weakness that limits function
  • Imaging findings that help explain the symptoms
  • Goals and health considerations that support proceeding with surgery

What the consultation includes

Dr. Haber reviews your history, examines shoulder motion and strength, reviews imaging, and discusses nonoperative options alongside potential procedures. If surgery is appropriate, the plan includes implant selection, recovery expectations, physical therapy and a candid discussion of risks.

Dr. Haber's published shoulder replacement guide

Dr. Haber authored Total Shoulder Replacement: Anatomic & Reverse Options for Panorama Orthopedics. His article provides an overview of implant choices, preparation, rehabilitation and frequently asked questions. Read the original Panorama article ↗

Common questions

Is total shoulder replacement the same as reverse replacement?

No. Anatomic replacement reproduces the normal ball-and-socket relationship. Reverse replacement changes that orientation and can provide a mechanical advantage when the rotator cuff does not function well.

Do I need surgery for shoulder arthritis?

Not necessarily. Many people begin with physical therapy, activity modification, medications or appropriately selected injections. Surgery is considered in the context of ongoing symptoms and individual goals.

How long is shoulder replacement recovery?

After anatomic or reverse replacement, Dr. Haber generally uses a sling for 4 weeks with gentle passive motion and physical therapy starting within 1 week. Active motion and simple daily tasks begin after 4 weeks, with lifting or loading limited to approximately 3–5 pounds. Return to approved recreational activities often occurs around 4.5–6 months when cleared. Contact sports and repetitive heavy lifting may remain restricted. Cuff and labral repairs follow different protection periods; see the shoulder recovery guide and your surgery-day physical therapy protocol.

See shoulder recovery timelines and practical tips →

Technology guided by anatomy

Patient-specific 3D shoulder replacement planning

Dr. Haber uses advanced three-dimensional, computer-generated reconstructions of the shoulder—typically derived from CT imaging—to plan specifics for your shoulder replacement before entering the operating room. These models allow him to evaluate glenoid wear, bone stock and alignment, assess appropriate implant positioning, and refine component sizing and orientation for each patient's anatomy.

For particularly complex or unusual anatomy, Dr. Haber may occasionally order patient-specific or custom implants when standard options are insufficient. Preoperative planning helps Dr. Haber assess bone anatomy and plan implant positioning; it does not guarantee an outcome. Learn more about anatomic shoulder replacement and reverse shoulder replacement.

Explore more conditions

Complex shoulder conditions and procedures

Shoulder problems range from athletic instability to biceps and labral disorders. Each deserves its own evaluation and treatment approach.

Shoulder rehabilitation protocols

Choose the protocol assigned for your exact surgery and share it with your physical therapist. Your postoperative instructions take precedence over general recovery timelines.

Shoulder protocols — 29 documents

Use the protocol assigned by Dr. Haber for your exact procedure. Combined repairs, massive rotator cuff repairs, and fracture surgery may require different restrictions and timelines.

Shoulder recovery guide →

All rehabilitation protocols →