What is Shoulder Arthroscopy?
Arthroscopy is a surgical procedure which is used by doctors for diagnosing and treating the different conditions of joints. Arthroscopy surgery of shoulder is performed by using a pencil sized tool attached with tiny camera called as arthroscope. This small camera is inserted in shoulder joints through incisions, a surgeon will make small incisions because of the small size of camera, he will examine and repair the injured tissues inside or around the shoulder joints.
Best shoulder arthroscopy doctor in Delhi may suggest arthroscopy in case of injured, damaged joint or inflammation of shoulder joint. This surgery can be a solution of all kinds of shoulder pain.
The arthroscopy surgery of shoulder in Delhi is less invasive because your surgeon will make very small incisions for the procedure which means less pain and faster recovery, while many of the common surgical procedure includes larger incisions resulting more pain and infections.
However, there are many benefits of arthroscopy surgery, but it’s very important for a patient to understand the need and procedure of this surgery
Why Do You Need Shoulder Arthroscopy?
Arthroscopy of shoulder is 2nd most common surgery after knee arthroscopy,
Best shoulder arthroscopy surgeon in Delhi might suggest you arthroscopy of shoulder in case of painful conditions that cannot be treated through non-surgical method like medications, physiotherapy or any other non-surgical method.
Arthroscopy of shoulder may treat and diagnosis the shoulder problems listed below:
- Tear in rotator cuff of shoulder.
- Inflammation in synovium of a joint.
- A common condition called Impingement syndrome.
- Repeated dislocation of shoulder.
- Cartilage tear to shoulder (torn meniscus).
- Chondromalacia, softening of cartilage tissues in shoulder.
- Fractures in shoulder bones.
- Pain in joints or stiffness (frozen shoulder).
- AC joint problems (acromioclavicular joint arthritis)
- Inflammation around the upper biceps tendons (bicep tendinitis)
How is Shoulder Arthroscopy Performed?
Diagnosis: Your doctor may suggest you arthroscopy of shoulders if your shoulder pain is not treatable through non-surgical method. Before performing any surgery your doctor would suggest you some test including imaging test like X-ray and some blood test to make sure that you are ready for the treatment
Surgical Procedure: In surgical procedure your surgeon will insert a tiny camera attached to a pencil shaped tool through small incisions, the surgeon will first diagnose the condition through video screen, after proper diagnosis your surgeon will insert other instruments for though small incisions. With the guidance of video camera a surgeon will repair the injured shoulder tissues.
Shoulder Arthroscopy for Rotator Cuff Tear
Rotator cuff tear is one common injury of our shoulder joint, this condition is usually caused by shoulder injury, or it can be resulted of repeated injuries (chronic injuries). The pain can be debilitating for some people, and this pain is usually located in front side of our shoulder joints. You can feel the pain of this tear while performing overhead activities. Your doctor may suggest rehabilitation therapies for recovery, but best doctor for rotator cuff surgery in Delhi can suggest arthroscopy surgery in certain cases. Arthroscopy surgery for rotator cuff repair helps in get back the normal movement of shoulder joint, and also eliminates the painful symptoms.
Signs when you need rotator cuff tear treatment in Delhi
- When symptoms lasted for months
- You feel weakness, or loss of movement in shoulder joints
- You have large rotator cuff tear
- This tear was caused by acute, or chronic injury
For the above-mentioned signs you can consult with shoulder arthroscopy surgeon in Delhi
Benefits of Shoulder Arthroscopy Surgery in Delhi from Best shoulder arthroscopy doctor in Delhi NCR
Now a days patient are opting for arthroscopy over traditional surgical methods, some reasons are mentioned below:
- Arthroscopy surgery required small incisions which means less tissue damage.
- Small incisions result in faster healing.
- Less painful method than regular surgery.
- Few stitches means fewer chances of infections.
Get cost effective shoulder arthroscopy surgery in Delhi from best arthroscopy surgeon in Delhi NCR Dr. Lalit Bafna
Frequently Asked Questions About Recurrent Dislocation Shoulder
Shoulder is ball and socket joint. It connects arm with rest of the body. It is most mobile joint in the body. We can turn our shoulder virtually in any direction. High mobility comes at the cost of stability. When head of the humerus pops out socket fully it is called as dislocation and when it partially pops out it is called as subluxation.
- Anterior dislocation - 98% most common (post traumatic)
- Posterior dislocation - 2% (post epilepsy / post electrocution)
Labrum is cartilage rim around edge of the glenoid. During first episode of dislocation labrum gets torn which is called as Bankart lesion and soft tissue around shoulder joint becomes lax leading to recurrent dislocation of shoulder.
Immediately visit to emergency of hospital where patient should get X-ray and analgesics following which doctor will reduce shoulder under analgesic and sedation cover. We should get check X-ray following close reduction to confirm position of humeral head.
- When did shoulder get dislocated first time?
- How did shoulder get dislocated first time?
- What was the treatment taken following dislocation during first and subsequent dislocation?
- How many times does the shoulder dislocated ?
- Is there any episode of night time dislocation and self reduction of dislocated shoulder?
- When did last time shoulder got dislocated ?
- Shoulder X-ray .. look for position oh humeral head and Hill-Sach defect
- MRI shoulder— look for Bankart lesion, Hill Sach defect and rotator cuff status
Bankart lesion and Hill-Sach defect MRI images
-> CT shoulder (compare with other shoulder )— calculate glenoid defect, Hill-Sach index, glenoid track, quantify defect whether on track or off track
Arthroscopic treatment —Arthroscopic Bankart (Labral) repair using suture anchors. Hill-Sach defect is addressed by procedure called Remplissage in which posterior shoulder capsule and infraspinatus tendon inserted into Hill Sach defect converting intra-articular defect to an extra-articular using suture anchors
Latarjet Procedure-It involves the removal and transfer of section of coracoid process and its attached muscle to front of glenoid. Commonly performed when there is significant bone loss in glenoid (Shallow Socket) and/or large Hill-Sach defect.
Eden-Hybbinette procedure —It involves anterior glenoid bone grafting using iliac crest, usually indicated in revision cases and epileptic patients with recurrent shoulder dislocation.
- 1st 6 weeks. — Passive and pendulum exercise as permitted by doctor
- 6 to 12 weeks. — Active assisted and active range exercises to gain range of movement
- 12 to 24 weeks — Strengthening exercises and return to normal or sports
Once labrum is torn it usually does not go back to same position as it was before injury , therefore patient may continue to experience recurrent episodes of shoulder instability.
Following reduction of shoulder patient may take 2-3 wks to go back to normal, however patient may continue to experience instability whenever shoulder goes into abduction and External rotation position
- Maintain good strength of rotator cuff and peri-scapular muscle by doing regular exercises
- Avoiding throwing (abduction and external rotation) position
Focus on exercises and rehabilitation 1st. Many patients won’t need immediate surgery, however if patient experiences recurrent episodes of instability especially in athlete and young active individual surgery is warranted to address instability.
Instability surgeries are planned surgery. Sooner we plan surgery better will be the outcome because with increasing number of dislocation episodes, chances of labral thinning and glenoid loss is more leading to poor outcome.
- Thinning of Labrum and increasing stiffness of labrum
- Increasing glenoid bone loss
- Increasing width and depth of Hill-Sach defect
- Chances of arthroscopic repair failure increases with delaying surgery
Minimum duration of 3 weeks or more post last episode of shoulder dislocation is the ideal time for undergoing surgery.