Shoulder arthroscopy is a technique to treat pathologies of this joint through small incisions (about 1 cm each), allowing a perfect view of the joint and the existing lesions, and a complete repair same.
By one of those incisions previously discussed (called gateways), a camera, which allows the status of the tendons, ligaments and blood is introduced. For the rest of the portals, the instruments necessary to repair all lesions found (broken tendons, ligaments, bone lesions, etc.) is introduced.
To do usually use a "harpoon", which carry about threads that perform the suture or reinsertion of tendons and ligaments. Also, with the help of some strawberries, we can "iron out" bone spurs that may disturb, or using other instrumental perform cleaning of the joint.
The procedure is performed under general anesthesia, since the area is not susceptible of locoregional anesthesia. The duration depends on the condition to be treated, but is usually between one and two hours, depending on the number and size of existing lesions.
Indications for shoulder arthroscopy
Today, most shoulder injuries are treated arthroscopically, although this type of technique is particularly indicated cuff injuries with or without breakage thereof, in cases of shoulder instability (recurrent dislocation), injuries Long biceps tendon, fractures, etc.
Advantages of using the arthroscopic technique
Being small incisions there is less risk of surgical complications and patient recovery is faster, since a major assault to the muscles is performed.
The vision that can be obtained through the camera is even more full of open surgery would get through, providing a more accurate assessment of lesions treated. There is also an aesthetic advantage, because, after a time, small wounds practically unnoticeable.