The shoulder has the most flexibility which allows you to move your arms in all directions but also makes your arms vulnerable to injury. Frequent injuries to the shoulder include a rotator cuff muscle fracture, a partial or complete dislocation of the shoulder cavity and a broken collar.
In many cases, non-surgical treatment options such as physiotherapy are sufficient to relieve symptoms, but surgery is sometimes necessary. In severe cases of osteoarthritis (a form of arthritis that affects your joint cartilage) and in cases of serious injuries, such as fractures of the upper arm bone, partial or complete surgical replacement of the shoulder joint is required which is known as shoulder arthroplasty.
Many shoulder injuries get treated with a less invasive shoulder operation performed with a small camera inserted through a minimal incision. This procedure is known as shoulder arthroscopy and is often used to treat frozen or sprained shoulder injuries, rotator cuffs, or shoulder blades.
Most of these operations are done on an outpatient basis. Pain after shoulder surgery is completely “normal” and is not unexpected. Fortunately, you have several options for pain relief. A doctor will likely use various types of painkillers. They provide continuous pain relief not only during the procedure but also during your recovery.
This article provided by Dr Chandrasekhar B gives information more about the arthroscopic shoulder surgery types as the best treatment option and why it is best.
What is shoulder arthroscopy?
Arthroscopy is a minimally invasive surgery that allows doctors to examine, diagnose, and treat various joint-related problems. During arthroscopy, a small camera known as an arthroscope is used to view images on a nearby television screen. These images help orthopedists to use surgical tools to repair the damage.
When is arthroscopic shoulder surgery used?
Dr Chandrasekhar.B says that arthroscopic shoulder surgery is used to treat a variety of common shoulder problems, including bursitis, tendinitis, arthritis, trials, rotator cuff tears and tears, and shoulder instability. Some patients respond well with shoulder arthroscopy and do not respond well to other treatment options such as rest, physical therapy, anti-inflammatory drugs, and steroid injections (if necessary).
As with any injury, a doctor is the best source of advice on how to properly treat your situation.
How is shoulder arthroscopy done?
Arthroscopy is usually done in an outpatient setting. The type of anaesthesia to be used is determined after consultation between the patient, the surgeon and the anesthesiologist. For the scope and all the tools needed, two or three small incisions, each with a size of 4 to 6 mm, are required. The joint is filled with sterile fluid so the surgeon can see more clearly. Most procedures take less than an hour. After surgery, you may be in a unique sling or immobilizer, depending on the type of surgery performed. You will receive specific instructions about whether you can move your arm immediately after surgery.
Rest, drugs, icing and anti-inflammatory drugs relieve pain and swelling. The operating area must be kept dry for the first 3-5 days. Usually, patients begin light exercise after one week. Depending on the type of surgery performed, it may take several weeks to months for attaining full range of motion.
Advantages of arthroscopic shoulder surgery:
The benefits of arthroscopic surgery over old open surgical techniques include:
- Minimal scars
- Minimal hospital stay
- Minimal pain and swelling
- Minimal stiffness
- Minimal risks and complications
Five main types of shoulder arthroscopy:
Shoulder problems can prevent you from engaging in activities that you like the most. Also, shoulder pain can interfere with your work by making simple tasks like shopping bags painful.
While some people who deal with shoulder pain benefit from conservative care such as restings or physiotherapy, others may require more extensive treatment.
Arthroscopic shoulder surgery, in particular, has helped many people with shoulder problems find relief. This minimally invasive procedure is far less dangerous than open surgery and therefore, usually leads to faster recovery time.
Which shoulder disease gets cured with this procedure?
Arthroscopy for Impingement Syndrome:
One of the most common causes of shoulder surgery is the treatment of impingement syndrome. This is a condition where the tendons in your rotator cuff are temporarily cut off and compressed as you move. It causes progressive damage to the tendons and cushions in the joint space (called the bursa).
An arthroscopic procedure to correct this effect is called subacromial decompression. The purpose of this operation is to increase the space between the rotator cuff and upper arm (known as acromion).
When performing subacromial decompression, your surgeon can remove the bursa itself or some of the lower acromion surfaces. It creates space for the rotator cuff to glide without getting pinched between the bones. This operation can be done separately or as part of a rotator cuff operation.
Arthroscopic SLAP Repair:
SLAP tear (superior labrum anterior and posterior)is an injury to the edge of the cartilage that surrounds the shoulder cavity (known as the labrum).
Therefore, SLAP breaks occur on both the front and back of the labrum sides. This part of the labrum is essential because it functions as the point of attachment of the biceps tendon.
The labrum can be brought back into position at the edge of the shoulder cavity by arthroscopic surgery. After moving, the stitches attach the bone to the cartilage. If the lesion extends to the biceps tendon, additional surgery may be needed.
Arthroscopy for shoulder dislocation:
Shoulder dislocation injuries occur when the shoulder ball comes out of the socket.
In young athletes, damage most often occurs in the labrum. To stabilize the shoulder after dislocation, an operation known as a bankart repair can attach the labrum to the joint capsule to hold the ball in place.
Other cases include loosening of the shoulder ligaments in general, which can cause a condition known as multidirectional instability, can cause the shoulder joint to come out of the socket very easily. This operation helps in tightening the joint capsule.
Repeated dislocation can cause severe shoulder damage and require major surgery to keep the joint in place. Although there are several ways to do this, the procedure usually involves repositioning the bone around the shoulder to keep the ball in a safer place.
Arthroscopy for Frozen Shoulder:
Frozen shoulder is the second most common cause of shoulder injury to tear the rotator cuff. Although the disease can usually be treated in a non-surgical way, there are rare cases where surgical treatment is needed.
When frozen shoulder occurs, the capsule becomes tight and contracted around the shoulder joint. The purpose of this operation is to loosen the contracting tissue so that the arm can move more freely. It is usually done by cutting the capsule around the shoulder ball. It can be a technical challenge because the space inside the connection is very narrow.
Another challenge is that the body wants to create new scar tissue after cutting the capsule. Aggressive physical therapy is essential to restore full arm motion.
Arthroscopy for Shoulder Bursitis:
When a sac of the shoulder is filled with fluid, it causes a condition known as bursitis in the shoulder. Bursitis can cause severe shoulder pain as well as swelling or limited freedom of movement.
This condition often affects those who use repetitive shoulder movements or lying positions that put pressure on the elbows for long periods. Rheumatoid arthritis, diabetes and gout can also play a role.
If conservative treatment for shoulder bursitis does not help, your surgeon can perform arthroscopic surgery to empty the fluid-filled sac. In some cases, surgery may be needed to remove the inflamed bursa.
Arthroscopy for Shoulder Bone Spurs:
Bone spurs are abnormal overgrowth that extends from the bone. Like osteophytes elsewhere in the body, bone spurs can rub against nerves or other surrounding tissue, causing inflammation and pain. Also, a person may feel weak, tingling, or numbness in the shoulder joints.
People with poor posture or eating patterns, osteoarthritis or recurrent pressure on the shoulder joint have a higher risk of bone spurs. If conservative treatments such as lifestyle changes and position do not work, the surgeon may suggest arthroscopy to address the root cause of the problem.
If you have tried conservative shoulder pain treatments with little or no success, it may be time to turn to experienced doctors. Meet Dr Chandrasekhar.B, who can get your life back.
When you make an appointment for a consultation today, you can be sure that Dr Chandrasekhar.B orthopaedic surgeons will listen to your symptoms, diagnose the problem in-depth, and discuss the best treatment options for you. When shoulder arthroscopy is recommended, Dr Chandrasekhar.B orthopaedic surgeon uses the latest technology and equipment to ensure you have faster recovery time, minimal scarring and the opportunity to do the things you love more. !
Dr Chandrasekhar.B is highly qualified and certified to perform orthopaedic surgery. The doctor uses the most innovative treatments and resources to treat patients with shoulder problems. Every patient has the right to a quick and successful recovery, and the doctor does his best to ensure this. You can count on loving, high-quality care and comfort when looking for treatments for your Sports shoulder disorders. Contact Dr Chandrasekhar.B at 9959588389