Shoulder Arthroscopy

What is shoulder arthroscopy, and how is it performed?

Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various shoulder problems. At OrthoNeuro, our team of expert orthopedic surgeons utilizes advanced arthroscopic techniques to ensure precise and effective treatments. If you’re experiencing shoulder pain or instability, shoulder arthroscopy might be the solution you need.

At OrthoNeuro, our dedicated team is ready to help you regain your shoulder function and improve your quality of life. Contact us today to schedule a consultation at one of our multiple locations in Columbus, OH, and learn more about our specialized care!

Understanding Shoulder Arthroscopy

Shoulder arthroscopy involves using a small camera, known as an arthroscope, and miniature surgical instruments to examine and treat issues within the shoulder joint. This technique allows orthopedic surgeons to address problems such as torn rotator cuff tendons, shoulder instability, and inflamed tissue with minimal disruption to the surrounding structures.

Some surgical procedures using arthroscopy include:

Unlike open shoulder surgery, arthroscopic surgery typically results in shorter recovery times and less postoperative pain.

When is Shoulder Arthroscopy Recommended?

Shoulder arthroscopy is often recommended for individuals experiencing persistent shoulder pain or instability that does not respond to conservative treatments like physical therapy and medication. Conditions commonly treated with arthroscopic shoulder surgery include:

Rotator cuff tears
Shoulder impingement syndrome
Torn labrum or shoulder instability
Biceps tendon injuries
AC joint osteoarthritis
Loose tissue or bone spurs within the shoulder joint

Our orthopedic surgeons will evaluate your specific condition and medical history to determine if shoulder arthroscopy is the best course of action.

Preparing for shoulder arthroscopy involves several steps to ensure a smooth surgical experience:

Preoperative Evaluation: Your surgeon will conduct a thorough evaluation, including imaging studies like X-rays or MRI, to assess the extent of your shoulder problems.
Medications: Inform your surgical team about any medications you are taking. You may need to adjust or stop certain medications before the procedure.
Fasting: You will be instructed to fast for a specified period before the surgery, typically starting at midnight the night before.
Arrange Transportation: Since you will receive anesthesia, arrange for someone to drive you home after the procedure.

The Shoulder Arthroscopy Procedure

Shoulder arthroscopy is usually performed as an outpatient procedure under general anesthesia or regional nerve blocks. Here’s what you can expect:

The surgical team will administer general anesthesia or a nerve block to control pain during the procedure.
You will be positioned in either a lateral decubitus position (lying on your side) or a semi-seated position similar to sitting in a recliner.
Small incisions are made around the shoulder to insert the arthroscope and surgical instruments.
The surgeon will inject fluid into the shoulder to expand the joint and improve visibility. The arthroscope transmits images to a monitor, allowing the surgeon to guide the surgical instruments precisely.
Depending on your condition, the surgeon will perform necessary repairs, such as rotator cuff repair, removing loose tissue, or addressing a torn labrum.
After completing the repairs, the incisions are closed with sutures, and a sterile dressing is applied.

Post-Operative Recovery

After the procedure, you will be taken to the recovery room, where the surgical team will monitor your vital signs and manage pain with medications. After 1-2 hours, you should be able to go home. There, you will continue to manage your pain with either prescribed painkillers or over-the-counter medication.

You may initially need to wear a sling to immobilize your arm while it heals. Your surgeon will then provide a tailored rehabilitation program to help restore your shoulder function and strength gradually.

Regular follow-up visits with your surgeon will ensure your shoulder is healing properly and allow adjustments to your rehabilitation plan as needed.

Potential Complications

As with any surgical procedure, shoulder arthroscopy carries some risks. While complications are rare, they can include:

Infection at the surgical site
Excessive bleeding or blood clots
Nerve or blood vessel damage
Stiffness or loss of motion in the shoulder
Adverse reactions to anesthesia

Your orthopedic surgeon will discuss these risks with you and take precautions to minimize the likelihood of complications.

Long-term Results

The long-term results of shoulder arthroscopy are generally positive, with many patients experiencing significant pain relief and improved shoulder function. Factors that can influence the outcome include:

The severity of the initial shoulder problem
Adherence to the postoperative rehabilitation program
Overall health and physical condition

Most arthroscopic procedures offer excellent outcomes, allowing patients to return to their regular activities with a stronger and more stable shoulder. At OrthoNeuro, our commitment is to help you achieve the best possible results through personalized care and advanced surgical techniques.

Make an Appointment with an OrthoNeuro Shoulder Specialist Today!

If you have been considering shoulder surgery or experiencing chronic shoulder pain, schedule an appointment with one of our board-certified shoulder specialists at one of our convenient locations in Greater Columbus, Ohio. Our shoulder specialists are capable of performing complex procedures such as arthroscopic rotator cuff repairs and arthroscopic procedures.

We will evaluate your unique lifestyle and goals to determine which type of treatment is best for you. Best of all, most patients can be seen within 24 hours of making an appointment. Contact us today!

Medically reviewed by Scott A. Smith, MD, FAAOS

Sources

1. https://orthoinfo.aaos.org/en/treatment/shoulder-arthroscopy/

Shoulder Specialists

IF YOU HAVE SEVERE SHOULDER PAIN AND STIFFNESS THAT PREVENTS YOU FROM MOVING YOUR SHOULDER CORRECTLY, CALL ORTHONEURO IN COLUMBUS, OHIO, OR REQUEST AN APPOINTMENT ONLINE FOR EXPERT ORTHOPEDIC SHOULDER TREATMENTS.