The shoulder joint is the most mobile ball and socket joint in the human body and is the main joint of the shoulder girdle. It is formed by the head of the humerus (upper arm bone), which articulates with the scapula (shoulder blade). It is moved by the internal (rotator cuff) and external shoulder muscles (deltoid). Its stability and mobility depend on the joint capsule with the ligaments and, above all, on the function of the rotator cuff muscles. During an arthroscopic procedure, several small incisions are made in the elbow, causing less damage to its internal structures than is done during a classical operation. Other advantages of arthroscopy over traditional surgery are a better cosmetic result (smaller scar), a better or equal functional outcome, and a shorter rehabilitation period.
Shoulder arthroscopy is used in the surgical treatment and diagnostic evaluation of various injuries (sprains, dislocations or fractures) and degenerative conditions of the joint and its internal muscles (rotator cuff). Patients mainly complain of pain on movement, limited motion, muscle weakness, recurrent dislocations and catching or locking in the affected shoulder.
Repair torn rotator cuff tendons.
Stabilise an unstable joint after recurrent dislocations.
Remove bone spurs from the shoulder blade, which interfere with motion in the shoulder and cause pain (shoulder impingement syndrome).
Remove loose bodies from the shoulder, which occur from various causes (dislocation, intra-articular fractures, degenerative conditions etc).
Treat defects of articular cartilage by cleaning its surface and promoting healing.
Wash out the joint in chronic (e.g. rheumatoid arthritis) or acute inflammatory conditions of the shoulder.
Remove adhesions within the joint and release the joint capsule in the treatment of restricted motion in the shoulder (frozen shoulder) following fracture.
Remove some benign tumours from the shoulder.