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Minimally Invasive Shoulder Arthroscopy

A shoulder arthroscopy is a surgical procedure commonly used to diagnose and address various shoulder conditions. Whether you're suffering from a torn or damaged cartilage ring (labrum) or ligaments, a dislocated shoulder, inflammation from arthritis, or other discomforts in your shoulder, this minimally invasive operation could be the solution. At Pristyn Care, our experienced surgeons are equipped with the knowledge and skills needed to perform this procedure. Don't let shoulder pain limit your life any longer. Consult our orthopaedic surgeons at Pristyn Care. Book an appointment with us today.

A shoulder arthroscopy is a surgical procedure commonly used to diagnose and address ... Read More

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    Dr. Debashish Chanda (ncpD3B72NM)

    Dr. Debashish Chanda

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    Dr Sourabh Chachan

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    Dr. Kamal Bachani (3uCOy0grwa)

    Dr. Kamal Bachani

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    34 Years Experience

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    Dr. Pradeep Choudhary (iInTxtXANu)

    Dr. Pradeep Choudhary

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    33 Yrs.Exp.

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What is shoulder arthroscopy?

Shoulder arthroscopy is a minimally invasive surgical procedure designed to diagnose and treat a broad range of shoulder problems. Using a small camera known as an arthroscope, the surgeon can project images of the shoulder joint onto a video monitor. This real-time view allows the doctor to identify any issues with your shoulder and make necessary repairs through small incisions. 

The surgeon then uses specialised instruments to treat damaged tissues such as torn cartilage rings or ligaments, the biceps tendon, the rotator cuff, and any area affected by bone spurs or inflammation around the rotator cuff. The procedure also works well for treating inflammation or damage to the joint lining often caused by arthritis and for removing loose tissue in the shoulder.

This arthroscopy surgery of a shoulder is generally less painful than traditional open surgery due to the size of the incisions made, leading to quicker recovery periods. However, the need for the procedure can vary based on the specific condition being treated and the surgeon’s preference and experience.

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What Are The Types Of Shoulder Arthroscopy?

While there are no distinct “types” of shoulder arthroscopy, the specific surgical technique used depends on the condition being treated and the surgeon’s expertise. It treats a variety of shoulder conditions and injuries, such as:

  • Rotator Cuff Repair: Using arthroscopic techniques to reattach torn rotator cuff tendons that have been brought together.
  • Labral Repair: The labrum, which is the ring of cartilage surrounding the shoulder socket, can be reattached if torn..
  • Impingement Decompression: Removal of bone spurs or inflamed tissues that might “impinge” on the rotator cuff tendons.
  • Instability Repair: Arthroscopic techniques are used to repair or tighten stretched or torn ligaments, stabilising the shoulder.
  • Biceps Tenodesis: Spearheaded to relieve pain by reattaching or cutting the long head of the biceps tendon.
  • Frozen Shoulder Release: Tight scar tissue in the shoulder joint is released to restore range of motion for patients with a frozen shoulder.

However, all these treatments share the common trait of being less invasive than traditional open-shoulder surgery, resulting in smaller incisions, reduced pain, and faster recovery times.

Diagnosis Before Shoulder Arthroscopy Surgery

To discern the need for shoulder arthroscopy surgery, your orthopaedic surgeon will diagnose your shoulder condition through a comprehensive check-up and some specific tests. These tests include:

  • A Physical Examination: During this, the surgeon will assess your shoulder’s stability and its range of motion. They will also look for any abnormal grinding or catching in the joint.
  • X-rays: It offers a clear visualisation of your shoulder bones. It helps to detect issues such as arthritis or bone spurs, among other abnormalities. 
  • MRI or CT Scans: Radiologists perform these scans to evaluate soft tissue injuries like rotator cuff tears or labral tears.

What Is The Procedure For Shoulder Arthroscopy?

Shoulder arthroscopy is a minimally invasive surgical technique used to examine and treat issues within the shoulder joint. Here’s what you can expect in a step-by-step shoulder procedure:

  • Positioning: You will be positioned in either a beach chair (semi-seated) or lateral decubitus (lying on the side) position to allow the surgeon clear access to the shoulder joint.
  • Cleaning: The area around your shoulder is cleaned and shaved if needed, followed by draping it in a sterile fashion.
  • Fluid Injection: Your surgeon will inflate the shoulder joint by injecting fluid into it, making it easier to visualise the structures inside.
  • Incision and Insertion of Arthroscope: A small incision is made to insert the arthroscope, which is connected to a video monitor, allowing the surgeon to see inside your shoulder joint.
  • Treatment: More small incisions are made to insert specialised instruments for treating the identified issue.
  • Closure: Once the procedure is complete, the incisions are closed with stitches or steri-strips, and a bandage is applied for healing.

The recovery after shoulder arthroscopy is generally quicker and less painful compared to traditional open surgery, but it requires a commitment to a prescribed physical therapy regime to regain the full function of your shoulder.

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Who Is The Right Candidate For Shoulder Arthroscopy?

The decision to undergo a shoulder arthroscopy procedure is primarily based on an individual’s symptoms, extent of discomfort, and impact on their daily activities. The right candidate for shoulder arthroscopy typically exhibits the following characteristics:

  • Persisting shoulder pain: If you experience prolonged shoulder pain that does not respond to non-surgical treatments, such as physiotherapy or medication, shoulder arthroscopy might be recommended.
  • Limited mobility: Difficulty in moving your arm or performing routine tasks due to a stiff or weak shoulder might necessitate this surgery.
  • Injury or damage: If you have had an injury that resulted in rotator cuff tears, labral tears, or ligament damage, then shoulder arthroscopy can be an effective treatment. 
  • Daily life impact: If your shoulder problem is interfering with your daily activities, causing considerable discomfort, and affecting your quality of life, it might be time to consider shoulder arthroscopy.

However, determining your eligibility for the surgery is a decision made in consultation with your orthopaedic surgeon.

What Are The Benefits Of Shoulder Arthroscopy?

Shoulder arthroscopy can often be a superior option when compared to traditional open surgery. Here are some of the key benefits of undergoing shoulder arthroscopy surgery:

  • It’s a minimally invasive procedure that requires smaller incisions compared to traditional open surgery. This can lead to less tissue damage and less post-operative pain.
  • Recovery after a shoulder arthroscopy tends to be quicker, allowing patients to return to their normal activities sooner.
  • It gives the surgeon the ability to fully evaluate and treat complex shoulder problems effectively and efficiently.
  • The postoperative pain and stiffness are reduced since there is less scar tissue formation.
  • Compared to open surgery, there’s a lower risk of infection and other complications due to the minimal invasiveness of the procedure.

How To Prepare For Shoulder Arthroscopy?

Preparation before shoulder arthroscopy is crucial for a successful outcome. Here are the steps to follow:

  • Inform your surgeon about all your present medical conditions and the medications you’re taking. This helps them plan your treatment accordingly.
  • Ensure that you arrange for someone to assist you at home in the first few days after surgery, as you will have limited mobility.
  • It is recommended not to eat or drink anything after midnight before your surgery. 
  • Follow all preoperative instructions provided by your surgeon and hospital.

What Are The Recovery Tips And Precautions To Follow After Shoulder Arthroscopy?

Recovering from shoulder arthroscopy involves following some key precautions:

  • Use a sling as directed by your doctor. It offers support and protection for your shoulder.
  • Gradually increase your level of activity under the guidance of your surgeon or physical therapist. Don’t rush this process.
  • Perform some prescribed exercises regularly to regain strength and improve the range of motion in your shoulder.
  • Avoid sudden movements or heavy lifting until you get a clearance from your surgeon.
  • Maintain a healthy weight to reduce stress on your shoulders. Overweight adds unnecessary strain to your joints and muscles.

Potential Risks Or Complications Associated With Shoulder Arthroscopy

Like any surgical procedure, arthroscopy of a shoulder also carries some potential risks and complications. It’s important to be aware of these:

  • Shoulder stiffness or loss of motion can happen as a side effect of the surgery.
  • There is a chance that the repair might not heal properly.
  • Infection, although rare, is a serious concern.
  • There’s a risk of nerve or blood vessel injury during the surgery.
  • Ongoing pain or weakness might persist even after the surgery.

Always discuss your concerns with your orthopaedic surgeon. They can help you weigh up the pros and cons and provide valuable insights into what’s best for your specific case, followed by a proper rehabilitation programme.

What Is The Cost Of Shoulder Arthroscopy In India?

Shoulder arthroscopy surgery, a medical procedure to examine and repair problems inside your shoulder joint, is becoming increasingly common in India. The average cost of this procedure varies widely based on several factors:

  • Hospital choice: Different hospitals have varied pricing structures, largely dependent on their resources, reputation, and level of services offered. 
  • Surgeon expertise: The expertise and experience of the surgeon can significantly impact the cost. Surgeons with more experience or specialisation may charge higher fees for their proficiency.
  • Complexity of procedure: The complexity and length of the surgery, as well as the materials needed, can also affect the total cost.
  • Geographic location: The city where you undergo the surgery can also impact costs. In metropolitan cities, where the cost of living is generally higher, medical procedures also tend to be more expensive.

Is Shoulder Arthroscopy Covered Under Insurance?

In most cases, shoulder arthroscopy is covered under medical insurance plans in India, both private and government-owned. Insurance plans usually consider it a medically necessary procedure aimed at alleviating shoulder pain and enhancing functionality. However, the coverage is subject to specific terms and conditions of the insurance policy. Here’s a closer look at what’s usually covered and what might be excluded.

Insurance coverage typically includes:

  • Hospitalisation and surgeon fees
  • Cost of surgical instruments and implants
  • Post-operative physical therapy
  • Follow-up visits

However, some costs might not be covered by insurance:

  • If your surgery is deemed elective or unnecessary by your insurance provider
  • Costs accruing due to complications arising from negligence or non-compliance with post-operative instructions
  • Any additional procedures that are not directly related to the shoulder arthroscopy
  • Costs for experimental or investigational techniques

To avoid unexpected charges, it’s crucial to review your insurance policy thoroughly and secure pre-authorization before scheduling your surgery. Discussing anticipated out-of-pocket expenses with your hospital’s billing office and comparing costs across multiple hospitals can also help you manage your budget effectively. 

Remember, recovery after shoulder arthroscopy takes time and often involves physical therapy, so make sure to account for these costs as well.

FAQs

1. How long does shoulder arthroscopy surgery last?

Shoulder arthroscopy usually takes one to two hours, depending on the complexity of the condition and the procedure required. However, this doesn’t include preparation time and recovery time in the recovery room post-surgery. 

2. How long will I have to stay in the hospital after shoulder arthroscopy?

Typically, shoulder arthroscopy is conducted as a day-care procedure, and you should be able to go home on the same day. However, an overnight stay may be suggested in certain cases based on your overall health condition or the complexity of the surgery.

3. Is there a specific age limit for undergoing shoulder arthroscopy surgery?

There’s no specific age limit for undergoing this procedure. However, individual health status, lifestyle, and the specific condition of your shoulder will play crucial roles in determining whether you need shoulder arthroscopy surgery.

4. How painful is the recovery after shoulder arthroscopy?

The severity of pain can differ from patient to patient. However, you may feel moderate pain and discomfort in your shoulder for several days following the operation. Pain relief medicine is typically prescribed to manage it during this period.

5. Can I drive after my shoulder arthroscopy surgery?

No, it’s generally advised that you should not drive until you’re free of pain and can move your shoulder easily. This can take at least one to two weeks after surgery. However, it’s best to consult with your doctor for advice specific to your situation.

6. How should I care for my wound after shoulder arthroscopy?

The wound should be kept dry for at least 48 hours following surgery to prevent any infections. After that period, you can gently clean it using warm water and pat it dry with a clean towel.

7. Will I need physiotherapy after my shoulder arthroscopy?

Yes, physiotherapy forms a crucial part of your recovery after shoulder arthroscopy. It helps restore motion and strength to your shoulder and speeds up the healing process.

8. How long until I can return to my regular activities after shoulder arthroscopy?

Usually, patients can return to light activities like using a computer or writing within a week or two following surgery. However, it might take several weeks to months before you can return to more physically demanding tasks or sports activities.

9. What signs of complications should I watch for after shoulder arthroscopy?

While complications are rare, you should contact your doctor if you experience severe pain, excessive or prolonged swelling, a high fever, persistent numbness in the arm, or redness around your surgical wound, as these could be signs of potential complications.

10. Will I have a noticeable scar after my shoulder arthroscopy surgery?

Shoulder arthroscopy is performed through small incisions in the skin, resulting in minimal scarring. However, the visibility of these scars often depends on how well an individual’s skin heals post-surgery.

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Medically Reviewed By
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Dr. Debashish Chanda
23 Years Experience Overall
Last Updated : November 26, 2024