Shoulder Arthroscopy & Rotator Cuff Repair
Arthroscopic surgery involves inserting a tiny camera into the body to view damaged tissue. The camera projects an image of what it sees onto a video screen, guiding a toward what tissue needs to be removed or repaired.
Arthroscopic surgery of the shoulder has been successful in restoring shoulder joints to full function for decades.
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Uses of Arthroscopic Surgery
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Arthroscopic surgery is used to repair torn or damaged ligaments and tendons and to repair loose shoulder joints, rotator cuffs, bone spurs and damaged linings of the shoulder joint.
Rotator Cuff Repair
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In rotator cuff surgery, a 2- or 3-inch incision is made in the shoulder. The surgeon then cuts through the deltoid muscle. Scar tissues is removed. A small trough is carved at the top of upper arm, and a few small holes are drilled in the bone. The surgeon then sews the tendon to the bone using those small holes. Sometimes permanent anchors are used instead. The surgeon then cleans up bone spurs and loose ligaments before closing the incision.
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Benefits of Arthroscopic Surgery
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Because of the small incision, there is quicker recovery time and fewer complications. Successful arthroscopic surgery allows full movement of the shoulder joint, eliminates pain and increases strength in the shoulder joint. Physical therapy is used after surgery to strengthen surrounding muscles and maximize full range of motion
Risks of Arthroscopic Surgery
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Risks of arthroscopic surgery include the usual risks of surgery, such as infection, possibility of blood clot, and bleeding Risks particular to arthroscopic shoulder surgery include shoulder stiffness, failure to relieve symptoms, weakness, failure to heal properly or injury to blood vessels or nerves.
After Surgery
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Because arthroscopic surgery has a smaller incision and faster recovery time, it is usually done on an out-patient basis. The patient is usually allowed to go home after a few hours of recovery. General anesthesia may be given, or the patient may receive a local anesthetic and may be conscious but groggy during the surgery. Physical therapy is a crucial component of arthroscopic shoulder surgery and rotator cuff surgery. With therapy, the ability to gain full range of motion is assured. The therapist also advises the patient how to avoid further injury of the shoulder. Patients return to normal activities gradually over three months. Pain after surgery is managed with medication. Return to work depends on the demands of one's job. Some patients can return to work within a couple weeks, while others may need to wait up to six months.
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