Shoulder arthroscopy is a minimally invasive surgical technique that involves making small incisions and using a fiber-optic device, called an arthroscope, to diagnose or treat various shoulder conditions. Connected to a camera that displays the internal structure of the shoulder on a computer screen, the arthroscope allows the surgeon to precisely identify and target joint abnormalities. This approach offers patients several advantages, including less tissue damage, shorter recovery times, less scarring, and reduced post-operative pain compared to traditional open surgeries. Additionally, arthroscopy avoids the need to cut muscles or tendons to access the affected area, making it an ideal treatment option for many individuals.

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Candidates for Shoulder Arthroscopy

Shoulder arthroscopy, also known as a shoulder scope, is typically performed after a physical examination and other imaging tests have been completed to confirm a diagnosis. In some cases, the procedure can also treat shoulder conditions during the same session by inserting additional instruments into the joint area. Shoulder arthroscopy is commonly used to address various shoulder problems, including:

  • Rotator cuff tears
  • Labral tears
  • Impingement syndrome
  • Tendonitis
  • Bursitis
  • Joint arthritis

Compared to traditional open surgery, shoulder arthroscopy offers several advantages, such as smaller incisions, less tissue trauma, and shorter recovery periods.

The Shoulder Arthroscopy Procedure

Shoulder arthroscopy is usually performed under general anesthesia and is often done on an outpatient basis. The surgeon begins by making a small incision through which the arthroscope is inserted. This allows the surgeon to examine the cartilage, bones, tendons, and ligaments inside the shoulder joint.

If any damage is identified, additional small incisions are made, and specialized surgical instruments are used to perform repairs. Depending on the condition being treated, the surgeon may remove inflamed tissue, reattach torn tissue, or replace damaged cartilage. Once the necessary repairs are made, the incisions are closed with stitches, and a dressing is applied to the area.

Risks of Shoulder Arthroscopy

While shoulder arthroscopy is considered a safe and less invasive option compared to traditional surgery, there are some risks involved, including:

  • Bleeding
  • Blood clots
  • Shoulder stiffness
  • Shoulder weakness
  • Nerve damage
  • Infection

These complications are relatively rare but can occur, and your surgeon will discuss the potential risks with you before the procedure.

Recovery from Shoulder Arthroscopy

Most patients are able to return home the same day after the surgery, though in some cases, an overnight stay in the hospital may be required. Following surgery, patients are encouraged to ice the shoulder and keep it immobilized in a sling for about a week. While some discomfort is common, pain medications are often prescribed to help manage any discomfort.

Many patients can return to work within a few days, though physical activity may be limited for a longer period. Full recovery from shoulder arthroscopy typically takes anywhere from one to six months, depending on the patient’s specific condition. A physical rehabilitation program is often recommended to help restore joint function and ensure proper healing.

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

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