Shoulder Arthroscopy

Purpose, Preparation, Procedure, & Post-Procedure Care

Shoulder arthroscopy, a minimally invasive surgery, is used to diagnose and treat injuries and degenerative issues of the shoulder joint. For shoulder impingement or rotator cuff tears, you may need an arthroscopy.

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Shoulder Arthroscopy

Treatment Overview

After knee arthroscopy, shoulder arthroscopy is the most frequently performed orthopedic procedure. In the diagnosis and treatment of shoulder disorders, arthroscopy's role is evolving. Recently, it has received the greatest attention and has grown to its full potential. The key to its success has been a better comprehension of shoulder pathology and injuries, as well as the accessibility of suitable tools and implants, and the increasing proficiency of surgeons in carrying out these intricate shoulder arthroscopic procedures.

It is a minimally invasive technique among other diagnostic and therapeutic procedures. It is used for diagnosing and treating shoulder injuries or degenerative conditions causing subacromial pathology, recurrent joint instability, and rotator cuff tears. Comparing arthroscopy to open surgery, there are a number of advantages such as more thorough understanding of intra-articular pathology, smaller incisions, and lesser disability. It aids paths for the more possibility of a quicker recovery and a quicker return to work.

It contributes to a thorough and effective evaluation of the glenohumeral joint (shoulder joint). Pathologic shoulder conditions such as labral tears, rotator cuff tears, loose bodies, degenerative arthritis, adhesive capsulitis, and subacromial impingement are often treated with shoulder arthroscopy. The treatment of rotator cuff pathology and shoulder instability are the two most often performed arthroscopic shoulder procedures. Undoubtedly, shoulder arthroscope is the most important equipment in the orthopedic surgeon's toolkit in today's scenario. The popularity of this technique is demonstrated by the fact that over 1.4 million shoulder arthroscopies are performed annually. Improvements in minimally invasive procedures have made treating shoulder injuries and disorders more versatile and efficient. Its advantages have also been extended to high-risk patients and ambulatory surgery.

Because of its exceptional success rate, arthroscopic shoulder stabilization has emerged as the gold standard for treating shoulder instability. If you or your loved ones are suffering from shoulder injury, then you are at the right place. Dr. Ishwar Bohra is one of the top orthopedic surgeons in India. He has earned great merits and has been recognised as one of the best shoulder arthroscopy surgeon in Delhi. People are experiencing best outcomes from the surgeries performed by Dr. Bohra. Schedule a call

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Shoulder Arthroscopy

What is Shoulder Injury?

We use our shoulders a lot for a variety of tasks, such as pushing a lawnmower, lifting boxes, throwing a ball, and canoeing. The shoulder is the most mobile joint in the body because it can move in a wide range of directions. However, due to its flexibility, it lacks stability and is more prone to injury. The humerus, the tip of the upper arm bone, and the scapula, the shoulder blade, are the two main bones that make up the shoulder. Round in shape, the humerus's end slides into a scapula socket. There is a collection of ligaments and muscles that surround the shoulder. Shoulder bones are joined by ligaments. Tendons join the surrounding muscle to the bones.

Thousands of people of all ages visit doctors annually for shoulder conditions such as impingement, arthritis, sprains and strains, fractures, and inflammation. Sports like swimming, tennis, pitching, and weightlifting that require a lot of repetitive overhead motion are known to be a major cause of shoulder injuries. Injuries may also arise from routine home tasks like gardening, wall washing, and curtain hanging. Frozen shoulder, rotator cuff tears, overuse/strains, arthritis, and shoulder instability are the conditions that cause injury to the shoulder joint tissue.

What is Shoulder Arthroscopy?

Shoulder arthroscopy, a minimally invasive surgery, is used to diagnose and treat injuries and degenerative issues of the shoulder joint. For shoulder impingement or rotator cuff tears, you may need an arthroscopy. Compared to traditional surgery, minimally invasive procedures necessitate smaller incisions. The size of each incision is comparable to that of a keyhole.

Via a tiny skin incision, your surgeon places an arthroscope (a tiny camera) into your body. This camera uses a video screen to project images of your shoulder joint. These images are examined by your provider in order to determine the cause of your injury. If you require a shoulder repair, the doctor will use tiny surgical tools to get your shoulder moving again.

Types of Shoulder Arthroscopy

Following are the types of surgeries that can be performed by arthroscopic technique:

Rotator Cuff Repairs
Arthroscopy for Impingement Syndrome
Arthroscopic SLAP (Superior Labrum Anterior And Posterior) Repair
Arthroscopy for Shoulder Dislocation
Arthroscopy for Frozen Shoulder
Acromioclavicular (AC) Joint Repairs
Biceps Tendon Surgery

Purpose of Shoulder Arthroscopy

With arthroscopy, an orthopedic surgeon gets to look inside your joint without creating a big wound using a tiny camera (arthroscope). During arthroscopy, surgeons can even repair certain types of joint damage by inserting pencil-thin surgical instruments through additional tiny incisions. When certain diagnostic questions remain unanswered even after X-rays and other imaging studies, doctors frequently resort to arthroscopy.

Shoulder Arthroscopy Preparation

Your doctor will inquire about your medical history prior to a shoulder arthroscopy. You must also bring a comprehensive list of all of your medications. A few days prior to your surgery, you might need to stop taking some of your medications. You will receive detailed instructions from your medical facility or doctor, including when to stop eating and drinking before surgery. Prior to your procedure, you might also require the following medical tests:

  • Shoulder imaging (X Ray, MRI, CT scan)
  • Blood tests
  • Chest X-ray.
  • Electrocardiogram
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Shoulder Arthroscopy Procedure

  • Less than an hour is typically needed for a shoulder arthroscopy.
  • You'll either be lying on your side or in a semi-seated position similar to a beach chair for the procedure.
  • If necessary, your surgical team will shave your hair and use an antiseptic solution to clean your skin. To ensure your arm remains motionless, they might put it in a specific device.
  • Your shoulder may receive a fluid injection from a medical professional. Your shoulder joint gets inflated by the fluid, which makes it easier for the surgeon to see.
  • Your surgeon creates a tiny incision in your shoulder, typically the size of a buttonhole. Through this incision, they insert the tiny camera, or arthroscope.
  • Your shoulder is projected onto a video screen by the camera. These images are used by your surgeon to diagnose the issue with your shoulder.
  • Other tiny incisions are made in your shoulder by your surgeon, and tiny instruments are inserted.
  • The underlying issue is treated with the instruments with guidance of the images.
  • The surgeon will close the incisions after your procedure is complete.
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Post-Procedure Care for Shoulder Arthroscopy

  • For a brief period, you will be admitted to the Post Anaesthesia Recovery Unit (PACU).
  • The team gets your shoulder's postoperative X-rays.
  • An immobilizer will be fastened to your shoulder. Unless specifically told otherwise, do not try to move your shoulder.
  • The doctors will determine the length of your hospital stay following surgery based on your individual needs. On the other hand, a lot of patients might go home the same day with an extensive list of post-operative care instructions.
  • The doctor will prescribe pain killers for some days after the surgery.
  • To lessen swelling and pain, you might find it useful to rest, ice, compress (RICE), and elevate the joint for a few days at home.
  • For protection and comfort, you may need to use crutches or slings as temporary splints.
  • Physical therapy and rehabilitation may be recommended by your doctor to help strengthen your muscles and enhance joint function.

Recovery After Shoulder Arthroscopy

You should probably be able to resume light activity and desk work in a few days. In one to three weeks, you should be able to drive again, and a few weeks after that, you should be able to perform harder activities. But each person's road to recovery is unique. A longer period of rehabilitation and recovery may be necessary given your circumstances.

As soon as possible, your surgeon will go over the results of the arthroscopy with you and may even send you a written report. During follow-up visits, your surgeon will keep an eye on your progress and address any issues.

Why Choose Dr. Ishwar Bohra for Shoulder Arthroscopy?

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Renowned for his groundbreaking work in joint restoration, Dr. Ishwar Bohra keeps pushing the frontiers of innovation with his latest research backed procedures. By employing advanced techniques and evidence-based strategies, Dr. Bohra ensures the best possible results for patients seeking joint rejuvenation. His commitment to excellence in restoring mobility and improving quality of life is demonstrated by his commitment to staying at the forefront of medical advancements.

Frequently Asked Questions

Q1: Is shoulder arthroscopy a major surgery?

A: A shoulder arthroscopy is a minor surgical procedure. It is a minimally invasive procedure used to treat rotator cuff tears and shoulder impingement.

Q2: How long does it take to recover from arthroscopic shoulder surgery?

A: It may take six months to recover. For the first week, you most likely will need to wear a sling. You might need to wear the sling for a longer period of time if you had a lot of repairs done. You might control your pain by taking medication.

Q3: What are the complications of arthroscopic shoulder surgery?

A: The complications of arthroscopic surgery are lesser than open surgery. However, it might be associated with infection, swelling, bleeding, blood clots, nerve damage, chronic pain, and osteoarthritis to some extent.

Q4: Is shoulder arthroscopy the same as rotator cuff repair?

A: Rotator cuff repair can be done via a number of ways. Arthroscopy is one of the minimally invasive techniques for the treatment of rotator cuff injury.

Q5: Is a shoulder arthroscopy a risky procedure?

A: Surgery on the shoulder is typically a low-risk procedure. Because of the advances in technology, surgical techniques, and training, there are very few significant adverse effects.

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On the basis of your conversations with the experts regarding your symptoms, level of disability, and expectations from the treatment, the doctor will form a provisional diagnosis and recommend certain diagnostic tests.

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Your doctor will fix a surgery date based on your needs and convenience. During a pre-surgical appointment, you will sign the consent form and receive the pre-surgical instructions from the doctor.

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The doctor will perform your surgery and you will stay in the hospital for post-surgical care and observation under the specialized team. You will receive the at-home care instructions from the doctor before discharge.

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