Arthroscopic Shoulder Surgery

Shoulder Arthroscopy Introduction

 

Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.

 

The rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.

 

Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.

Arthroscopy may be recommended for these shoulder problems:
  • A torn or damaged cartilage ring (labrum) or ligaments
  • Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
  • A torn or damaged biceps tendon
  • A torn rotator cuff
  • A bone spur or inflammation around the rotator cuff
  • Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.
  • Arthritis of the end of the clavicle (collarbone)
  • Loose tissue needs to be removed
  • Shoulder impingement syndrome, to make more room for the shoulder to move around.

Recovery from shoulder arthroscopy

The recovery depends on what type of surgery is performed. One of the problems with shoulder arthroscopy is that the procedure hurts much less than open shoulder surgery, and therefore patients may tend to do too much, too soon. It is very important that you only perform activities that your surgeon recommends following a shoulder arthroscopy. Even though your shoulder may feel fine, you need to allow time for repaired tissues to adequately heal. This is especially important for patients who have rotator cuff repairs and labral repairs.

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