Shoulder Arthroscopy

Arthroscopy is a minimally invasive surgical technique that involves making several small incisions and inserting a fiber-optic device (arthroscope) and tiny surgical instruments to diagnose or treat certain conditions. Connected to a camera that displays images of the internal structure of the shoulder on a computer screen, the arthroscope allows the surgeon to precisely identify and target joint abnormalities. Orthopedic surgeons may perform a shoulder arthroscopy to diagnose and treat several different conditions of the shoulder. With this type of procedure, patients benefit from less tissue damage, shorter recovery times, less scarring and less post-operative pain than traditional open procedures. The use of this technique also avoids cutting any muscles or tendons in order to gain access to the affected area. Arthroscopy is an ideal treatment option for many patients suffering from shoulder conditions.

Candidates for Shoulder Arthroscopy

Shoulder arthroscopy, also known as shoulder scope, is often performed to treat an injury to the structures within a joint, such as the shoulder, knee, hip, elbow, wrist, and, ankle.

Arthroscopy may be used to treat conditions that affect the shoulder joint which may include:

Rotator cuff tears
Labral tears
Impingement syndrome
Tendonitis
Bursitis
Joint arthritis

Arthroscopy provides many benefits over traditional open shoulder surgery, including smaller incisions, less trauma and shorter recovery times.

The Shoulder Arthroscopy Procedure

The shoulder arthroscopy procedure is performed while the patient is sedated under general anesthesia, and is usually performed on an outpatient basis. During the procedure, the surgeon will insert the arthroscope into a tiny incision in order to thoroughly examine the cartilage, bones, tendons and ligaments within the joint. Any damaged areas may be repaired during the same procedure by making several other small incisions through which surgical instruments are inserted. The type of repair performed will depend on the patient’s individual condition, but may include removing inflamed tissue, reattaching torn tissue or replacing damaged cartilage. Once the repair is completed, the incisions will be closed with stitches and a dressing will be applied to the area.

Risks of Shoulder Arthroscopy

While arthroscopy is considered safer and less invasive than traditional surgery, there are risks associated with this procedure which may include:

Bleeding
Blood clots
Shoulder stiffness
Shoulder weakness

Nerve damage and infection are also possible complications associated with the shoulder arthroscopy procedure.

Recovery from Shoulder Arthroscopy

After surgery, patients can usually return home the same day, although an overnight hospital stay may be required in some cases. Patients are encouraged to ice the shoulder and keep it immobilized in a sling until seen by the surgeon, around day 5. Time to full recovery will depend upon the extent of the surgical procedure performed. Full recovery from the shoulder arthroscopy procedure may take anywhere from 2 to 12 months, depending on each patient’s individual condition. A physical rehabilitation program helps patients restore function to the joint and ensure that it heals properly.

Once the shoulder has fully healed, most patients experience restored function, pain relief, improved range of motion and improved stability of the shoulder.

My Shoulders Are Letting Me Down

We rely on our shoulders for countless tasks. It can be problematic when they don’t function at our best and can make ordinary tasks a challenge. Finding a cause behind unstable shoulders can help bring pain relief and peace of mind. Here are some reasons behind your shoulder pain and what you can do to treat it.

What Causes Shoulder Instability?

Your shoulders play a pivotal role in how you go about your daily life. Unstable shoulders can frequently come out of place, making everyday activities difficult.

One cause of shoulder instability is severe trauma to the shoulder. An injury such as a dislocation causes the head of your shoulder to dislocate from the socket. The initial shoulder dislocation can result in repeated dislocations and further instability.

Genetics may be another cause of shoulder instability. Some people are born with naturally loose shoulder ligaments. Excessively loose shoulder ligaments called Hyperlaxity can cause shoulder instability. This can occur without prior dislocations or a history of strains. Hyperlaxity can increase the chances of dislocating your shoulder or weakening the joint.

Symptoms of Shoulder Instability

Several symptoms characterize shoulder instability. Shoulder instability symptoms include

A loose feeling in the shoulder
The shoulder giving out
Repeated shoulder dislocations
Pain

How is Shoulder Instability Diagnosed?

Professional examination is how shoulder instability is diagnosed.

If you’re having shoulder trouble, your doctor can order imaging tests to find the cause. One tool to find the cause of your shoulder pain is an x-ray. The x-ray helps doctors to take a thorough look at the bones around your shoulder joint and examine them for signs of injury. Your doctor may also order an MRI for further examination. An MRI provides a detailed image of the tissues around your shoulder and helps find damage to the ligaments and tendons in the joint.

How Are Unstable Shoulders Treated?

Your treatment plan depends on the nature and severity of your symptoms. First, you may need to avoid activities that worsen your symptoms. If you can’t stay away from pain-inducing activities, modifying your movements may help give you some relief. Also, anti-inflammatory pain medications and physical therapy can help.

If your shoulder problems need more aggressive treatment, our office can help. Schedule a consultation by calling (508) 363-6363.