Shoulder arthroscopy is a type of keyhole surgery used to diagnose and treat problems associated with the shoulder joint. An arthroscope, which contains a tiny camera, is inserted into the cavity of the shoulder through a small incision. Guided by footage on a monitor, the surgeon can explore the joint through a number of other small incisions used to insert his instruments. There are lots of benefits to keyhole shoulder surgery:
- Less post-operative pain
- Less time in hospital
- Quicker recovery times
- Very few stitches
- Less chance of wound complications
Procedures performed with this method include:
Subacromial decompression (commonly known as SAD or ASD)
Subacromial decompression is a shoulder operation used to treat pain caused by shoulder impingement – when the bones and tendons in your shoulder rub against each other. The procedure will be performed under a general anaesthetic and patients are expected to go home the same day or the next morning. Following the procedure patients will need to wear a sling for around 10 days.
Acromioclavicular joint excision (commonly known as ACJ excision)
Acromioclavicular joint excision aims to remove the painful and damaged acromioclavicular joint (ACJ) that links the collar bone to the shoulder blade. In some instances, removing this joint can improve the function of the shoulder joint and decrease the pain. Following the procedure patients will need to wear a sling for around 10 days.
Rotator cuff repair
The rotator cuff is a group of muscles and tendons over the shoulder joint. When torn or injured they can require surgery to repair. It is a common cause of shoulder pain, especially in older people – where it may have developed over years of wear and tear on the shoulder joint. A rotator cuff repair will stitch the torn tendon back onto the arm bone. Patients will need to wear a shoulder sling for at least three to six weeks following surgery.
A SLAP tear or Superior Labrum Anterior and Posterior tear, to give it its full name, is a torn piece of cartilage in the inner area of the shoulder joint. It is painful and can limit movement of the shoulder, especially reaching up. It can develop over time due to repetitive movements or as a result of acute trauma or age. SLAP repair is tailored to each individual.
Biceps tenotomy and Biceps Tenodesis
Strength loss and shoulder pain are both symptoms of damaged bicep tendons. When the long head of the biceps muscle is torn or detaches from the shoulder due to injury or overuse, Mr Sathyamoorthy will suggest one of two surgical procedures to repair it, depending on your lifestyle and the injury sustained.