Types of Shoulder Surgery
What conditions can be treated with arthroscopic shoulder
Rotator Cuff Tears
Treatment of rotator cuff tears with shoulder arthroscopy is
controversial. Some orthopedic surgeons treat all rotator
cuff tears arthroscopically, some choose particular tears,
and others treat them all open. There is no consensus which
one is better. For more information about the controversy,
you can read the following article:
Shoulder Instability - Labral Tears - Slap Lesions
Labral tears, such as Bankart lesions and SLAP tears, are
commonly treated with arthroscopy. It is very important that
patients who have arthroscopic surgery for these procedures
follow their post-operative rehab protocol very closely.
Patients are often tempted to do too much too soon!
Patients with impingement syndrome that is not cured with
conservative treatments may consider a procedure called an
arthroscopic subacromial decompression. This procedure
removes the inflamed bursa and some bone from the irritated
area around the rotator cuff tendons. By removing this
tissue, more space is created for the tendons and the
inflammation often subsides.
The biceps tendon can become irritated and inflamed as an
isolated problem or in association with problems such as
impingement syndrome and rotator cuff tears. When the biceps
tendon is damaged and causing pain, a procedure called a
biceps tenodesis can be performed. This procedure usually
causes no functional difference, but often relieves
Frozen shoulder seldom requires operative treatment, and
treatment for many months or years is often necessary before
considering operative treatment. When frozen shoulder must
be treated surgically, it is of utmost importance to begin
aggressive physical therapy immediately following surgery.
Without this, it is likely the problem will return.
AC Joint Arthritis
The AC joint, or acromioclavicular joint, is occasionally
affected by arthritis. When arthritis of the AC joint is
severe, the end of the clavicle (collarbone) can be removed.
By removing the damaged joint, the symptoms of AC arthritis
are often relieved.
What is the recovery from shoulder arthroscopy?
The recovery depends on what type of surgery is performed.
One of the problems with shoulder arthroscopy is that the
procedure hurts much less than open shoulder surgery, and
therefore patients may tend to do too much, too soon. It is
very important that you only perform activities that your
surgeon recommends following a shoulder arthroscopy. Even
though your shoulder may feel fine, you need to allow time
for repaired tissues to adequately heal. This is especially
important for patients who have rotator cuff repairs and