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SHOULDER ARTHROSCOPY

Method
Minimally invasive arthroscopy of the shoulder
Duration
about 30-60 minutes (depending on the procedure)
Recovery time
6 weeks to 3 months – depending on the procedure

What is a shoulder arthroscopy?

Arthroscopy of the shoulder is a modern, minimally invasive procedure for diagnosing and treating a wide range of shoulder conditions. A camera and fine instruments are introduced into the joint through small incisions. This allows both soft-tissue and bony structures to be examined and treated in a targeted way – and puts less strain on patients.

Typical arthroscopic procedures

Calcific tendinitis (tendinosis calcarea): removal of painful calcium deposits in the supraspinatus tendon, combined with decompression where needed.

Subacromial decompression: removal of bone spurs and of the inflamed bursa in impingement syndrome, improving how well the tendons glide.

Loose bodies: removal of cartilaginous or bony structures from the joint space, for instance with osteoarthritis or after an injury.

Rotator cuff repair: reconstruction of torn tendons with suture anchors, usually close to the supraspinatus, with a biceps tenodesis where needed.

Labral repair (e.g. a Bankart lesion): stabilisation after an anterior shoulder dislocation by reattaching the labrum.

Resection of the AC joint: removal of bony parts of a painful acromioclavicular joint (for instance with osteoarthritis or chronic irritation).

Rehabilitation after a shoulder arthroscopy

Phase I (0-2 weeks): reducing inflammation & protection
  • Immobilisation in a sling where needed
  • Cooling, painkillers, lymphatic drainage
  • Passive mobilisation exercises under guidance
  • No active movement against resistance
Phase II (3-6 weeks): functional mobilisation
  • Active mobilisation exercises without load
  • Strengthening the rotator cuff and stabilisation
  • Training scapular control
  • Beginning everyday activities, with restrictions
Phase III (from week 7): increasing load & return to sport
  • Targeted strength training for the shoulder and back muscles
  • Co-ordination and balance training
  • Sport-specific training once medically cleared
  • Full load-bearing capacity often only after 10-12 weeks