Shoulder Surgery

Dr. Nolan Horner has subspecialty fellowship training in advanced shoulder surgery techniques. He treats all shoulder conditions ranging from shoulder instability to osteoarthritis of the shoulder. 

When possible, Dr. Horner uses minimally invasive arthroscopic techniques to perform surgeries such as shoulder stabilization (labral repair) and rotator cuff repair. These techniques allow for quicker recovery after surgery, reduced post-operative pain and improved scar cosmesis.

In cases of severe osteoarthritis of the shoulder Dr. Horner performs both anatomic and reverse total shoulder replacements. Most shoulder replacement surgeries are now performed on an outpatient (day surgery) basis. Dr. Horner uses new 3D planning software to plan a shoulder replacement that is specific to each patient’s anatomy. He also often has patient specific guides engineered to achieve optimal positioning of the patient’s new shoulder. After recovery from total shoulder replacement patients can expect significant improvements in both their pain and functioning.

Please see below a list of some common shoulder surgeries Dr. Horner performs.

Shoulder Arthroscopy

• Rotator cuff repair
• AC joint reconstruction
• Shoulder stabilization
• Labral repair
• Biceps tenodesis
• Frozen Shoulder
• Shoulder impingement

Shoulder Arthroplasty

• Anatomic total shoulder replacement
• Reverse total shoulder replacement

Other

• Pectoralis major tendon repair

Dr. Horner has also published extensive research on shoulder surgery. Below is a list of peer reviewed journal articles and book chapters by Dr. Horner on this topic.

1. NO PAin Investigators (Horner NS – Principal Investigator). Multimodal Opioid Sparing Postoperative Pain Protocol versus Standard of Care for Patients Undergoing Knee and Shoulder Arthroscopy: A Randomized Controlled Trial. In Press.
2. Sardar H, Lee S, Horner NS, Lapner P, Alolabi B, Khan M. Indications and outcomes of glenoid osteotomy for posterior shoulder instability: a systematic review. Shoulder & Elbow. In Press.
3. NO PAin Investigators (Horner NS – Principal Investigator). Protocol for a randomized controlled trial comparing a non-opioid prescription to the standard of care for pain control following arthroscopic knee and shoulder surgery. BMC Musculoskelet Disord. In Press.
4. Lui E, Kord D, Yee N, Horner NS, Almana L, Leroux T, Alolabi B, Khan M. Stemless Reverse Total Shoulder Arthroplasty: A Systematic Review of Short and Mid-term Results. Shoulder & Elbow. In Press.
5. Ekhtiari S, Horner NS, Shanmugaraj A, Duong A, Simmunovic N, Ayeni OR. Narcotic Prescriptions following Knee and Shoulder Arthroscopy: A Surgeon Survey. Cureus. 2020. In press.
6. Shanmugaraj A, Chai D, Sarraj M, Gohal C, Horner NS, Simmunovic N, Athwal GS, Ayeni OR. Pediatric Anterior Shoulder Instability: A Systematic Review of Outcomes and Complication Rates After Surgical Stabilization. KSSTA. 2020. In Press.
7. Haleem A, Shanmugaraj A, Horner NS, Leroux T, Alolabi B, Khan M. Anatomic Total Shoulder Arthroplasty in Rheumatoid Arthritis: A Systematic Review. Shoulder & Elbow. 2020. In Press.
8. Olaiya T, Nadeem I, Horner NS, Bedi A, Leroux T, Alolabi B, Khan. M. Templating in Shoulder Arthroplasty – a Comparison of 2D CT to 3D planning software. Shoulder & Elbow. 2019. In Press.
9. Uy M, Wang J, Horner NS, Bedi A, Alolabi B, Khan M. Cemented Humeral Stem Versus Press-Fit Humeral Stem in Total Shoulder Arthroplasty: A Systematic Review. Bone Joint J. 2019. In press.
10. Liu EY, Kord D, Horner NS, Alolabi B, Khan M. Stemless Anatomic Total Shoulder Arthroplasty: A Systematic Review and Meta-analysis. JSES. 2019. In Press.
11. Elsawi R, Vancolen S, Horner NS, Alolabi B, Khan M. Surgical Treatment of Trapezius Nerve Palsy. Shoulder & Elbow. 2019. In press.
12. Nadeem I, Vancolen S, Horner NS, Bedi A, Alolabi B, Khan M. Return to Sport Following Coracoid Bone Block Transfer for Shoulder Instability. HSS Journal. 2019. In press.
13. Thayaparan A, Yu J, Horner NS, Leroux T, Alolabi B, Khan M. Return to Sport After Arthroscopic Superior Labral Anterior-Posterior Repair: A Systematic Review. Sports Health. In press.
14. Vancolen S, Elsawi R, Horner NS, Leroux T, Alolabi B, Khan M. Reverse Total Shoulder Arthroplasty in the Younger Patient. J Shoulder Elbow Surg. 2019. In press.
15. Kord D, Liu E, Horner NS, Khan M, Alolabi B. Outcomes of Scapulothoracic Fusion in Facioscapulohumoral Muscular Dystrophy: A Systematic Review. Shoulder & Elbow. 2019. In press.
16. Khan M, Alolabi B, Horner NS, Bedi A, Ayeni OR, Bhandari M. Surgery for shoulder impingement: a systematic review and meta-analysis of controlled clinical trials. CMAJ Open. 2019;7(1):E149-158.
17. Kuper GN, Shanmugaraj A, Horner NS, Ekthari S, Simunovic N, ER Cadet, Ayeni OR. Critical shoulder angle is an effective radiographic parameter that is associated with rotator cuff tears and osteoarthritis. JISAKOS. 2019;4(2):113-120.
18. Yu J, Zhang C, Horner NS, Ayeni OR, Leroux T, Alolabi B, Khan M. Outcomes and Return to Sport After Pectoralis Major Tendon Repair: A Systematic Review. Sports Health. 2018;11(2):134-141.
19. Zhang B, Thayaparan A, Horner NS, Bedi A, Alolabi B, Khan M. Outcomes of hyaluronic acid injections for glenohumeral osteoarthritis: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2018;28(3):596-606.
20. Horner NS, Moroz PA, Bhullar R, Habib A, Simunovic N, Wong I, Bedi A, Ayeni OR. Open versus arthroscopic Latarjet procedures for the treatment of shoulder instability: a systematic review of comparative studies. BMC Musculoskelet Disord. 2018;19(1):255.
21. Ekhtiari S, Horner NS, Bedi A, Ayeni OR, Khan M. The Learning Curve for the Latarjet Procedure: A Systematic Review. Orthop J Sports Med. 2018;6(7):2325967118786930.
22. Kay J, Kirsh JM, Bakshi N, Ekhtiari S, Horner NS, Gichuru M, Alolabi B, Khan M, Bedi A. Humeral Retroversion and Capsule Thickening in the Overhead Throwing Athlete: A Systematic Review. Arthroscopy. 2018;34(4):1308-1318.
23. Horner NS, de SA D, Heaven S, Simunovic N, Bedi A, Athwal GS, Ayeni OR. Indications and outcomes of shoulder arthroscopy after shoulder arthroplasty. J Shoulder Elbow Surg. 2016;25(3):510-518.