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Shoulder Arthroscopy

Shoulder Arthroscopy�is a type of surgery that uses a small�keyhole camera�(arthroscope) inserted�through a small incision to examine or repair the tissues inside or around your shoulder joint.

Causes

Arthroscopy may be recommended for shoulder problems, such as:

  • A torn or damaged cartilage ring (labrum) or ligaments (in cases of shoulder instability)
  • A torn or damaged biceps tendon
  • A torn rotator cuff
  • A bone spur or inflammation around the rotator cuff
  • Stiffness of the shoulder
  • Inflammation or damaged lining of the joint
  • Arthritis of the end of the clavicle (acromioclavicular joint)
BRIEF ABOUT THE PROCEDURE

The�surgeon�inserts a small camera into the shoulder joint by making an incision , about one-quarter inch (0.25") long, near the shoulder joint. This camera allows the surgeon to see inside the joint.

Unlike knee arthroscopy, most people are asleep during the surgery. Therefore, you will be unable to watch the video monitor. A nerve block may be used to numb your shoulder and arm to help reduce pain after surgery.

A normal saline solution is pumped into the shoulder to expand the joint and help see the insides clearly. The surgeon will look around the entire joint to check the cartilage, tendons and ligaments of the shoulder. If damaged tissues need to be repaired, the surgeon will make 1 to 3 additional small incisions to insert other instruments. These may include a blunt hook to pull on tissues, a shaver to remove damaged or unwanted tissues and a burr to remove bone.

In addition to working on the shoulder joint, the surgeon often places the camera in the space above the rotator cuff tendons (the subacromial space). The surgeon can evaluate the area above the rotator cuff, clean out inflamed or damaged tissue, remove a bone spur and fix a rotator cuff tear.

At the end of the surgery, the fluid is drained from the shoulder, the small incisions are closed and a dressing is applied. Your surgeon will probably take pictures of the procedure from the video monitor to show you what was found and what was done.

SOME ASSOCIATED RISKS

The risks for surgery are that are those associated with any surgery which includes bleeding and possible infection. In rare cases damage to the cartilage or ligaments may occur. In certain cases the surgery will not give relief to any of the previous symptoms.

Arthroscopy�is an alternative to "open" surgery that completely exposes the shoulder joint. Arthroscopy results in less pain and stiffness, fewer complications, shorter (if any) hospital stays and possibly faster recovery time.

The expectations vary depending on the purpose of the surgery. If a repair is needed, the body still has to heal after arthroscopic surgery, just like the surgery was open. In order to fix a cartilage tear, surgery is usually performed since the shoulder is not stable. Most patients recover fully and symptoms of instability go away. Some people, however, can still have instability of the shoulder after�arthroscopic repair. You can use arthroscopy for rotator cuff repairs or tendonitis. Your pain will be relieved but you may or may not regain all of your strength.

TIPS ON RECOVERY

It can take 1-6 months for you to recover and depends on the surgery that was performed. You may have to wear a sling during the first week after surgery. If the repair done was more extensive then you may have to wear the sling for a longer period. You will be administered medication in order to control your pain.

When you can return to work or play sports will depend on the surgery that was performed, but it can range from 1 week to several months.

For many procedures, especially if a repair is performed, physical therapy may help you regain the motion and strength of your shoulder. The length of therapy will depend on the repair that was done.
RELATED ARTICLES

The other Orthopedic Procedures are:

HOSPITALS FOR SHOULDER ARTHROSCOPY

Few Major Hospitals for Shoulder Arthroscopy are:

DESTINATIONS FOR SHOULDER ARTHROSCOPY

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