Utilities Arthroscopy

Written by: Dr. Eduardo Sánchez Alepuz
Published:
Edited by: Top Doctors®

Actually, arthroscopic shoulder surgery can treat most pathologies and injuries of the shoulder. We analyze one by one:

 

Pathology of the acromioclavicular joint

It occurs in degenerative processes (acromioclavicular osteoarthritis) where different types of distal clavicle resections are performed (Mumford procedure). Also in Rheumatic Pathology. Synovectomies, synovial biopsies, etc.. And in cases of traumatic pathology, such as acromioclavicular dislocations, glenoid fractures, etc.

 

Pathology of the subacromial space

The subacromial space is a structure comprised below the acromion, the most frequent pathologies being subacromial impingement and bursitis that usually require acromioplasties and bursectomies.

 

Rotator cuff pathology (MR)

The rotator cuff is a structure composed of the muscles: supraspinatus, infraspinatus, subscapularis and minor round. And its functions are to rotate the humerus with respect to the scapula both externally and internally and to provide stability to the shoulder joint.

The most frequent pathologies that affect the rotator cuff are: partial, complete or massive ruptures, degenerative and overuse tendinopathies (work or sports) and calcifying tendinitis.

The arthroscopic treatments are indicated mainly in the repairs of MR fractures, depending on the type of rupture we must perform different arthroscopic suturing techniques, usually we use anchors with sutures that can be metallic or biodegradable, these anchors are introduced in the bone, in the area where we must suture the broken tendon and with the threads that carries the anchor we give arthroscopic points with specific arthroscopic instruments for this type of surgery.

 

Recurrent shoulder instability

The shoulder is the joint with the greatest range of mobility of the whole body, subjected to large functional demands especially in certain sports and work activities. These risk groups are the most susceptible to suffer different types of shoulder instabilities such as frank dislocations, secondary micro-instability or repetitive microtrauma and overexertion.

For the treatment of shoulder instabilities it is essential to keep in mind a series of fundamental facts for the success of arthroscopic surgery such as: the type of instability that the patient presents, the injuries associated with instability, the risk factors that favor a recurrence , the correct technique for each type of instability and injury and finally the correct postoperative management.

 

Pathology of the long biceps portion

The pathology of the long portion of the biceps affects fundamentally two population groups: young people and athletes. These suffer mainly SLAP injuries or degenerative tendon injuries that affect mainly the elderly population.

SLAP lesions in the athlete were diagnosed after the introduction of shoulder arthroscopy, and they can be repaired using different techniques depending on the type of SLAP lesion suffered by the patient, facilitating their reincorporation to the same level as before. injury.

shoulder arthroscopy
Arthroscopy is the least invasive way to treat major shoulder injuries 

A solution for athletes

Nowadays shoulder arthroscopy is the "gold standard" of the shoulder treatment of the athlete, because it allows us to perform dynamic and functional assessments and diagnose injuries that with other surgical techniques would be very difficult, such as partial rupture of the rotator cuff, lesions of SLAP , labrum injuries, micro-infections due to overuse in sports of launching and swimming among others. And in this way in the same surgical act we can perform the surgical repair technique that is required for each injury. On the other hand, the fact that it is a minimally invasive surgery, favors more comfortable postoperative and more aggressive rehabilitation protocols, which in athletes gives us shortening in the recovery time. This fact in the world of sports is very important, incorporations as fast as possible, with the least number of sequels and at the same level as before the injury.

 

*Translated with Google translator. We apologize for any imperfection

By Dr. Eduardo Sánchez Alepuz
Orthopaedic Surgery

Specialist in Orthopaedic Surgery with over 25 years of experience. He is an expert in Arthroscopic Surgery, Orthopedic Surgery and Sports Surgery. He is founder of the Sánchez Alepuz Clinic where he developed his private healthcare activity. He stresses its participation in teacher training in arthroscopic surgery specialists taught in Spain, USA and Europe. He was a member of the Board of Directors of the Spanish Arthroscopy Association and is currently Director of the journal "Journal of Arthroscopy". He has given multiple presentations at national and international conferences and has published four books on arthroscopic surgery.

 

 

*Translated with Google translator. We apologize for any imperfection

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