Shoulder and Elbow Surgery

Injuries and Treatments


The shoulder is a ball-and-socket joint that provides movement in multiple planes. The bones of the shoulder girdle include the collarbone (clavicle), shoulder blade (scapula) and the upper arm bone (humerus).Orthopedic surgeons collectively refer to the four major muscles that surround the shoulder joint as the rotator cuff; this group of muscles helps provide stability, strength and function to the shoulder. By adding depth to this ball-and-socket articulation, a rim of specialized cartilage called the labrum provides added stability to the joint.

Injury to any of these structures can cause shoulder problems for our patients in Jacksonville. Sports activities as well as daily activities can put the shoulder at risk because of the significant amount of force that goes through the shoulder, making it susceptible to injury. In addition to fractures and traumatic injuries, symptoms can be caused by inflammation, impingement, rotator cuff disease, instability and/or arthritis. Sometimes other structures such as the biceps tendon or the AC joint (acromioclavicular joint) can also be pain generators. In some cases, symptoms may be due to a combination of these factors. Although shoulder injuries can present in different ways, common symptoms include pain, weakness and instability.


The elbow is formed where the arm bone (humerus) meets the two forearm bones (radius and ulna). This precise bony articulation is supported by a complex system of ligaments. In addition, important blood vessels and nerves that provide nutrition and function to the hand pass around the elbow joint.

The intricate design of the elbow allows for both movement of the elbow (flexion/ extension) and rotation of the forearm (pronation/supination). Injuries including fractures, dislocations, and sprains can compromise this delicate infrastructure resulting in instability. Sometimes overuse and repetitive trauma, such as in the case of “tennis elbow” (lateral epicondylitis), can also cause pain and dysfunction.


The orthopedic surgeon will take a thorough medical history, perform a physical exam, and take the appropriate imaging studies to help determine the main source(s) of your shoulder and elbow pain. From there, treatment options can be discussed. Surgical and non-surgical treatments can be handled by Dr. Kasraeian and the Jacksonville Shoulder Surgery and St. Augustine Shoulder Surgery specialists at Orthopaedic Associates of St. Augustine.

The following links are provided to help you gather information you may need or want to discuss your treatment options more fully with Dr. Kasraeian.

Shoulder & Elbow Links


Tears and Instability

Other Injuries

Diseases and Syndromes



Treatment and Rehabilitation

Surgical Treatments

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Meet the doctor that will be seeing you through to recovery, Dr. Sina Kasraeian.

Meet Dr. Kasraeian