All rights reserved © Munawar Shah, 2009

Shoulder

Shoulder Arthroscopic surgery is performed through small incisions using a camera to visualize the inside of a joint. Through several small incisions (about 1 centimeter each) I will insert a camera into one incision, and small instruments through the other incisions.

Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia my Anaesthetist is an expert in regional blocks and this is the preferred method although you can have a slight sedation during the procedure. Your arm and shoulder area will be numbed so that you do not feel any pain in this area.

 

I will:

  • Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.

  • Inspect all the tissues of your shoulder joint and the area above the joint -- the cartilage, bones, tendons, and ligaments.

  • Repair any damaged tissues. To do this, I will make 1 to 3 more small incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.

I may do one or more of these procedures during your surgery:

  • Rotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.

 

 

  • Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion.

  • Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.

  • Surgery to release the shoulder capsule.

At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.

Arthroscopy may be recommended for these shoulder problems:

  • A torn or damaged cartilage ring (labrum) or ligaments

  • Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)

  • A torn or damaged biceps tendon

  • A torn rotator cuff

  • A bone spur or inflammation around the rotator cuff Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.

  • Arthritis of the end of the clavicle (collarbone)

  • Loose tissue need to be removed

  • Shoulder impingement syndrome, to make more room for the shoulder to move around .

  • ACJ surgery

I do arthroscopic and open ACJ surgery with classic Weaver Dunn or Arthrex Tightrope or Graft Rope technique.

  • Adhesive Capsulitis.depending on the nature and chronicity of injury.

Sterno clavicular Problems

Snapping Scapula