Physician Spotlight: Jack Kazanjian, D.O.
Kazanjian, D.O., FAOAO a board-certified orthopedic surgeon, is a member of
Premier Orthopaedics and Sports Medicine who specializes in disorders of the
shoulder and elbow. He has extensive training in complex open and arthroscopic
surgical techniques—including rotator cuff repair, instability surgery,
shoulder replacement and trauma. He completed his medical and orthopedic
surgical training at the Philadelphia College of Osteopathic Medicine and his
fellowship at The Hughston Clinic in Columbus, GA.
Dr. Kazanjian is actively
involved in community education through his national lectures, clinical research
and resident teaching. He also serves as team doctor for local sports teams and
is a member of the Association of Clinical Shoulder and Elbow Surgeons. The
following information is based on his community presentation, “Treating the
Pain of Shoulder Arthritis,” which he has presented at several locations
throughout Delaware County.
Shoulder arthritis manifests itself through aching, crackling, stiffness
or pain of the shoulder joint, particularly at night time. It often develops
gradually before becoming apparent, though it may occur after a trauma to the
shoulder joint, such as a fracture or dislocation.
“The most common type of shoulder arthritis is osteoarthritis,” Dr.
Kazanjian says. Osteoarthritis is also referred to as degenerative arthritis,
since it is caused by the slow breakdown and eventual loss of the joint cartilage. Another common type is
rheumatoid arthritis, which is a long-term disease that leads to inflammation
of the joints and surrounding tissues. “Risk factors such as occupation,
genetics, inflammatory or autoimmune disorders, trauma and previous surgery to
the shoulder may increase your chance of developing arthritis,” Dr. Kazanjian
X-rays are used as a first-line imaging study to help diagnose shoulder
arthritis, in addition to a detailed history and physical. An MRI and/or CT
scan may be necessary. Sometimes, arthritis can be treated through
non-operative methods. Your physician may recommend a physical therapy program,
rest, over-the-counter medications (such as Tylenol), prescription medications
(such as Celebrex), and, possibly, injections. When these treatments are
exhausted, it is time to turn to an orthopedic surgeon.
arthritis cases, minimally invasive procedures such as arthroscopy or
resurfacing surgery can be performed. Arthroscopy is a procedure in which small
incisions are made around the problem area and special instruments are used to
clean out the joint. Resurfacing surgery is like “filling a tooth,” and
replaces only the arthritic surface of the humeral head (the “ball”) and
conserves more bone than traditional joint replacement surgery.
In more severe cases, total shoulder arthroplasty is necessary.
“Arthroplasty is the medical term that we use for joint replacement,” Dr.
Kazanjian explains. Arthroplasty has an 85 to 95 percent satisfaction rate
after 10-15 years. During this surgery, the ball and socket of the joint are
replaced with a metal ball and plastic socket. This procedure is best for pain
relief and improves function.
Dr. Kazanjian is on the
medical staff of Delaware County Memorial Hospital in Drexel Hill. His office
is located in Havertown and can be reached at (610) 449-6499.