Arthroscopy is a minimum invasive diagnostic and operation procedure performed for joint cases. Shoulder arthroscopy is performed using a pencil-sized instrument called an arthroscope which is inserted into the shoulder joint. The arthroscope consists of a light system and camera that projects photo images onto a computer screen for Dr. Sanjay Barik to view the inside of the joint. Arthroscopy may be used to treat disease conditions and injuries involving the bones, cartilage, tendons, ligaments, and muscles of the shoulder joint.
Shoulder arthroscopy is show to treat the given shoulder cases when conservative treatment such as medicine and therapy fails to relieve pain:
Shoulder Impingement: this occurs when the shoulder blade applies by pressure on the underlying soft tissues when the arm is lifted or to move something from a lower to a higher position.
Rotator cuff tear
Frozen shoulder is Normally caused by inflammation. or stiffness of the shoulder joint
Shoulder Instability: this occurs when the head of the top arm bone slips out of the socket of the shoulder blade’s glenoid cavity either due to damage injury
Damaged cartilage or ligaments
SLAP tear
Bone spurs.
Preparation:
Anesthesia: The procedure is usually performed under regional or general anesthesia.
Positioning: The patient is typically placed in a sitting or lateral position, depending on the specific procedure and surgeon preference.
Sterilization: The shoulder area is sterilized, and a sterile drape is placed over it to maintain a clean surgical field.
Procedure Steps:
Incision: The surgeon makes small incisions (usually around 5mm to 1cm) around the shoulder joint.
Insertion of Arthroscope: An arthroscope, a thin, flexible tube with a camera attached to it, is inserted through one of the incisions. The camera provides a clear view of the inside of the shoulder joint on a monitor.
Evaluation: The surgeon examines the structures inside the shoulder joint, including the cartilage, ligaments, tendons, and muscles, to diagnose any abnormalities or injuries.
Treatment: Depending on the findings, various surgical techniques may be performed using specialized instruments inserted through additional incisions. Common procedures include:
Debridement: Removal of damaged tissue, such as loose cartilage or bone fragments.
Repair: Repair of torn ligaments or tendons using sutures or anchors.
Release: Release of tight or constricted structures to relieve impingement or improve range of motion.
Resection: Removal of a portion of bone or tissue, such as in the case of bone spurs or damaged cartilage.
Grafting: Transplantation of tissue, such as a tendon graft, to repair severe damage.