Total Shoulder, Reverse TSA (Shoulder Replacement)

The shoulder, like the hip, is a ball-and-socket joint. This means that the top of the humerus bone is round and fits into the socket portion of the shoulder blade. With a total shoulder replacement, the doctor replaces the ball at the top of the humerus with one made of metal and covers the socket of the joint with a plastic pad or lining against which the new ball moves. With a partial replacement, only the ball gets replaced, and in some instances (such as if a previous replacement has not worked or if a patient has a torn rotator cuff), the new ball is attached to the shoulder blade and the socket to the top of the humerus, which is called a reverse TSA.

Estimated Price


The pricing information provided by this website is strictly an estimation of pricing.

Click here for specific procedure price.

Provider List

2900 12th Avenue North #140W & #100E
Billings, MT 59101
(406) 237-5050

When Procedure is Used

Shoulder replacements are usually performed because the cartilage in the joint has worn away due to severe arthritis, which results in pain when the bones rub against each other. Severe injuries including a badly torn rotator cuff are occasionally repaired through a shoulder replacement as well.

During Surgery

A general anesthetic is given to relax your muscles, prevent pain, and help you fall asleep. You may also be given a nerve block to provide additional pain relief following the procedure. The surgery will take about three hours depending on the type of replacement you are having. With a traditional full replacement, the artificial ball has a stem that is inserted into the humerus to secure it and provide stability, and the plastic pad or lining is attached to the socket of the shoulder blade with cement.


The risk of complications is very low. However, potential risks might include

  • allergic reactions to medications
  • nerve damage
  • bleeding or blood clots
  • infection
  • injury to surrounding tissues
  • numbness
  • reduced range of motion
  • dislocation


  • pain relief
  • increase in range of motion
  • return to normal activities

Additional Patient Services

procedure cancellattion

Procedure Cancellation Reasons

surgical procedure faqs

Surgical Procedure FAQs

procedure price estimate

Procedure Price Estimate

payment and insurance

Payment & Insurance

patient rights

Patient Rights & Responsiblity