Shoulder Arthroscopy

Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat a variety of shoulder problems. By using a small camera called an arthroscope, surgeons can examine or repair the inside or around your shoulder joint without the need for large incisions.

At Precision Orthopaedic Specialties, our experienced team of shoulder specialists is skilled in performing shoulder arthroscopies to help restore mobility and function. Book your consultation at one of our offices in Northeastern Ohio today!

What Injuries Does Arthroscopic Shoulder Surgery Treat?

Arthroscopic shoulder surgery can address many common shoulder injuries and conditions, particularly those involving the muscles, tendons, and other tissues in and around the shoulder joint. It is often recommended for:

  • Rotator cuff tears: This group of muscles and tendons hold the arm in the shoulder’s ball and socket joint. It forms a cuff over the shoulder that provides stability and allows for a wide range of motion. A torn rotator cuff, either partial or complete, can cause pain, weakness, and reduced motion. Rotator cuff repair can be done arthroscopically to repair the tissues inside or around the shoulder joint.
  • Shoulder instability: This occurs when the shoulder joint is too loose and frequently dislocates. Arthroscopic techniques can tighten the joint and prevent future dislocations.
  • Torn labrum: The labrum is a ring of cartilage that stabilizes the shoulder socket. A torn labrum can cause pain and limit shoulder function, but it can be repaired arthroscopically.
  • Inflamed or loose tissue: Conditions such as bursitis or shoulder impingement syndrome involve inflamed tissue, causing pain during movement. Surgeons can use a shaver to remove unwanted tissue, relieving the irritation.
  • Bone spurs: Bone spurs can develop in the shoulder, especially in older individuals. Arthroscopy allows the surgeon to smooth these spurs to prevent further damage to the muscles and tendons.
  • Frozen shoulder: In some cases, arthroscopic surgery may be needed to release tight ligaments or scar tissue that restricts movement in the shoulder.
Surgeons performing shoulder arthroscopy in Northeast Ohio.

What Happens Before Arthroscopic Shoulder Surgery?

Before arthroscopic shoulder surgery, your orthopedic surgeon will evaluate your condition through physical examinations and possibly imaging tests such as X-rays and/or MRIs. Once surgery is deemed necessary, you’ll receive preoperative instructions, such as avoiding food or drink for several hours before the procedure. You’ll also meet with the anesthesiologist to discuss the anesthesia, typically general or regional, that will be used during the surgery.

What Happens During Shoulder Arthroscopy?

During the procedure, the surgeon makes several small incisions, each about the size of a buttonhole. Through one of these incisions, a small camera called an arthroscope is inserted into the shoulder joint. This camera transmits images to a video monitor, allowing the surgeon to see inside the joint without a large incision.

The surgeon will also insert into your joint small surgical instruments that are used to conduct the repair. These instruments may be used to trim damaged cartilage, stitch torn tissues, or smooth bone spurs.

Depending on the complexity of the surgery, this shoulder repair procedure can last between 30 minutes to 2 hours. The arthroscope and instruments are then removed, and the incisions are closed with stitches or surgical tape.

What Happens After Shoulder Arthroscopy?

After the surgery, you’ll be moved to a recovery area where your vital signs will be monitored as the anesthesia wears off. Your shoulder will be bandaged, and you’ll likely be given a sling to keep your arm stable as it heals. Pain is typically managed with medications, and most patients can go home the same day.

Recovery involves a structured plan of rest, medication, and physical therapy to restore mobility and strength to the shoulder. Your surgeon will give specific instructions regarding how long you should wear the sling and when you can start physical therapy exercises.

Risks and Benefits of Shoulder Arthroscopy

As with any surgery, there are risks involved with arthroscopic shoulder surgery, including infection, bleeding, blood clots, or injury to surrounding nerves and blood vessels. However, these risks are low, and the benefits often outweigh them.

Benefits of shoulder arthroscopy include:

Recovery from Arthroscopic Shoulder Surgery

Recovery times vary depending on the specific procedure performed, but generally, it takes a few months for the shoulder to fully heal. Initially, patients will experience some discomfort and stiffness, but these symptoms improve with time and physical therapy.

During the recovery period, physical therapy is crucial. It helps restore shoulder strength, flexibility, and range of motion, ensuring that you regain essentially all shoulder motions. Your therapist will guide you through exercises designed to strengthen the muscles and tendons around the shoulder and prevent future injuries.

In most cases, patients can expect to return to normal activities, including sports, within 4 to 6 months after surgery. However, more complex repairs, such as rotator cuff surgery, may require a longer recovery time before you can return to normal rotator cuff function.

Regain Your Shoulder Function

Shoulder arthroscopy offers a highly effective solution for various shoulder problems, from rotator cuff tears to shoulder instability and torn labrum repairs. With minimal downtime and quicker recovery, this procedure allows patients to return to their normal lives and activities with reduced pain and improved function.

If you’re experiencing shoulder pain or limitations, it’s important to consult with a specialist. Our team at Precision Orthopaedic Specialties is ready to help with expert diagnosis and tailored treatment plans. Contact us today at one of our Northeast Ohio locations to start your journey to a pain-free, fully functional shoulder!

Medically reviewed by Laszlo S. Harmat, D.O.