Shoulder Arthroscopy at Yapita Health

Why would someone need to have a Shoulder arthroscopy?

Common indications of Shoulder arthroscopy include:

• Rotator Cuff Tears

• Labral Tears

• Shoulder Impingement

• Frozen Shoulder (Adhesive Capsulitis)

• Shoulder Instability

• Biceps Tendon Disorders

• Arthritis

• Synovitis

• AC Joint Disorders

• Loose Body Removal

What conditions can a Shoulder arthroscopy treat?

Shoulder arthroscopy is a minimally invasive surgical procedure that can be used to diagnose and treat various shoulder conditions. Common indications include Rotator cuff tears, Labral tears, Shoulder impingement, Frozen shoulder (adhesive capsulitis), Recurrent shoulder dislocation, Biceps tendon disorders, Synovitis (inflammation of the joint lining), and AC joint arthritis.

Different Types of Shoulder Arthroscopy Surgeries

Some of the Shoulder Arthroscopy Surgeries include:

• Rotator Cuff Repair: Surgical repair of torn rotator cuff tendons.

• Labral Repair/Reconstruction: Treatment of labral tears or instability issues.

• Subacromial Decompression: Relieves pressure on the rotator cuff tendons and bursa.

• Capsulorrhaphy: Tightening or repair of the shoulder capsule for stability.

• Bankart Repair: Repair of labral tears caused by shoulder dislocation.

• SLAP Repair: Addresses superior labrum tears from the biceps tendon anchor.

• AC Joint Repair: Treatment for issues with the acromioclavicular joint.

• Biceps Tenodesis/Tenotomy: Addresses biceps tendon issues through cutting or reattachment.

• Distal Clavicle Resection: Removes part of the collarbone to treat AC joint problems.

• Frozen Shoulder Release (Capsular Release): Releases tightness in the shoulder capsule.

Requirements & Evaluation: Shoulder arthroscopy surgery

Here are some of the requirements and evaluation process for shoulder arthroscopy surgery:

• Medical History Assessment: Detailed review of the patient's medical history, including previous shoulder injuries, surgeries, and existing health conditions.

• Physical Examination: Thorough examination of the shoulder joint, assessing range of motion, stability, and signs of instability or impingement.

• Imaging Studies: X-rays, MRI, or CT scans to visualize the structures of the shoulder joint, identify abnormalities, and plan the surgical approach.

• Patient's Symptoms: Evaluation of the patient's symptoms, such as pain, weakness, or instability, to determine the underlying shoulder condition.

• Diagnostic Arthroscopy (if needed): In some cases, a diagnostic arthroscopy may be performed to directly visualize the joint and confirm the diagnosis.

• Discussion of Treatment Options: Comprehensive discussion between the surgeon and the patient regarding the available treatment options, potential risks, benefits, and expected outcomes.

• Patient's Lifestyle and Activity Level: Consideration of the patient's lifestyle and activity level to tailor the treatment plan and set realistic expectations for post-surgery recovery.

• Conservative Treatment Attempt: In certain cases, conservative treatments such as physical therapy, medications, or corticosteroid injections may be attempted before opting for surgery.

• Surgical Consent: Informed consent process, where the patient is provided with detailed information about the proposed surgery, potential complications, and alternative treatments.

• Preoperative Testing: Necessary preoperative tests, including blood work and other health assessments, to ensure the patient is fit for surgery.

• Postoperative Care Planning: Discussion of postoperative care, including rehabilitation exercises, activity restrictions, and follow-up appointments.

Shoulder Arthroscopy Procedure

Before the Procedure

Before undergoing shoulder arthroscopy, patients go through a comprehensive preparation process:

1. Medical Evaluation: Patients undergo a thorough medical assessment, including imaging studies, blood tests, and a review of medical history, to ensure they are suitable candidates for the procedure.

2. Preoperative Instructions: Detailed instructions are provided, covering aspects such as fasting before surgery and discontinuation of medications that might interfere with the procedure.

3. Anesthesia Discussion: The type of anesthesia is discussed with the anesthesiologist, whether it be general or regional anesthesia, allowing patients to express any concerns or preferences.

4. Consent Form: Informed consent is obtained, outlining the nature of the procedure, potential risks, benefits, and alternatives.

5. Fasting: Patients are instructed to abstain from eating or drinking for a specific period before surgery to facilitate safe anesthesia administration.

After the Procedure

After shoulder arthroscopy, the postoperative phase involves:

1. Recovery Room: Patients are monitored until fully awake in a recovery area.

2. Postoperative Care: Detailed instructions are given for pain management, wound care, and guidelines for resuming activities.

3. Follow-up Appointments: Scheduled follow-ups monitor healing progress, address concerns, and plan rehabilitation.

4. Physical Therapy: Rehabilitation, including physical therapy, is often prescribed to restore shoulder strength and function.

5. Activity Restrictions: Patients are advised on activity limitations and when they can safely resume normal activities.

What type of follow-up care will I have during recovery?

After shoulder arthroscopy, adhere to postoperative instructions. Rest, ice, and elevate the shoulder to reduce swelling. Perform prescribed exercises for mobility and strength. Attend scheduled follow-up appointments for assessment and guidance. Communicate any unusual pain, swelling, or mobility issues promptly to your healthcare provider. Follow rehabilitation guidelines for optimal recovery.

Risk & Benefits

Risks of Shoulder Arthroscopy

While generally safe, shoulder arthroscopy carries potential risks. These include infection, bleeding, nerve or blood vessel injury, and stiffness. Patient-specific factors, such as pre-existing health conditions, and surgical skills influence outcomes. Not all shoulder conditions can be treated arthroscopically. Discussing potential risks with your healthcare provider is crucial for informed decision-making and postoperative care planning. Regular follow-ups are essential for monitoring recovery and addressing any concerns promptly.

Benefits of Shoulder Arthroscopy

Shoulder arthroscopy offers advantages like minimal scarring, faster recovery, and reduced pain compared to traditional surgery. It's effective for diagnosing and treating various shoulder issues, particularly rotator cuff tears. The procedure enables the surgeon to visualize and repair damaged structures using small incisions, promoting quicker healing and improved function.

Recovery 

Recovery from shoulder arthroscopy involves adhering to postoperative guidelines. Initially, focus on rest, ice, and elevation to reduce swelling. The gradual introduction of prescribed exercises aids mobility and strength. Follow the healthcare provider's advice, attend scheduled follow-ups, and communicate any concerns for optimal recovery and improved shoulder function.