Arthroscopy of the shoulder
Synonyms
glenohumeral arthroscopy, shoulder mirroring, shoulder joint mirroring, ASK shoulder.
definition
The Arthroscopy the shoulder has now been more than 10 years A success-story. With the help of this minimally invasive surgery can you get into that joint look and also carry out minor repairs. The joint is mirrored using a special camera. This procedure replaced the classic operation for most operations on the shoulder and is much less stressful for the patient. This modern technology can help you effectively and safely and the recovery time from this procedure is much shorter.
application areas
The Shoulder joint is that among the larger joints most flexible joint in the body.
It is a Ball joint, its stability by the surrounding Muscles again Rotator cuff, Tendons and ligaments is guaranteed. Since it is one of the joints that is exposed to stress and movement on a daily basis, many different diseases can occur that can be diagnosed with an arthroscopy and possibly also treated directly:
- Bottleneck Syndrome (Impingement Syndrome):
The Bottleneck Syndrome is one of the most common diseases affecting the shoulder. This is a acute rotator cuff dysfunction, a group of specific muscles that surround and secure the shoulder joint.
The syndrome is caused by a Bottleneck of the plain bearing between the Humerus head and the Shoulder roof. The rotator cuff tendons, which are responsible for lifting the arm, run in this sliding space. Eventually, through a bottleneck, this movement occurs strong pain on. Last but not least, it can become a Irritation of the bursa come. The pain shows up at Overhead movements and often at night when lying on the shoulder. An arthroscopy can both be used to diagnose and treat the syndrome with an arthroscopic one discharge the bottleneck is carried out.
- Calcareous shoulder (tendinosis calcarea):
This disease is the accumulation of calcium deposits in the Tendons the rotator cuff. These calcium crystals are created by age wear and ultimately impede the smooth sliding of the tendons in their tendon compartments. These calcareous foci can be arthroscopic removed with a shaver and are flushed out. If the tendons are already damaged, an additional discharge be performed. - Rotator cuff wear:
Of the Rotator cuff wear age-related or excessive burden can lead to tears and defects in the tendons of the muscles involved. This makes the otherwise secured shoulder joint more unstable and Functional failures are the consequence. The diagnosis can be made by an arthroscopy and also one Acute treatment be initiated, which in most cases is a quick one Freedom from complaints the patient causes. - Subluxation of the shoulder joint:
At a Subluxation of the shoulder joint (not complete dislocation) there is still contact between the head of the humerus and the socket. As a result, the shoulder keeps coming back back to their correct position but can easily out of the socket at any time leap.
In the long run, this instability leads to a Stretch of the joint capsule and lesions on the lip of the joint socket. The diagnosis is confirmed by an arthroscopy and during this the existing capsule- labrum- Lesion closed and at the same time the The capsule is gathered become.
Appointment with a shoulder specialist
I would be happy to advise you!
Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .
The shoulder joint is one of the most complicated joints in the human body.
The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- Lumedis - your orthopedic surgeon
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.
Course of the operation
When mirroring the shoulder, in most cases, approx two to three small cuts made. These cuts are often only about 3 millimeters in size and therefore suitable for this minimally invasive intervention sufficient. The devices required for the operation are finally introduced through these incisions. One of these cuts is a endoscope, a special rigid pipe.
In addition to lighting, this endoscope also has a Mini camera appropriate. This camera transmits the image to a screen so that the surgeon has a very good, enlarged view of the operating area.
This allows him to like all the important structures bone, Tendons, Tapes and Bursa judge. So that to him blood and tissue fluid does not block the view, he can manually flush the operating area with saline using a pump. The doctor can insert various special instruments through another incision, the operation of which requires a certain amount of practice and good handling. This may give him the opportunity existing damage at the shoulder joint directly during arthroscopy to treat. These instruments are, for example Mini scissors, but also about instruments for Lasers and Coagulate.
Aftercare
After two to three days of inpatient treatment, the subsequent treatment should be discussed with the treating doctor well planned the operation is thus guaranteed the corresponding success. To rebuild the load on the shoulder joint, a physiotherapy be helpful through appropriate therapists.
Benefits of arthroscopy
Arthroscopy is one of the endoscopically performed minimally invasive surgerythat it the experienced surgeon enable shoulder damage to be repaired directly in addition to assessing the shoulder joint. The optics transfer the image to a screen. This enlarged view offers the surgeon a very good opportunity to perform his operation with the highest precision.
During this procedure only small cuts needed to bring the instruments into the operating area. This has the advantage over operations with a complete opening of the Shoulder jointthat no healthy structures can be damaged unnecessarily.
This gives the operation a less stressful effect on the patient and brings clearly less pain with himself. After surgery, the surgical wounds heal faster and the shoulder joint can be loaded again more quickly. The operation can be both outpatient as well as under light anesthesia be performed. The duration of the operation is approx 20 minutes to two hours as a result, the risks inherent in every operation are significantly lower and especially for patients with existing ones heart- and Circulatory diseases suitable. The operation under anesthesia then requires an inpatient Stay in the clinic for up to three days, depending on the course.
Arthroscopy Risks
Before a shoulder arthroscopy is performed, an accurate Assessment of the problem done by a specialist. The indication should be well established in that an assessment has been made in advance.
It should be ensured that an arthroscopy can repair any existing joint damage or other more serious ones Consequential damage can prevent. The necessary investigations such as roentgen, Magnetic resonance imaging and Ultrasonic should be done in advance in order to secure the indication for a reflection of the shoulder. Because although there is a minimally invasive intervention complications cannot be completely ruled out, as with any operation.
In addition, like any other operation, arthroscopy has the typical risks. These include the danger one thrombosis or Pulmonary embolism to develop. Bigger ones Bleeding are rare in the area, but there is a risk Hurting nerveswhich can cause further consequential damage. Furthermore, a intolerance against the used Anesthetics occur, which can occur intraoperatively. After the procedure you can Wound healing disorders or Infections occur, which are particularly common in basic diseases such as Diabetes mellitus or immunocompromised Patients can develop.
In some cases it makes sense to use a Administration of antibiotics to prevent before surgery. Come in rare cases Secondary bleeding or one Joint stiffening in front. Still, the risks are Complications develop significantly less often than with larger and longer interventions. In general, the arthroscopy of the shoulder is a well tolerated one mostly uncomplicated procedure, in which the patient is subsequently symptom-free.
