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class="content-header__metadata"> <p class="content-metadata"> <span class="content-metadata__media -video">Video</span> <time class="date" datetime="2021-04-13" itemprop="datePublished">Published on April 13, 2021 </time> </p> <p data-module="share-links"> </p> </div> </div> </header> <div class="-padding--vertical -padding--horizontal"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__main"> <div class="layout-columns__main__content"> <div class="content-summary"> <h3 class="content-summary__heading">In This Video</h3> <ul> <li>Bassem T. Elhassan, MD, is co-chief of the Shoulder Service and program director of the Shoulder Surgery Fellowship at Massachusetts General Hospital</li> <li>He discusses his unique approach to developing tendon transfer procedures in order to alleviate shoulder pain for trauma patients with poor prognoses</li> <li>These innovative shoulder procedures are currently performed exclusively at Mass General, but are also part of the Shoulder Surgery Fellowship curriculum, and therefore taught and shared for use globally</li> </ul> </div> <div class="video-player" data-module="video-player" data-type="youtube"data-url="https://www.youtube.com/watch?v=GsQ9jtm2DYY" data-language='{"play":"Play video"}'> <a href="https://www.youtube.com/watch?v=GsQ9jtm2DYY"> </a> </div> <p>In this video, <a href="https://advances.massgeneral.org/contributors/contributor.aspx?id=1880">Bassem T. Elhassan, MD</a>, co-chief of the <a href="https://www.massgeneral.org/ortho-shoulder/">Shoulder Service</a> and program director of the <a href="https://www.massgeneral.org/orthopaedics/education-and-training/fellowships/harvard-shoulder-and-elbow-fellowship">Shoulder Surgery Fellowship</a> at Massachusetts General Hospital, discusses his unique approach to developing tendon transfer procedures in order to alleviate shoulder pain. These innovative shoulder procedures are currently performed exclusively at Mass General, but are also taught as part of the Shoulder Surgery Fellowship curriculum, and therefore shared for use globally.</p><div class="article__signup-container"> <div class="email-signup-inline__container -background--white"> <style> #email-signup-inline { /* 540px */ background-image: url(/assets/raw/email-signup/cardiovascular-sub-callout.jpg); } @media only screen and (-webkit-min-device-pixel-ratio: 2), only screen and (min--moz-device-pixel-ratio: 2), only screen and (-moz-min-device-pixel-ratio: 2), only screen and (-o-min-device-pixel-ratio: 2/1), only screen and (min-device-pixel-ratio: 2), only screen and (min-resolution: 192dpi), only screen and (min-resolution: 2dppx) { #email-signup-inline { /* 1080 width */ background-image: url(/assets/raw/email-signup/cardiovascular-sub-callout.jpg); } } </style> <div class="content-container -width--wide -centered email-signup-inline__wrapper" id="email-signup-inline"> <div class="email-signup-inline__logo"> <img alt="Massachusetts General Hospital " src="/assets/logos/logo-white.svg"> </div> </div> <div class="email-signup-inline"> <h3 class="email-signup-inline__heading">Subscribe to the latest updates from Orthopaedics Advances in Motion</h3> <p class="email-signup-inline__subheading"></p>  <meta http-equiv="Content-Type" content="text/html; 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The aim of any of these types of procedures is to improve patient outcomes. For patients who for years, they have a problem that was determined to essentially have no solution. Our hope is to give them a solution and we already came up with a good number of innovative procedures that help in this complex problem, and our hope is just to keep on improving them, in order to even optimize more the patient outcome.</p> <p dir="ltr">Everything in orthopedics requires ongoing research. Any time when we come up with a new procedure, we try to advance our field for that procedure, or those procedures. And definitely any time we come up with a new procedure that we are able to test in the lab biomechanically, anatomically and then clinically, and then we have a good outcome, we make an extra step forward in the field of orthopedics, and we are going to keep on doing that.</p> <p dir="ltr">Well, any joint in the body requires muscle around it to move it, and if someone has a major injury to that muscle, that is in a way it cannot recover anymore, or you have nerve damage and the muscle becomes paralyzed, then we can try to borrow different muscles that have different type of function to restore a lost function. Most of the time, it is from the same side of the body. Occasionally, we can borrow a muscle from the opposite side of the body to reconstruct the function of the injured side of the body.</p> <p dir="ltr">In general, the human body is made to have stable and healthy joints and muscles around it to work together to allow you to have painless function. When you have any damage to the bone itself, when you have any damage to the cartilage or the muscle around it, this will create a derangement that will lead to a different level of pain, and we can try to take each of this level and correct it to try to improve the pain as much as possible. Some of these innovative procedures are currently done only here because I came up with these complex reconstructions, and after years and years working on these in the anatomic lab, biomechanics lab and clinically, it was thought to be determined that they really worked very, very well, and we are able to apply them more and we are able to teach them outside of here more. But these procedures are very unique. They are not the standard. Of course, I do all types of procedures of the shoulder, elbow, hand, but these are a higher level of procedure that helps in problems that are really difficult, and currently, because we came up with these innovations, which are done mostly here, and we are hoping to help the patient here, but at the same time, our hope as well is to spread the knowledge around to be able to teach surgeons how to do these complex procedures and hopefully helping patients around the U.S. and the world, here at Mass General.</p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p class="cta">Learn more about the <a href="https://www.massgeneral.org/orthopaedics/shoulder">Shoulder Service at Mass General</a></p> <p class="cta">Refer a patient to the <a href="https://www.massgeneral.org/orthopaedics/appointments-and-referrals/referral-request">Department of Orthopaedic Surgery</a></p> </div> </div> <aside class="layout-columns__sidebar -article__contributors"> <div class="layout-columns__sidebar__content"> <div class="profile-compact__wrapper"> <p class="u-no-margin"> <strong>Contributors</strong> </p> <div class="profile -compact" itemscope itemtype="http://schema.org/Person"> <div class="profile__content"> <h3 class="profile__name" itemprop="name"> <a href="/contributors/contributor.aspx?id=1880" itemprop="url">Bassem T. Elhassan, MD ›</a></h3><p class="profile__title" itemprop="jobTitle">Orthopaedic Shoulder, Elbow and Hand Surgeon, Massachusetts General Hospital, Co-Chief, Shoulder Service & Program Director, Shoulder Surgery Fellowship, Professor of Orthopedic Surgery, Harvard Medical School</p> </div> <p class="profile__image"> <img alt="Bassem T. Elhassan, MD" itemprop="image" srcset="/assets/images/contributors/bassem_elhassan_advances.png, /assets/images/contributors/bassem_elhassan_advances_2x.png 2x" src="/assets/images/contributors/bassem_elhassan_advances.png"> </p> </div> </div> </div> </aside> <section class="topics-layout -article__related"> <div class="topics-layout__inner"> <div class="topics-layout__sidebar"> <h2 class="section-heading">Related topics</h2> </div> <div class="topics-layout__main"> <ul class="topics-list" data-module="topics-list"> <li><a href="/ortho/topic.aspx?id=1011">Shoulder</a></li> <li><a href="/ortho/topic.aspx?id=1016">Trauma</a></li> </ul> </div> </div> </section> <section class="-padding--horizontal -padding--vertical -article__related"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/ortho/journal.aspx?id=1866" itemprop="url">Racial Gap Amongst U.S. Shoulder Arthroplasty Patients Persists</a> </h3> <p itemprop="description"> <p></p> <p>Matthew J. Best, MD, Sports Medicine fellow, and Scott Martin, MD, director of the Joint Preservation Service in the Department of Orthopaedics at Massachusetts General Hospital, and colleagues examined racial differences in total shoulder arthroplasty (TSA) and reverse TSA data over five year period (2012-2017).</p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p></p> <p class="content-tease__related"> <a href="/research-and-innovation/topic.aspx?id=1099" itemprop="relatedLink">Equity and Inclusion</a>, <a href="/ortho/specialty.aspx?id=1003" itemprop="relatedLink">Orthopaedics</a>, <a href="/ortho/topic.aspx?id=1011" itemprop="relatedLink">Shoulder</a> </p> <p class="content-metadata"> <span class="content-metadata__media -journal">Journal</span> <time class="date" datetime="2021-03-10" itemprop="datePublished">March 10, 2021</time> </p> </div> </div> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/ortho/journal.aspx?id=1877" itemprop="url">Review: Evaluation and Treatment of Galeazzi Fractures</a> </h3> <p itemprop="description"> <p>Rohit Garg, MD, MBBS, and Chaitanya S. Mudgal, MD, orthopedic surgeons in the Hand and Arm Center at Massachusetts General Hospital, review the evaluation and surgical treatment of Galeazzi injuries—fractures of the radial shaft associated with disruption of the distal radioulnar joint.</p></p> <p class="content-tease__related"> <a href="/ortho/topic.aspx?id=1037" itemprop="relatedLink">Hand and Arm</a>, <a href="/ortho/specialty.aspx?id=1003" itemprop="relatedLink">Orthopaedics</a>, <a href="/ortho/topic.aspx?id=1016" itemprop="relatedLink">Trauma</a> </p> <p class="content-metadata"> <span class="content-metadata__media -journal">Journal</span> <time class="date" datetime="2021-03-22" itemprop="datePublished">March 22, 2021</time> </p> </div> </div> </div> </section> </div> </div> </article> </div> </main>  <footer class="site-footer"> <div class="-padding--horizontal"> <nav aria-label="Footer links" class="content-container -width--wide -centered -padding--bottom"> <ul class="footer__nav" role="presentation"> <li> <a 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