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    Home Shoulder Arthroscopy

    Category: Shoulder Arthroscopy

    Shoulder Arthroscopy Surgeon
    22Dec

    Shoulder arthroscopy surgery is a minimally invasive procedure used to diagnose and treat various shoulder conditions. It involves the use of a small camera, called an arthroscope, which is inserted into the shoulder joint through small incisions.. This allows the surgeon to visualize the structures inside the shoulder, such as the rotator cuff, labrum, and ligaments. The arthroscope is connected to a video monitor, giving the surgeon a clear view of the shoulder joint. Additional small incisions may be made to insert surgical instruments to repair or remove damaged tissues.

    Before the Shoulder Arthroscopy procedure

    Before undergoing shoulder arthroscopy, several steps are typically taken to ensure a safe and successful procedure. Firstly, the patient will undergo a thorough physical examination and medical history review to assess their overall health and identify any potential risks or contraindications. This includes discussing any medications or supplements the patient is currently taking. Additionally, imaging tests such as X-rays, MRI scans, or ultrasound may be conducted to evaluate the shoulder joint and identify the specific issue that needs to be addressed. Blood tests may also be performed to check for any underlying health conditions or potential complications. In some cases, the patient may be required to stop taking certain medications or fasting for a specific period of time before the surgery. Lastly, the patient will have a consultation with the surgeon to discuss the procedure, its potential risks and benefits, and address any questions or concerns.

    During the Shoulder Arthroscopy procedure

    During the procedure, the surgeon may repair damaged ligaments, remove loose cartilage or bone fragments, or address issues such as rotator cuff tears or shoulder impingement.

    With the arthroscope in place, the surgeon can examine the structures of the shoulder, including the rotator cuff, labrum, and ligaments. They can also identify any abnormalities, such as tears or inflammation. In some cases, the surgeon may need to perform additional procedures during the arthroscopy, such as repairing a torn rotator cuff or removing loose fragments of cartilage.

    The advantage of arthroscopy is that it requires smaller incisions, resulting in less pain, faster recovery, and reduced risk of complications compared to traditional open surgery.

    During the Shoulder Arthroscopy procedure

    Recovery from shoulder arthroscopy surgery typically involves a combination of rest, physical therapy, and pain management. Patients may need to wear a sling for a few weeks to support the shoulder and promote healing. Physical therapy exercises are crucial in restoring strength and range of motion. It is important to note that recovery times can vary depending on the extent of the procedure and individual factors. While some patients may experience significant improvement within a few weeks, others may require several months of rehabilitation before returning to normal activities. Overall, shoulder arthroscopy surgery is a valuable technique for diagnosing and treating  a wide range of shoulder conditions. It offers numerous benefits, including shorter recovery times, less post-operative pain, and reduced risk of complications compared to traditional open surgery. The procedure is commonly used for conditions such as rotator cuff tears, shoulder impingement, labral tears, and shoulder instability.

    Arthroscopic surgery allows the surgeon to precisely visualize the inside of the shoulder joint, enabling them to accurately diagnose the problem and perform necessary repairs. The small incisions used in arthroscopy result in minimal scarring and reduced damage to surrounding tissues.

    After the Shoulder Arthroscopy Procedure

    After the surgery, patients will typically undergo a period of rehabilitation to regain strength and mobility in the shoulder. Physical therapy exercises play a crucial role in this process, helping to improve range of motion and promote healing. The duration of rehabilitation can vary depending on the complexity of the procedure and individual factors, but most patients can expect to see significant improvement within a few weeks to a few months.

    In conclusion, shoulder arthroscopy is a valuable and effective surgical technique that offers numerous advantages over traditional open surgery. It allows for accurate diagnosis and targeted treatment of various shoulder conditions, leading to faster recovery and improved outcomes for patients.

    27Nov

    Shoulder Arthroscopy is a minimally invasive surgical procedure that offers numerous benefits for patients suffering from shoulder injuries or conditions. This advanced technique involves the use of a small camera, called an arthroscope, which is inserted into the shoulder joint through tiny incisions. The arthroscope provides a clear and detailed view of the inside of the shoulder joint, allowing the orthopedic surgeon to accurately diagnose and treat various shoulder problems.

    Some common conditions that can be treated with shoulder arthroscopy include rotator cuff tears, shoulder impingement, labral tears, and shoulder instability. The minimally invasive nature of this procedure leads to several benefits for patients.

    Advantages of Shoulder Arthroscopy

    • Shoulder arthroscopy offers a quicker recovery time compared to traditional open surgery. The small incisions result in less tissue damage and scarring, allowing patients to experience less pain and discomfort post-surgery.
    • During the Shoulder Arthroscopy procedure, the surgeon inserts the arthroscope through a small incision and uses specialized instruments to repair or remove damaged tissues. The ability to access the shoulder joint without fully opening it up significantly reduces the risk of complications and infection.
    • Shoulder arthroscopy also provides surgeons with a detailed view of the shoulder joint, allowing them to accurately diagnose and treat various conditions such as rotator cuff tears, shoulder instability, and labral tears. The arthroscope enables surgeons to visualize the joint structures in real-time, facilitating precise surgical interventions.
    • Another advantage of shoulder arthroscopy is the ability to perform certain procedures simultaneously. For example, if a patient has a rotator cuff tear and a labral tear, both can be addressed during the same surgery. This not only saves time but also reduces the need for multiple surgeries and anesthesia.
    • Shoulder Arthroscopy also leads to less post-operative pain and a quicker recovery time compared to open surgery. The risk of infection is significantly reduced due to the smaller incisions.
    • Shoulder arthroscopy can be performed on an outpatient basis, eliminating the need for hospitalization. Patients can return home on the same day as the procedure, leading to a more convenient and cost-effective treatment option.

    In conclusion, shoulder arthroscopy offers numerous advantages, including faster recovery, reduced risk of infection, precise diagnosis and treatment,

    Dr. Shekhar Srivastav’s extensive knowledge and proficiency in shoulder arthroscopy enable him to address a wide range of shoulder conditions, such as rotator cuff tears, shoulder impingement, labral tears, and shoulder instability. He utilizes advanced technology and techniques to provide personalized treatment plans tailored to each patient’s specific needs.

    13May
    Dr Shekhar Srivastav

    Dr. Shekhar Srivastav- Shoulder Arthroscopy Doctor in Delhi

    Que: Is it necessary to strengthen your shoulder or upper back muscles before going for Shoulder Arthroscopy Surgery?

    Dr Shekhar : It is not a prerequisite to strengthen your shoulder before going for Shoulder Arthroscopy surgery. Of course it helps in rehabilitation and one should strengthen the shoulder muscles before arthroscopy surgery but if its rotator cuff tear or bankart tear then one must not wait for strengthening exercises. So exercises does help but its not mandatory

    Que: Is it normal to have Frozen Shoulder after Shoulder Arthroscopy surgery?

    Frozen Shoulder
    Dr Shekhar : No, if the arthroscopy surgery is performed in a proper way, it does not usually lead to a Frozen Shoulder. The patient gets full range of motion. There are different arthroscopic surgeries for different problems in the shoulder joint.

    For instability like Bankart Repair, usually the patient does not have any stiffness in the shoulder joint after arthroscopy. After Rotator Cuff Repair, sometimes patient do get some stiffness but that is usually recoverable and can be managed with physiotherapy exercises

    So it is wrong to say that all patients get Frozen Shoulder after Shoulder Arthroscopy surgery. In Fact in most of the cases, because Arthroscopy surgery is minimally invasive, there is less pain and so recovery is faster and results are very good.

    Que: Is there any restriction in motion after arthroscopic surgery for shoulder? Are there any complications?

    Arthroscopic Surgery
    Dr Shekhar: It all depends on which procedure is being performed. Like if it is a Rotator Cuff tear, you must wait for a while till the tendon heals to the bone. So in that case you have to restrict movement from 6 to 8 weeks after which you start exercises to gain full movement.

    Similarly for Bankart repair also you have to restrict the movement for 3 to 4 weeks but the patient is allowed to do his or her normal activities like earring, surfing mobile, walking etc . But rigorous activities are restricted.

    Related Articles:

    About Frozen Shoulder and its treatment by Dr Shekhar Srivastav
    FAQs on Rotator Cuff by Dr. Shekhar Srivastav

    Dr. Shekhar Srivastav heads the Orthopedics department at Sant Parmanand Hospital & is the FAQs on Rotator Cuff by Dr. Shekhar Srivastav leading Joint Replacement & Arthroscopic Surgeon in Delhi, India. Trained at some of the best centers in India & Abroad he has vast experience of treating problems of Knee & Shoulder joints. He has been an integral part of DITO, Sant Parmanand Hospital for more than 18+ years & with the legendary Orthopedic Surgeon Dr. Shekhar Agarwal has helped Sant Parmanand Hospital gain its present reputation & respectability.
    He has treated thousands of patients with complex Orthopedics problems. He’s well known for performing Knee replacement surgeries (Total & Partial Knee replacement), Knee Arthroscopic Surgeries (ACL Injuries, Meniscus Injuries, Cartilage Damage) & Shoulder Surgeries (Arthroscopic Bankart Repair, Rotator Cuff Repair, Shoulder Replacements)

    5Apr

    Frozen Shoulder is the most common problem of the shoulder. It normally happens in the age of 40-50 , especially in sugar and thyroid patients. Our Shoulder joint is like a ball and socket and around it is a capsule. In Frozen shoulder, this capsule gets shrinked restricting the shoulder movement and causing pain. Initially the patient gets pain while moving the shoulder but then gradually he can also feel the pain during the rest period. Sometimes it even disturbs the sleep.

    Frozen Shoulder

    Frozen Shoulder Treatment

    Exercise is very important in the treatment of Frozen Shoulder. The main task is to cure the capsule which has shrunk through stretching exercises. If the problem persists, the patient is advised Physiotherapy for 3-4 weeks. Most of the frozen shoulder problems can be treated with physiotherapy. If the pain is too much or unbearable, we put injections in the shoulder. In 90% of the cases, physiotherapy, medicines and exercises cure Frozen Shoulder.Sometimes the stiffness is too much and it may persist for months together.

    Frozen Shoulder Treatment

    In some cases, if the problem still remains, Arthroscopic surgery is done. Arthroscopy is a key hole surgery in which two small holes are made in the shoulder. From 1 hole , a camera is inserted and from the other hole, an instrument is inserted to release the shrunken capsule. So the patient gets his motion and pain also decreases. But this is reserved for only those patients who don’t improve with medications and exercises. The mainstay of the treatment remains medications and exercises.

    Dr. Shekhar Srivastav heads the Orthopedics department at Sant Parmanand Hospital & is the leading Joint Replacement & Arthroscopic Surgeon in Delhi, India. Trained at some of the best centers in India & Abroad he has vast experience of treating problems of Knee & Shoulder joints. He has been an integral part of DITO, Sant Parmanand Hospital for more than 18+ years & with the legendary Orthopedic Surgeon Dr. Shekhar Agarwal he has helped Sant Parmanand Hospital gain its present reputation & respectability.
    He has treated thousands of patients with complex Orthopedics problems. He’s well known for performing Knee replacement surgeries (Total & Partial Knee replacement), Knee Arthroscopic Surgeries (ACL Injuries, Meniscus Injuries, Cartilage Damage) & Shoulder Surgeries (Arthroscopic Bankart Repair, Rotator Cuff Repair, Shoulder Replacements)

    Rotator Cuff Tear
    17Jan

    Q 1). What is the difference between shoulder Arthritis and frozen shoulder?

    Ans). One of the commonest problems which we see in the shoulder in FROZEN SHOULDER. Frozen shoulder is usually seen in persons between 40 to 60 years of age. If the joint is ok but the capsule around the joint becomes infringed, the shoulder becomes stiff and the movement causes pain.

    Most of the time the problem starts spontaneously on its own without any reason. It is a self-limiting disease. If you don’t give any treatment then it also heals itself but that takes a long time (around 1 ½ -2 years). But if treated properly with exercises, physiotherapy and medication that it can be treated within 2 – 3 months.

    Whereas SHOULDER ARTHRITIS is degeneration of the shoulder joint. The cartilage around the shoulder joint gets degenerated and the joint is damaged because of wear and tear. Shoulder Arthritis is seen in elderly people around 60 to 80 years of age. In this case the joint becomes permanently damaged. It may recover with exercises, medication and if that doesn’t help it may require KNEE REPLACEMENT

    Q 2.) Why is rotator cuff surgery so painful?
    Ans.) Rotator cuff surgery is usually seen in elderly people and it is of degenerative nature. Because of poor vascular supply, the rotator cuff becomes inflamed, gets torn and most of the time it gets degenerated without any injury. In young persons, the rotator cuff is torn when there is an injury. In elderly persons, Rotator cuff injury happens because of degeneration. Rotator cuff surgery is usually arthroscopic surgery wherein we make 3-4 small keyhole incisions and through our camera we repair the rotator cuff. Here the results are very good but the biological healing takes around 2-3 months. So till that time there is some pain and stiffness. When done with proper technique, it’s not that painful and usually gives very good results.

    Q 3.) What are the other treatments for rotator cuff tear other than surgery?
    Ans.) The rotator cuff tear can be of various grades. It can be a small tear, medium tear or a large great tear. A medium or a large tear requires surgery as it won’t heal on its own and will gradually progress . The torn rotator cuff retracts back and it becomes difficult to bring it back. So that definitely requires surgery. But small tears can be managed conservatively with physiotherapy, strengthening of muscles around the shoulder or pain medications. In fact, there are many patients who have tears but no symptoms. That doesn’t mean that all tears require surgery. Only those tears which are causing pain and problems to the patient require surgery.

    Q 4.) What is the best way to recover fast from ‘ Rotator cuff surgery ’ ?
    Ans.) When we do rotator cuff surgery, we put the torn rotator back to its footprints and we try to restore the anatomy. we can only fix the tear and not heal it. Healing is a natural process. It normally takes two to three months and we cannot fast forward it.Everything depends on how well you fix the tear . If the tear is fixed properly , the healing is better. I always tell my patients that I will fix it but god will heal it.That will take around three months .

    Q 5.) What muscles make up the rotator cuff ?
    Ans .) The rotator cuff is a group of muscles that surround the shoulder joint. It is made up of four muscles – Subscapularis (in the front) , Supraspinatus (in the top ) , Infraspinatus and Teres minor (behind ). These four muscles surround the shoulder joint and are responsible for its movement and stability.

    FAQs on Rotator Cuff by Dr. Shekhar Srivastav | Leading Arthroscopic Surgeon