Shoulder Arthroscopy

Shoulder surgery has advanced in leaps and bounds especially in the last decade. Surgeries which were previously done through large incisions are now routinely performed through keyhole incisions called arthroscopy.

Shoulder-Arthroscopy-Process

About Shoulder Arthroscopy

Surgery of the shoulder can often be done through a few small incisions, with the aid of an arthroscope, rather than through one larger incision.Rotator cuff tears are often repaired arthroscopically. The surgeon uses the arthroscope (or scope, for short) to visualize the inside of the joint. A camera at the end of the scope with a very bright fiber optic light source is connected to a video monitor in the operating room, allowing the surgeon view a live picture of the inside of the shoulder joint.
Shoulder arthroscopy is performed through “portals”. These are keyhole skin incisions, generally about 2 cm long over the shoulder. Arthroscopy instruments are introduced through these portals to repair the tear.

Dr Samir Pilankar will help you for Shoulder Arthroscopy in Mumbai

Operative Details

Shoulder-Surgery

Advantages of arthroscopy:

  • Minimal or no pain post-op.
  • Less stiffness hence less requirement and duration of rehabilitation.

Rotator Cuff Facts You Should Know:

It is a group of 4 muscles that surrounds the “ball and socket” shoulder joints.

  • Its primary role is to stabilize your shoulder while you move your arm.
  • Rotator cuff tears happen because of lifting heavy weight or due to overuse.
  • With rotator cuff tear the shoulder movements would be painful or sometimes even not possible.

Common Rotator Cuff Myths

Most frequent questions and answers
True: provided you do the correct exercises in the proper way as explained by the arthroscopy surgeon
Partly true :  MRI is presently the Gold standard in investigation for shoulder pathologies. But has to be coupled with good clinical examination.

False: Conservative treatment including rest, ice, anti-inflammatories, gradual return to activity, stretching/strengthening can improve function and decrease pain in patients who have sustained sprains or partial rotator cuff injuries . For complete tears arthroscopy is the only solution

FAQ's

Most frequent questions and answers

All you want to know about Shoulder pain

Shoulder pain is on a steep rise in India. Repetitive activities, lack of exercise or over-ambitious exercise may be responsible for this increased prevalence.

Dr Samir Pilankar is an expert Arthroscopy and Arthroplasty surgeon with 20 years of practice in Mumbai. He has extensive experience in Shoulder arthroscopy and has worked in hospitals of excellence in Germany and Switzerland . In this article he has explained about common shoulder ailments and their treatment.

Shoulder tendinitis, rotator cuff tear, frozen shoulder and recurrent dislocation are the four major conditions causing shoulder pain.

As the name suggests these are tears in the rotator cuff tendons. It may seem to happen suddenly, but usually it is the result of many tiny tears to the tendon that have happened over time. The tendon itself may be partially or completely detached from the bone. This results in significant pain and lack of mobility .
Shoulder dislocation is a condition in which the humerus head has moved out of its socket. Dislocations damage the joint and the surrounding connective tissues, hence making the shoulder ‘ loose’ and even more vulnerable to future Dislocations , leading to a recurrent dislocating shoulder.

Initial treatment for all shoulder conditions is rest , activity modification, analgesics and physiotherapy.
If no improvement or a recurrence then surgical treatment gives excellent outcome.

Shoulder surgery has evolved from large incisions to arthroscopy.
In shoulder arthroscopy the surgery is performed through small pinhole incisions, resulting in minimal pain and early return to activity.

Tendons are the thick fibrous cords that attach various muscles around the joint to the bone. Tendinitis is inflammation or irritation of a tendon.

In the shoulder the rotator cuff muscle tendons are the most vulnerable to injury and tendinitis.

Again the name is self explanatory. A very common condition in which the shoulder becomes progressively more stiffer and finally becomes ‘frozen’ completely stiff.
It is commonly in people with diabetes and in people who’ve kept their arm immobilised for a long period of time.

Avoid weight training without warming up. Avoid lifting excessively heavy weights. Do simple stretching and strengthening exercises everyday.

Paper News Coverage on Joint Replacement:

Interview in Bombay Times on Shoulder Arthroscopy on 10/04/21

Are You Suffering From Shoulder Pain

Videos

Informative Video about the arthroscopic surgeries

ACL

Duration : 4 mins 17 seconds

Medial Meniscus Tear

Duration : 1 mins 06 seconds

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