Shoulder Arthroscopy�is a type of surgery that uses a small�keyhole camera�(arthroscope) inserted�through a small incision to examine or repair the tissues inside or around your shoulder joint.

Causes

Arthroscopy may be recommended for shoulder problems, such as:

• A torn or damaged cartilage ring (labrum) or ligaments (in cases of shoulder instability)
• A torn or damaged biceps tendon
• A torn rotator cuff
• A bone spur or inflammation around the rotator cuff
• Stiffness of the shoulder
• Inflammation or damaged lining of the joint
• Arthritis of the end of the clavicle (acromioclavicular joint)

The�surgeon�inserts a small camera into the shoulder joint by making an incision , about one-quarter inch (0.25") long, near the shoulder joint. This camera allows the surgeon to see inside the joint.

Unlike knee arthroscopy, most people are asleep during the surgery. Therefore, you will be unable to watch the video monitor. A nerve block may be used to numb your shoulder and arm to help reduce pain after surgery.

A normal saline solution is pumped into the shoulder to expand the joint and help see the insides clearly. The surgeon will look around the entire joint to check the cartilage, tendons and ligaments of the shoulder. If damaged tissues need to be repaired, the surgeon will make 1 to 3 additional small incisions to insert other instruments. These may include a blunt hook to pull on tissues, a shaver to remove damaged or unwanted tissues and a burr to remove bone.

In addition to working on the shoulder joint, the surgeon often places the camera in the space above the rotator cuff tendons (the subacromial space). The surgeon can evaluate the area above the rotator cuff, clean out inflamed or damaged tissue, remove a bone spur and fix a rotator cuff tear.

At the end of the surgery, the fluid is drained from the shoulder, the small incisions are closed and a dressing is applied. Your surgeon will probably take pictures of the procedure from the video monitor to show you what was found and what was done.

The risks for surgery are that are those associated with any surgery which includes bleeding and possible infection. In rare cases damage to the cartilage or ligaments may occur. In certain cases the surgery will not give relief to any of the previous symptoms.

Arthroscopy�is an alternative to "open" surgery that completely exposes the shoulder joint. Arthroscopy results in less pain and stiffness, fewer complications, shorter (if any) hospital stays and possibly faster recovery time.

It can take 1-6 months for you to recover and depends on the surgery that was performed. You may have to wear a sling during the first week after surgery. If the repair done was more extensive then you may have to wear the sling for a longer period. You will be administered medication in order to control your pain.

When you can return to work or play sports will depend on the surgery that was performed, but it can range from 1 week to several months.

The other Orthopedic Procedures are:

• Achilles Tendon Repair
  
• Knee Joint Replacement
  
• Disc Hernia�
  
• Elbow Replacement�� etc

Few Major Hospitals for Shoulder Arthroscopy are:

• Wockhardt Hospitals
  
• Apollo Hospitals
  
• Max Healthcare
  
• Piyavate Hospital
  
• Florence Nightingale Hospital
  

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• Thailand
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