The shoulder is a very moving joint and therefore often suffers injuries. As a result of injury, complaints such as pain, tenderness, weakness, laxity and restriction of movement may occur. After a good examination and necessary diagnostic methods, shoulder arthroscopy may be required to understand and treat exactly what the problem is. Arthroscopy is a very fast and easy method.
Arthroscopy: Monitorizing of the joint inside
By making small cuts with the arthroscopy method, you can see the inside of your shoulder joint and make an operation here. A thin, long and illuminated device called an arthroscope is used for this procedure. During the surgery, the arthroscope sends live video images taken from the joint to the monitor. Thanks to these images, the problem on your shoulder can be identified and treated. Since the instruments used in the arthroscopy method are very thin and small, very small cuts are made on the skin, so the recovery period lasts much shorter than open surgery, which is an important consideration for the patient’s comfort.
Risks and possible complications of arthroscopy:
- Stiffness and constant pain in your shoulder
- Bleeding or blood clotting
- Damage to nerves or vessels
When is Shoulder Arthroscopy Recommended?
If the pain in your shoulder does not go away with rest, physical therapy, medication, or local injection applications, your doctor may recommend shoulder arthroscopy.
The most common arthroscopic repairs are;
- Rotator cuff tears
- Shaving bone protrusions
- Repair of labrum tears
- Tendon repair
- Removal of inflamed tissues and free cartilage in the joint
- Repetitive shoulder tip repair
- Cyst excision
The clearest image is tried to be obtained by injecting liquid on the shoulder of the patient who is placed in the appropriate position. The shoulder joint is entered with a camera called atroscope, and the problems of the shoulder joint are evaluated from the monitor. After the problem is clearly identified, repair is done using small hand tools with a separate incision to repair it.
Treatment of shoulder problems with Arthroscopy
Some arm movements become painful and problematic as a result of long-term use of the arm over the head. Arthroscopic treatment can be applied to reduce pressure and move the arm more comfortably. If bursa is swollen and thickened, it can be removed during surgery and acromion protrusion can be shaved if any. Coracoacromial ligament can also be cut.
- Rotator Cuff Tear
The rotator cuff can tear due to sudden injury or excessive use. This can lead to pain, weakness in the arm, and loss of normal shoulder movements. During surgery, torn rotator cuff tendons can be shortened to remove the torn region. After that, the beams are attached to the arm bone again. For this, stitches, anchors or surgical screws are used.
- Labrum Tear
The labrum can tear off the edge of the glenoid slot. In this case, a joint may occur or feel as if it is dislodged. It may even be the dislocation of the shoulder. It is possible to repair the torn labia by attaching it to the glenoid again.
- Arthritis and Loose Objects
The damage caused by cartilage in the joint as a result of old age, overuse, injury or rheumatic diseases is called arthritis. Some loose objects such as bone or cartilage fragments or bone protrusions may appear inside the joint due to wear. Bone protrusions are cleaned during surgery. Rough areas of the joint are smoothed. Loose objects, if any, are also cleaned from the joint.