Shoulder arthroscopy is a minimally invasive surgical procedure that enables surgeons to diagnose and treat various shoulder conditions with precision, minimal trauma, and a faster recovery compared to traditional open surgery. We use the latest techniques and technology to ensure the best possible outcomes for our patients.
What Is Shoulder Arthroscopy?
Shoulder arthroscopy involves inserting a small camera, called an arthroscope, through tiny incisions in the shoulder joint. The camera provides real-time images of the joint, allowing the surgeon to identify and address issues that may not be visible on X-rays or other imaging. Arthroscopic surgery enables the surgeon to repair tissues, trim damaged cartilage, or remove bone spurs, often with minimal disruption to the surrounding muscles and tissues. This technique is highly effective for treating a variety of shoulder injuries and conditions.
Conditions Treated with Shoulder Arthroscopy
At Rothman Orthopaedics, we recommend shoulder arthroscopy for patients whose symptoms persist despite conservative treatment, such as physical therapy, medications, or injections. Some of the most common conditions treated with arthroscopic surgery include:
Rotator Cuff Tears
The rotator cuff consists of muscles and tendons around the shoulder joint that are essential for stability and movement. Tears in the rotator cuff can result from trauma, overuse, or aging. Symptoms typically include pain, weakness, and limited range of motion. Arthroscopic rotator cuff repair minimizes damage to surrounding tissues, such as the deltoid muscle, and results in smaller scars and a faster recovery. In some cases, the surgeon may also remove bone spurs or frayed tissue.
Labral Tears (SLAP Lesions)
The labrum is a ring of cartilage that helps stabilize the shoulder joint. A tear in the labrum, often caused by repetitive motion or trauma, can lead to pain, instability, and loss of function. Arthroscopy is used to repair or remove damaged portions of the labrum, improving stability and restoring shoulder function.
Shoulder Instability
Shoulder instability occurs when the ball of the shoulder joint (humeral head) dislodges from its socket (glenoid). This can result from injury, overuse, or a defect in the joint's stabilizing tissues. When physical therapy is not sufficient, arthroscopic surgery can repair torn ligaments and restore stability to the joint.
Bursitis and Impingement Syndrome
Shoulder bursitis involves inflammation of the bursa (a fluid-filled sac), often caused by overuse or injury. This condition leads to pain, swelling, and reduced mobility. Arthroscopic subacromial decompression is a procedure that removes the inflamed bursa and relieves pressure on surrounding tissues, improving function and reducing pain.
Shoulder Arthritis
Shoulder arthritis causes inflammation and pain in the shoulder joint, commonly due to wear and tear (osteoarthritis) or autoimmune conditions (rheumatoid arthritis). While arthritis cannot be cured, arthroscopy can help alleviate pain and improve function by removing damaged cartilage and smoothing the joint surfaces.
Benefits of Shoulder Arthroscopy at Rothman Orthopaedics
Shoulder arthroscopy offers several advantages over traditional open surgery, including:
Minimal tissue disruption: Smaller incisions cause less damage to surrounding muscles and tissues, which reduces pain and speeds up recovery.
Smaller scars: Since the incisions are smaller, patients typically experience less visible scarring compared to open surgery.
Faster recovery: Arthroscopic surgery generally involves a shorter recovery period, allowing patients to return to normal activities more quickly.
Less blood loss: The minimally invasive approach reduces the risk of excessive bleeding during surgery.
Preparing for Shoulder Arthroscopy
Before undergoing shoulder arthroscopy, it is important to ensure you are in optimal health. Our team at Rothman Orthopaedics recommends the following:
Health optimization: If you smoke, it is advised to stop at least one month before surgery and avoid smoking during the recovery period to promote better healing.
Address underlying health conditions: Any existing health problems, such as infections, lung or heart issues, or dental concerns, should be addressed prior to surgery to minimize complications.
Medications: Some medications, such as blood thinners or anti-inflammatory drugs, may need to be adjusted or discontinued to avoid bleeding complications.
Pre-surgery hygiene: You may be asked to use a special antiseptic soap before surgery to reduce the risk of infection.
Post-Surgery Recovery and Rehabilitation
Although shoulder arthroscopy is less invasive than traditional surgery, recovery still requires time and effort. After surgery, patients can expect a period of limited mobility and function. The typical recovery timeline includes:
Initial recovery: Swelling, bruising, and discomfort may occur for a few days following surgery. Pain management and follow-up appointments will be provided.
Rehabilitation: Physical therapy is a key component of recovery. It will help restore strength, flexibility, and function to the shoulder joint. Following the rehabilitation plan closely ensures the best outcomes.
Gradual return to activities: Most patients can resume normal activities, such as work and light exercise, within 6 to 12 weeks. More strenuous activities and sports may take longer.
Why Choose Rothman Orthopaedics?
At Rothman Orthopaedics, we have a team of highly skilled shoulder specialists who are dedicated to providing exceptional care for all types of shoulder conditions. As leaders in shoulder surgery, our expertise in arthroscopic techniques allows us to offer the best treatment options with minimal recovery time.
If you are experiencing shoulder pain or difficulty with movement, shoulder arthroscopy may be the solution you need. Our team takes the time to understand your concerns and create a personalized treatment plan that aligns with your needs.
To learn more or schedule an appointment, please visit our website or contact us at 1-800-321-9999.
