Dr. Pawan Kamal
Dr. Pawan Kamal
Shoulder dislocations occurs when the head of the arm bone ( humerus ) comes out of the socket of shoulder bone (Glenoid ) either due to injury or overuse. If the shoulder starts dislocating again and again arthroscopic repair of torn ligaments is done and the procedure is called Bankart Repair. The torn ligaments is reattached to the rim of the socket with the help of Anchor sutures using key hole incisions.
Rotator cuff is a sleeve of tissue made up of group of tendons which surrounds the shoulder joint and helps in wide range shoulder movements and stability of shoulder joint. An injury to these tendons can result in tear of this cuff of tissue which leads to chronic pain and inability to move the shoulder joint to full extent. Neglected cases can leads to crackling sound on moving the joint, swelling or shoulder stiffness over time. Tears can occurs with repeated use in overhead activities in athletes and in old age due to degeneration of tendons, or trauma. Incomplete tears can be managed with rest in an arm sling, icing and pain medication and physiotherapy to regain strength and motion. Surgical repair is done with minimally invasive arthroscopic technique using suture anchors which help in attaching the tissue to the rim of shoulder bone.
Impingement occurs when the scapular bone pinches and applies pressure over the soft tissues when the arm is lifted up leading to its inflammation and swelling. It causes pain and significant disability while using the upper limb in adults. Excision of the part of the bone causing impingement relieves the symptoms.
Shoulder arthroscopy is performed under general anaesthesia. Surgeon makes small button sized 3 or 4 incisions around the joint through which a tiny camera is inserted and other instruments or motorized tools are used to perform the surgery. Joint is washed and filled with sterile fluid to see the inside clearly and to create room for work. After the procedure is complete all instruments are removed and incisions are sutured and small bandages are applied.
Wound dressing are required for few days after surgery. The recovery time depends on the type of procedure done. Pain medication is given for few days. A shoulder sling or immobilizer is advised for some period to protect the repairs done. Orthoexcellence rehab protocol is advised to regain motion and muscle strength after the surgery.
As compared to open surgical procedures with large incisions shoulder arthroscopy has following advantages
Complications are less common after shoulder arthroscopy than after open procedure and can include