Before giving information about Shoulder Arthroscopy, let’s get to know SHOULDER:
It is the largest and most mobile joint of our body after the shoulder, hip and knee. Although it does not bear the weight of our body, the joints that we load the most and have the greatest range of motion make it susceptible to injuries despite being supported by strong muscle structures around its surroundings.
We may run into unexpected problems when we are not used to carrying a simple market bag, flicking a carpet or hanging curtains.
In sports such as throwing, basketball, volleyball, handball, gymnastics and mountaineering, our shoulders have to respond to repetitive loads. Shoulder problems are more common in occupational groups who use their hands, especially those who have to work over the shoulder or hanging, dyeing, collecting, and using tools such as drills and impact rammers.
The shoulder joint simply joins the head of the shoulder and the glenoid, which is a flat surface that meets it. The separation of this joint is possible when the two structures create a negative pressure in the joint; Labrum and joint capsule …
The labrum looks like it will clamp the flat structure of the glenoid like a gasket and grasp the head like a suction cup. However, it does not exceed 10-15 mm. The joint capsule complements this structure by wrapping the joint with its strong ligament structures and creating an airless vacuum effect. And here the muscular structures surrounding the shoulder also serve as support.
When we classify shoulder problems in the simplest sense, two main reasons come to the fore:
Stability problems (shoulder dislocation, labrum tears, SLAP, Biceps separation),
Muscle and cartilage problems.
Stability problems; are conditions that occur with an injury to the joint capsule. Recurrent shoulder dislocations; SLAP and other labrum tears that cause painful shoulder movements and weakness. Over time, they can cause the cartilage to wear out, and may combine with other problems, or even reveal muscle tears. Muscle tears can occur in the shoulder support as sharing loads increase.
Cartilage problems; It will occur when the limits of motion are strained on the mechanically unstable shoulder. Apart from this, rheumatic diseases, infection or tumors can be shown as the cause of arthrosis.
Muscle tears can also be caused by direct trauma, and often develop as a result of impingement syndrome (impingement syndrome), which occurs with excessive and improper use of the shoulder.
This situation, which manifests itself with pain from time to time over the decades, may require decompression surgeries (acromioplasty), which may require repair of muscle tears in advanced stages.
Arthroscopic surgical treatment of shoulder diseases can be classified into these two conditions simply. Ensuring stability (capsule and labrum repair), repairing muscle and cartilage structures and preventing injury …
Shoulder arthroscopy has become a gold standard treatment compared to open surgery. Especially in the treatment of shoulder dislocation that requires labrum repair, a new injury is not possible since postoperative fixation is not required. For this reason, the patient’s return to his daily life happens faster.
With the arthroscopic treatment of shoulder dislocation, the person returns to daily life immediately. A professional athlete can return to sports life gradually within 6 weeks. It is possible for the athlete to return to the team in the same season with a controlled rehabilitation. If the acromioplasty we apply in shoulder impingement syndrome is performed with open surgery, it does not require a plaster cast and the muscle tear is repaired.
The results of arthroscopic acromioplasty and rotator sheath repair are excellent. When there are large tears or large defects, the tear is repaired with mini arthrotomy, again with optical assistance.
Each physician empathizes while treating and asks himself which treatment he would prefer for him in the same situation. My preference is shoulder arthroscopy with peace of mind.
Thanks to all of my colleagues who chose the best treatment methods for our patients and worked to spread these treatments.
“How do we protect our shoulder health?” I will share my article titled as soon as possible. Stay healthy …