Sunrise Hospital

Shoulder Arthroscopy – What You Need to Know About

Shoulder Arthroscopy – What You Need to Know About

The shoulder is much more than a limb joint. From carrying the weight of the world to offering support for someone to cry on, a shoulder is more of a responsibility. An injury to the joint makes one vulnerable as it affects the movement, daily life, and temperament. But every problem has a solution, so does shoulder injury; Shoulder arthroscopy is one such solution.

What is Shoulder Arthroscopy?

A combination of Greek words ‘arthro’ (joint) and ‘skopein’ (to look), arthroscopy means ‘to look within the joint’. Shoulder arthroscopy is a procedure where the orthopaedic surgeon inserts a small camera (arthroscope) into the patient’s shoulder joint through very small incisions, inspect, diagnose and treat the problem inside the joint. Since the cuts are considerably smaller than that of the standard open surgery, Shoulder arthroscopy is favoured for features like lesser pain, lesser complexity and lesser recovery time.

Performed since the 1970s, Shoulder arthroscopy has undergone great advances in the years, adding the latest instruments and techniques to it every year. What first started as an alternative to the complex open knee surgery grew to cover every joint in the body.

What happens during Shoulder Arthroscopy Procedure?

The tiny camera inserted through the incision displays pictures on a video monitor, guiding the surgical instruments properly. After making the cuts, the joint is filled with sterile fluid to enable the clear vision of the insides. As the surgeon can observe the insides of the joint in real-time, the surgery is safe and flawless. Most likely, the patient will be under general anesthesia. Being minimally invasive, the procedure helps the surgeon evaluate anatomic structures in a potentially risk-free environment. Greatest advantage is that a 360 degree view and evaluation is possible with this surgery compared to open surgery.

When is Shoulder Arthroscopy Recommended?

Most shoulder problems are caused by injury, overuse and age-related wear and tear. Shoulder arthroscopy is advised only when non-surgical intervention methods like rest, physiotherapy and medications fail to have the desired effects on the patient. The procedure is performed on persons who suffer from:

  • Anterior stabilization(Bankarts repair)
  • Rotator cuff tears
  • Glenoid Labrum Tears (SLAP tear)
  • Subacromial Decompression
  • Capsular release
  • Shoulder impingement
  • Early Arthritis
  • AC Joint resection
  • Loose bodies
  • Bursitis and synovitis
  • Tendonitis (bicipital and calcific)

Benefits of arthroscopic shoulder surgery

  • Minimum incision: Since it requires only minimum punctures and incisions, it leaves the patient almost scar-free, resulting in lesser pain and quicker recovery and rehabilitation.
  • Quicker recovery: The patient is advised to be in a sling or shoulder immobilizer for some time along with directives to take rest, anti-inflammatory medicines and ice pack. Light exercises can be started on the following day. However, according to the nature of the disease, rehabilitation may require some time in many cases.
  • Minimal hospitalization: Performed as outpatient surgery, Shoulder arthroscopy doesn’t require hospitalization. The patient can go home the same day or the day after the surgery.
  • Lesser surgical time: A Shoulder arthroscopy takes usually less than 90 minutes.

Risks Associated

As a result of anesthesia, the patient might feel numb and drowsy for a few hours, but it will wear off. Inability to move shoulder, swelling, are also common but wouldn’t last for more than 8 hours. Complications like bleeding, infection, nerve injury or persistent pain are extremely rare.

Why choose Sunrise Hospital for Shoulder Arthroscopy?

In the event of failure of non-surgical treatment in curing shoulder pain, doctors suggest Shoulder arthroscopy let the patient heal from the injury, disease or inflammation. Our expert team of doctors at the Department of Shoulder and Upper Limb Surgery led by Dr. K.R. Prathap Kumar (MBBS, FRCS (Tr & Orth), FRCS (Gen), D’Orth), trained in UK and was Consultant shoulder and Upper Limb surgeon at Durham University Hospital UK, before relocating to India. He has performed more than 5000 successful keyhole surgeries in India & England to fix problems and replace joints in shoulders, elbows, and wrists. Apart from correcting congenital and acquired upper limb deformities, the team has been able to manage complex fractures of scapula, shoulder, elbow, and hand.

Shoulder arthroscopy at Sunrise covers all possible problem of shoulder including anterior stabilization (bankarts repair), SLAP repair, tenodesis, capsular release, rotator cuff repair, subacromial decompression, and AC Joint resection. Our facilities at the department include:

  • 24-hour casualty
  • Digital imaging system
  • High definition Dynamic Ultrasound scanning system
  • 3D Imaging CT scanner for Reconstruction
  • High definition MR scan to pick up small joint injuries
  • Contrast Imaging
  • High performing Laminar flow operating theatres
  • Fully equipped Intensive care and High dependency Unit
  • 24-hour support for sick patients
  • Fully equipped Arthroscopic theatre with
  • Imported Shoulder arthroscopic Instruments
  • Special Arthroscopic system for Elbow and wrist
  • Radiofrequency ablators
  • Imported Arthroscopic anchors and biodegradable implants
  • Short hospital stay for major surgery
  • Nerve Conduction studies in out-patient clinic
  • Full facilities for diagnosis and management of Osteoporosis
  • Specialized physio and Upper limb rehabilitation Unit
  • Scapulo-thoracic synchronization programmes

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