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Shoulder Services

The shoulder is one of the most complex and mobile joints in the body, making it uniquely susceptible to injury and wear. 


At East Coast Orthopaedics, we provide expert care for the full range of shoulder conditions, from acute rotator cuff tears and dislocations to the chronic limitations of advanced arthritis. We combine precision diagnostics with a personalized approach, offering everything from advanced stabilization and minimally invasive repairs to total shoulder replacement. 


We are committed to relieving your pain and restoring the strength and range of motion you need to reclaim your active lifestyle.

Common Shoulder Conditions We Treat

Acute & Sports Injuries

✚ Shoulder Impingement / Subacromial Bursitis

✚ Rotator Cuff Tendon Tears

✚ Recurrent Shoulder Dislocations / Labral Tears

✚ Fractures and dislocations (All Age Groups)

✚ Tendinopathies & Bursitis

Degenerative & Chronic Conditions

✚ Glenohumeral (Shoulder) Osteoarthritis

✚ Rotator Cuff Tear Arthropathy (Severe Arthritis with Cuff Tear)

✚ Acromioclavicular Joint Arthritis / AC Joint Separation

✚ Chronic Tendonitis / Mild Osteoarthritis

✚ Joint Inflammation / Bursitis / Severe Localized Pain

Detailed medical illustration of human shoulder anatomy with clinical labels - East Coast Orthopaedics
Operative Procedures

Shoulder Operative Procedures

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Using his own signature technique, Mr Jacob stabilizes the joint to relieve pain and restore overhead and cross-body motion.


Suitable for both acute injuries and chronic degeneration, this procedure is tailored to the severity of the separation, with most patients returning to full activity within a few months of structured rehabilitation.

Acromioclavicular (AC) joint

Using his own signature technique, Mr Jacob stabilizes the joint to relieve pain and restore overhead and cross-body motion.

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Replaces a worn joint with a prosthetic to eliminate arthritis pain and restore daily range of motion.


By replacing both the ball and socket with high-grade prosthetic components, this procedure delivers reliable, long-term relief for patients whose quality of life has been significantly impacted by advanced joint disease.

Total shoulder replacement

Replaces a worn joint with a prosthetic to eliminate arthritis pain and restore daily range of motion.

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Stabilizes the shoulder to prevent recurrent dislocations, restoring integrity for high-impact movement.


The choice between arthroscopic repair and the Latarjet procedure depends on bone loss and dislocation history, with the Latarjet offering a more robust solution for patients at higher risk of recurrence. Mr Jacob will counsel you through the shared decision making process

Arthroscopic Bankarts and open Latarjet

Stabilizes the shoulder to prevent recurrent dislocations, restoring integrity for high-impact movement.

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Innovative design for complex tears that shifts muscle function to restore pain-free lifting and movement.


By reversing the ball-and-socket geometry, this design recruits the deltoid muscle to compensate for a non-functioning rotator cuff, making it the preferred solution when conventional replacement would not produce adequate function.

Reverse total shoulder replacement

Innovative design for complex tears that shifts muscle function to restore pain-free lifting and movement.

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Reattaches torn tendons to the bone to relieve chronic pain and restore overhead reaching and lifting power.


Performed arthroscopically in most cases, the procedure involves precise tendon reattachment with a recovery pathway designed to progressively restore strength and protect the repair during healing.

Rotator cuff surgery

Reattaches torn tendons to the bone to relieve chronic pain and restore overhead reaching and lifting power.

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Keyhole surgery to repair internal damage and clear inflammation for faster, comfortable shoulder recovery.


Using small incisions and a camera-guided approach, this minimally invasive technique reduces surgical trauma, accelerates recovery, and allows precise treatment of conditions that would otherwise require open surgery.

Shoulder arthroscopy

Keyhole surgery to repair internal damage and clear inflammation for faster, comfortable shoulder recovery.

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Non-Operative Procedures

Non-Operative Care

Image guided steroid injections

Precise delivery of anti-inflammatory medication to joints or tendons for rapid pain and inflammation relief.

Use of autologous platelet rich plasma injections

Regenerative treatment using your own blood's growth factors to reduce inflammation and stimulate natural healing.

Non operative management of tendinopathies

Specialist pathways using loading programs and bracing to heal tendons and restore pain-free grip and strength.

Patient Resources

East Coast Ortho resources and information on orthopaedic procedures, surgical demonstrations and recovery protocols 

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