Shoulder joint; It is a joint open to trauma and injuries due to its complex anatomical structure and the working principle of 4 different joints that are responsible for providing movement. In addition to the ball-nest shaped main joint; The articulation of the scapula with the rib cage and the joints of the clavicle with the scapula and the acromion of the scapula are the main components of this complex structure. The discomforts we detect in the shoulder differ according to certain age groups. . While stability problems are at the forefront between the ages of 20-40, shoulder impingement and bursitis are especially noticeable in women aged 40-50 years. While rotator cuff tears and arthrosis (abrasion) are more common in advanced cases over 60 years of age, the treatment is usually performed by choosing surgical methods. The stability of the shoulder joint is mostly provided by the soft tissue mass called the capsule and ligament. Rotator cuff tendons (muscle tendons); By adhering to 2 small bone protrusions on the shoulder-facing part of the arm bone, they both provide the movements of the shoulder joint and contribute to the stability. In order for these tendons to work comfortably, there is a fatty sac called the subacromial bursa under the acromion bone. Especially in people who do a lot of overhead activities and middle-aged women, this fatty tissue hardens and presses on the tendons passing under it, causing circulatory disorder in the tendon and causing tears. At the same time, the stiffness developing in the posterior part of the shoulder joint capsule and the bony prominences developing in the upper bone narrow this distance and the resulting painful condition is called shoulder impingement disease. Clinically, especially; In activities and sports where the arm is used above the head, in the case of sleeping on the shoulder at night, pain extending from the front of the shoulder to the outer middle of the arm and more restriction of the movement of lifting the arm forward are in question. For soft tissue edema in the early period; While the problem can be solved with medical treatment, ice application and regulation of activities, cortisone injections made to this area when the compression becomes chronic and physiotherapy support for flexing the posterior capsule of the shoulder/scapula stabilization relieves the patients. In the table where the rotator cuff tear, which is the last stage, develops; patients have difficulty in using their arms even in daily life activities, the frequency of pain attacks increases and serious dissatisfaction occurs in patients. At this stage: surgically with the arthroscopic (closed) method; Patients can be treated by both removing the compression and suturing the torn tendon using special thread anchors. After 4-6 weeks of follow-up with a shoulder strap, with special physiotherapy support, the patients are treated with a shoulder strap for 2-3 weeks after surgery. They become comfortable using their arms in a month. In cases of wear in the relatively older patient group, where the joint is severely impaired; It is possible to get satisfactory results with shoulder replacement surgery.