Shoulder Arthroscopy
Why choose SGVP Holistic Hospital for Shoulder Arthroscopy in Ahmedabad?
Our facility provides comprehensive arthroscopic care through an integrated approach combining orthopaedic surgical expertise, advanced imaging, and structured post-operative rehabilitation. Experienced shoulder surgeons work alongside physiotherapists and pain management specialists to deliver personalised care from pre-operative planning throughout the rehabilitation process. The hospital’s modern operating theatres, proven treatment protocols, and holistic recovery support make it a trusted centre for shoulder surgery in Ahmedabad.
Why choose SGVP Holistic Hospital for Shoulder Arthroscopy in Ahmedabad?
What is Shoulder Arthroscopy?
What is Shoulder Arthroscopy?
Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat problems inside the shoulder joint. A small camera called an arthroscope is inserted through a tiny incision, transmitting detailed images of the joint interior onto a monitor. This allows the surgeon to inspect all structures within and around the shoulder with precision.
Specialised surgical instruments are inserted through additional small incisions to repair or remove damaged tissue as needed. Because no large incisions are required, shoulder arthroscopy causes significantly less disruption to surrounding muscles and tissues than open surgery.
The result is less post-operative pain, a lower risk of complications, and a greater chance of a faster return to normal activities than with traditional open shoulder procedures. Shoulder arthroscopy is used both as a diagnostic tool and as the primary treatment method for a wide range of shoulder conditions.
Conditions Treated with Shoulder Arthroscopy
Shoulder arthroscopy can address a variety of shoulder problems affecting the joint, tendons, ligaments, and cartilage.
- Rotator cuff tears: Partial or complete tears of the rotator cuff tendons are repaired arthroscopically by reattaching the torn tendon to the bone using small anchors and sutures.
- Shoulder instability and Bankart lesions: Tears of the labrum (cartilage rim of the socket) that cause recurrent dislocations are repaired to restore joint stability.
- SLAP tears: Superior labrum anterior to posterior (SLAP) tears affect the top of the labrum where the biceps tendon attaches, causing pain and catching sensations in the shoulder.
- Shoulder impingement: Bony spurs or inflamed tissue beneath the acromion compress the rotator cuff tendons. Arthroscopic decompression removes the obstruction and relieves pain.
- Frozen shoulder (adhesive capsulitis): Arthroscopic capsular release divides the thickened, contracted joint capsule to restore range of motion when physiotherapy has not provided sufficient improvement.
- Biceps tendon problems: Partial tears or inflammation of the long head of the biceps tendon are managed through repair, tenodesis, or tenotomy depending on the clinical situation.
- Loose bodies: Fragments of bone or cartilage floating within the joint are removed arthroscopically to alleviate catching, locking, and reduce pain.
- Acromioclavicular joint conditions: Arthroscopy can address problems at the joint between the collarbone and the acromion, including separations and degenerative changes.
Causes and Risk Factors
Causes and Risk Factors
Shoulder problems requiring arthroscopic treatment develop from a combination of acute injuries, repetitive strain, and degenerative changes over time.
Common contributing factors include:
- Sports injuries involving overhead movements, throwing, or contact forces
- Falls on an outstretched or extended arm, causing labral or rotator cuff damage
- Repetitive overhead work or activity that places sustained demand on the shoulder tendons
- Age-related degeneration of the rotator cuff tendons, which weakens the tissue over time
- Previous shoulder dislocations that have resulted in structural instability
- Poor posture and muscle imbalance that alter shoulder mechanics and increase tendon stress
- Inflammatory conditions, such as rheumatoid arthritis, affect the joint lining
Symptoms That May Indicate the Need for Shoulder Arthroscopy
Not all shoulder problems require surgery, but certain persistent or progressive symptoms suggest a structural problem that is unlikely to resolve with conservative treatment alone.
Common symptoms include:
- Persistent shoulder pain that has not responded adequately to physiotherapy, medications, or injections
- Pain that worsens with specific movements such as lifting, reaching overhead, or rotating the arm
- A catching, clicking, or locking sensation within the shoulder joint during movement
- Shoulder instability or a feeling that the joint may slip out of position
- Weakness in the shoulder or arm that limits daily activities or sports
- Significant restriction of shoulder movement that interferes with work or daily life
- Night pain that consistently disturbs sleep despite appropriate pain management
These symptoms, particularly when persistent beyond three to six months of conservative treatment, are an indication for specialist evaluation to determine whether shoulder arthroscopy is appropriate.
Diagnosis Before Shoulder Arthroscopy
Diagnosis Before Shoulder Arthroscopy
A thorough assessment is carried out before any decision to proceed with surgery.
- Clinical examination: The orthopaedic surgeon assesses the range of motion, muscle strength, joint stability, and localised tenderness. Specific clinical tests help identify the likely source of the problem.
- X-ray: Rules out bone abnormalities, fractures, arthritis, and calcification within the tendons.
- MRI scan: Provides detailed visualisation of soft-tissue structures, including the rotator cuff, labrum, biceps tendon, and joint capsule, and identifies tears, inflammation, and other pathology, guiding surgical planning.
- MRI arthrogram: Contrast dye is injected into the joint before MRI to improve visualisation of subtle labral tears and partial rotator cuff tears that may not be clearly visible on standard MRI.
- Ultrasound: Used to assess rotator cuff integrity in real time, particularly useful for dynamic assessment of tendon movement during arm elevation.
Procedure for Shoulder Arthroscopy at SGVP Holistic Hospital
Shoulder arthroscopy at SGVP Holistic Hospital is planned based on the specific diagnosis, the structures involved, the patient’s age and activity level, and the response to prior conservative treatment.
- Anaesthesia: The procedure is performed under general anaesthesia, typically combined with a regional nerve block that provides excellent post-operative pain control and reduces the amount of general anaesthetic required.
- Patient positioning: The patient is placed in a beach chair or lateral decubitus position, depending on the surgical approach and the structures to be addressed.
- Arthroscopic inspection: The arthroscope is inserted through a small posterior incision, and the joint is systematically inspected. All key structures, including the rotator cuff, labrum, biceps tendon, cartilage, and joint lining, are examined before any repair is initiated.
- Surgical repair: Additional small working portals are created for instruments. The specific repair performed depends on the findings and the pre-operative plan. Common procedures include rotator cuff repair using suture anchors, labral repair and stabilisation, acromioplasty to decompress the subacromial space, capsular release for frozen shoulder, and removal of loose bodies or inflamed tissue.
- Wound closure: All incisions are closed with small sutures or adhesive strips. A sling is applied to protect the repair in the immediate post-operative period.
- Physiotherapy and rehabilitation: Structured rehabilitation begins early and progresses through clearly defined stages. Initial sessions focus on pain management, reducing swelling, and gentle passive motion. Subsequent phases advance to active strengthening, functional movement, and, where applicable, sport-specific rehabilitation. The physiotherapy team at SGVP Holistic Hospital supervises recovery closely and adjusts the program based on individual progress.
- Follow-up: Regular post-operative reviews are scheduled to monitor healing, assess range of motion and strength, and ensure recovery is progressing as expected.
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