The role of arthroscopic surgery in the treatment of shoulder joint diseases

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Mai Anh Kha - Orthopedic surgeon - Department of General Surgery - Vinmec Danang International General Hospital.

1. Arthroscopic shoulder surgery

Arthroscopy is a procedure that orthopedic surgeons use to examine, diagnose, and treat problems inside a joint.
During shoulder arthroscopy, the surgeon places a small camera, called an arthroscope, into your shoulder joint. The camera displays images on a video screen, and the surgeon uses these images to navigate the miniature surgical instruments.
Surgeons use very small shoulder joint incisions (cuts). This reduces pain for the patient and shortens the time it takes to recover and return to normal activities.
Shoulder arthroscopy makes diagnosis, treatment and recovery from surgery easier and faster. Improvements to shoulder arthroscopy occur every year as new tools and techniques are developed.
The shoulder joint is a complex joint with the ability to perform more movements than any other joint in the human body. The shoulder joint consists of the humerus, scapula, collarbone, and humerus, working around the socket, around the alveolar cartilage. Outside the joint there is a joint capsule and synovial capsule, around the joint capsule are the tendons of the rotator cuff muscles that attach to the neck of the humerus.

2. In what cases is shoulder arthroscopy indicated?

The most common injuries in the shoulder joint are damage to the rotator cuff tendons due to overuse, wear and tear with age, or trauma. Your doctor may recommend shoulder arthroscopy if you have shoulder pain but medical treatment has not worked.
This procedure is indicated mainly in the following cases:
Mainly to remove inflamed tissues or foreign bodies (articular cartilage) caused by inflammation around the shoulder joint Plastic surgery to suture the damaged rotator cuff tendon Surgery osteotomy, scapular reconstruction Removal or reconstruction of alveolar cartilages Ligament reconstruction Recurrent shoulder dislocation. In addition, shoulder arthroscopy is also an advanced method to help orthopedic surgeons diagnose inflammation in the shoulder joint to guide medical treatment.

3. Shoulder periarthritis and how to treat shoulder periarthritis

3.1 Periarthritis of the shoulder: Periarthritis of the shoulder is a common disease in the shoulder joint, including pain and limitation of shoulder movement, damage to the soft tissue around the joint such as tendons, muscles, ligaments, and joint capsule. The disease can easily cause frozen shoulder syndrome if not treated promptly.

Shoulder periarthritis is divided into 4 types:
Simple shoulder joint pain Acute shoulder pain due to crystal deposition Pseudoparalysis of the shoulder joint due to tendon rupture Syndrome frozen shoulder due to synovitis. 3.2 Treatment of periarthritis of the shoulder The use of pain relievers is the usual way to treat shoulder periarthritis according to the World Health Organization ladder.
3.2.1 Can use one of the drugs Acetaminophen, acetaminophen in combination with codeine...Use other non-steroidal anti-inflammatory drugs: diclofenac, piroxicam, celecoxib, floctafenine, meloxicam,...
3.2.2 Corticosteroid injections Using local corticosteroid injection through ultrasound guidance for the following types: Simple shoulder arthritis, acute shoulder pain. But care must be taken not to inject corticosteroids in patients with partial tendon rupture due to degeneration because it can lead to tendon necrosis and cause tendon rupture.
3.2.3 Using physiotherapy Using physical therapy is also an effective method to treat shoulder periarthritis: If there is no hot swelling, it is possible to apply heat therapy such as infrared rays, short waves, ultrasound waves...

Massage for local pain relief. In the period of acute inflammation with a lot of swelling and pain, it is necessary to limit movement of the injured tendon such as using a brace, fixed elastic bandage for a short time. The patient needs to be guided in exercises to restore the range of motion of the shoulder joint.
3.2.4 Shoulder Arthroscopic Surgery Shoulder arthroscopy is still the best method for accurately diagnosing injuries and treating shoulder periarthritis. Surgical treatment for pseudo-paralysis, especially in young people with ruptured tendons in the shoulder joint due to trauma. Surgery to reconnect a broken tendon. Surgical treatment is limited to the elderly with tendon rupture due to degeneration.
To effectively treat shoulder arthritis, the patient needs to pay attention to the working posture, avoid injury, even though it is very mild, but repetitively, it is easy to cause inflammation again.
Currently, at Vinmec International General Hospital, there is a screening package for shoulder diseases to help customers screen and detect diseases related to the shoulder joint at the earliest. At the same time, there are full equipment and most advanced modern treatment methods in the country to help the recovery process achieve the best results.
Patients with early examination to confirm the diagnosis should be treated with drugs, rehabilitation exercises or intra-articular injections or at the stage of surgery. Vinmec International General Hospital is the leading prestigious address with:
Good MRI machines Experienced specialists, sterile operating room, strict surgical procedures. Any questions that need to be answered by a specialist doctor as well as customers wishing to be examined and treated at Vinmec International General Hospital, please book an appointment on the website to be served.

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