Shoulder Arthroscopy Treatment

Arthroscopic shoulder surgery is used in repairs due to the minimal trauma to the tissues that surround the shoulder joint. 

Procedure

• Surgeon inserts a small camera, called an arthroscope into the shoulder joint. 
• Pictures are displayed on a monitor and the surgeon uses these images to guide miniature surgical instruments. 
• Small incisions can be cut and used due to the thin surgical instruments that are used.
• If the inside of the joint needs to be cleaned out or debride, this can be done at the time of the procedure. 

Glenohumeral Arthritis

Mild cases of glenohumeral arthritis can be treated with arthroscopy. This procedure may only alleviate some pain and additional treatment or surgery may be needed especially if arthritis progresses. 

Rotator Cuff Repair

Arthroscopic rotator cuff repairs are often preferred due to the pros of arthroscopic repair. One potential complication of an open rotator cuff repair is the possibility the deltoid may become detached. Some surgeons believe they can also see the rotator cuff much better through an arthroscope, and can maneuver throughout the shoulder joint without the limitations of an incision. 

What can you do prior to surgery?

• Patients who smoke should stop smoking at least one month prior to surgery. 
• Any lung, kidney, heart, bladder, tooth, or gum problems should be dealt with before surgery. Even the smallest infection may be reason enough to delay the operation.
• Some surgeons may ask that you scrub with special soap, such as Phisohex before surgery.
• Let your surgeon be aware of any health issues, known allergies and any prescription and nonprescription medications that are being taken. 
  • Medications such as aspirin and anti-inflammatory drugs which may affect blood from clotting may need to be stopped or modified. 
• Blood transfusions may be necessary during surgery, in this case patients may opt to have a blood bank drawn and store their own blood for a possible autotransfusion. 
• Make sure prior to surgery that all options are considered such as alternatives, limitations and the risks of surgery. 
• Plan for or arrange assistance for after surgery. Home care if needed should be arranged well in advance prior to surgery.

Post-Surgery Expectations

• Physical Therapy will be prescribed following surgery. The success and outcome of surgery largely depends on the efforts in rehabilitation. 
• Patient will be less functional 6-12 weeks after the operation.
• Shopping, driving and normal work or household chores may become difficult at times.