Rotator cuff, labrum, and instability — arthroscopic shoulder care for throwers, lifters, and everyday motion.
Most shoulder problems can be addressed arthroscopically, through small incisions.
Arthroscopic repair to rebuild strength and end the night pain.
Repair for throwers and after shoulder dislocations.
Stabilizing shoulders that slip or dislocate.
Separations and arthritis at the top of the shoulder.
Restoring motion when the shoulder stiffens up.
From biologics to joint replacement when needed.
Dr. Kelly repairs the shoulder arthroscopically whenever possible, preserving healthy tissue and speeding recovery — with rehab plans tuned for overhead athletes and active adults alike.
Request an appointment with Dr. Kelly at Tri-City Orthopedics — Kennewick, Richland & Pasco.
Explore Shoulder Care
When shoulder injuries in athletes and active adults do need surgery, most are treated arthroscopically — small incisions, with the goal of repairing your own rotator cuff and labrum rather than replacing anything. Replacement is a different chapter, reserved for shoulders where arthritis has worn out the joint itself. Dr. Kelly evaluates shoulders across that whole spectrum, and he’ll give you a straight answer about what your shoulder actually needs — and what it doesn’t.
Sports Injuries & Instability — repaired arthroscopically
Torn Rotator Cuff
How to know if you tore your rotator cuff, why it hurts more at night, and what your options are.
Read the guide →Rotator Cuff Recovery Timeline
Month by month from sling to overhead strength — sleep, driving, work, and return to sport.
See the timeline →Dislocation, Instability & Labral Tears
Bankart and labral repair for shoulders that slip or dislocate — and why re-injury risk matters most for young athletes.
About the procedure →Rotator Cuff Repair Recovery
The week-by-week plan after cuff repair — sling time, milestones, and what your PT will focus on.
Week-by-week guide →When More Is Needed — from injections to replacement, in that order
Shoulder Replacement Recovery
When arthritis is past the point of repair, replacement can be the right chapter. What recovery typically looks like, week by week.
Recovery guide →Printable Post-Op Protocols
Surgery-specific rehab protocols for patients and physical therapists — phase-by-phase timelines and milestones.
Browse the protocols →Rotator cuff tears, labral tears, shoulder instability and dislocations, AC joint injuries, frozen shoulder, shoulder arthritis, and fractures — from the first evaluation through surgery, rehab, and return to sport. Dr. Kelly is a fellowship-trained orthopedic sports medicine surgeon, and the arthroscope is his primary tool: most of the shoulder surgery he performs happens through small incisions, aimed at repairing your own rotator cuff and labrum.
Not every shoulder needs an operation. Many rotator cuff and instability problems start with activity changes, physical therapy, and injections — surgery enters the conversation when pain and weakness persist, when a tear is large or enlarging, or when a shoulder keeps dislocating. Dr. Kelly reviews your exam and imaging with you and lays out the options plainly before recommending anything.
Overhead athletes get particular attention. Dr. Kelly’s fellowship at the University of Missouri included the care of D1 throwers and hitters, and shoulder rehab here is built around the demands of your sport and your work — not a one-size-fits-all protocol.
When shoulder pain has hung around for more than a few weeks despite rest — or sooner if your shoulder has dislocated, feels weak reaching overhead, or wakes you at night. Those patterns can point to a rotator cuff or labral problem, and the earlier a shoulder is evaluated, the more options typically stay on the table.
You don’t need to figure out the diagnosis before you call. Dr. Kelly sees shoulder patients at Tri-City Orthopedics in Kennewick, serving Richland, Pasco, and the greater Tri-Cities, with same-day and same-week visit opportunities — so an acute injury can be examined while the findings are freshest. If your problem points toward the rotator cuff, the torn rotator cuff guide is the place to start.

Dr. Kelly completed his Orthopedic Sports Medicine Fellowship at the University of Missouri, where he served as team physician for Mizzou football, basketball, baseball, and volleyball. He is a board-certified orthopedic surgeon and a member of the AAOS, AOSSM, and AANA, performing arthroscopic shoulder surgery at Tri-City Orthopedics in Kennewick — D1-level sports medicine care for shoulders across the Tri-Cities, Yakima Valley, Walla Walla, and Eastern Oregon.
Recovering from an operation? Every shoulder procedure has a week-by-week plan in the recovery guide library. Dr. Kelly sees shoulder patients at Tri-City Orthopedics in Kennewick, serving Richland, Pasco, and the greater Tri-Cities. Not sure where to start? The FAQ further down this page answers the most common shoulder questions, and the contact page has hours, directions, and appointment details.
Procedure Deep Dives
Rotator Cuff Repair
Not all tears need surgery. Learn who is a candidate, what arthroscopic repair involves, and the week-by-week recovery timeline from sling to return to overhead sport.
Rotator Cuff Repair GuideShoulder Dislocation & Bankart Repair
After a shoulder dislocation, young athletes face a 70–90% re-injury rate without surgery. Understand candidacy, the Bankart repair procedure, and return to contact sport.
Shoulder Stabilization Guide