Arthroscopy
Shoulder Arthroscopy: Complications
What complications can result?
Sometimes treatment is started arthroscopic shoulder but the conditions require the surgeon to replace it with “open” technique.
Most commonly, postoperative pain, more pronounced after reaming of the acromion.
Other complications have been reported infrequently (approximately 6% of operated with this technique):
- Joint infection.
- Drilling of the lung by the instrument, causing “pneumothorax” (the pleural space is filled with air and pushes the lung).
- Injuries to the shoulder of nearby nerves, usually due to excessive traction of the limb (brachial plexus injury) and that usually recover well. Evolution is not usually good if the cause is due to accidental puncture of the nerve when we introduce the instruments for the first time, and may be affected then the sensitive branches of the axillary nerve or brachial plexus. Read the rest of this entry »
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Shoulder Arthroscopy: The Care Required
What care is required after performing a shoulder arthroscopy?
They are usually quite simple, since it is a minimally invasive technique.
- Place a sling, which is released several times a day for exercise recovery (swing arm, elbow motion). You must be from days to weeks.
- We recommend taking pain relievers, which is usually intense the first day in the case of milling of the acromion. In the rest of arthroscopy usually disturb the edema.
- The cold in the area is useful to decrease pain and edema. Read the rest of this entry »
Shoulder Arthroscopy: Indications for Treatment
When should shoulder arthroscopy?
Fewer and fewer to diagnose, as advances in ultrasound, arthrography, MRI scanner and we are increasingly diagnosed more frequently.
However, in cases of doubt or when it is expected an important intervention in the shoulder, arthroscopic surgery may be done before that will confirm the diagnosis, rule out other injuries and decide the best treatment possible, which is also sometimes arthroscopic. Thus, in the same surgical procedure is diagnosed and treated.
Another useful diagnostic is to allow synovial biopsy in certain diseases.
The indications for treatment are:
- Removal of foreign or loose bodies of cartilage derived from a broken or synovial chondromatosis (formation of multiple nodules of cartilage in the synovial membrane, being able to drop one into the joint space). Read the rest of this entry »
What Does The Arthroscopy?
What does the arthroscopy?
- The appearance of synovial fluid (viscous fluid that lubricates the joint) that can be cloudy, contain blood or loose bodies, usually fragments of cartilage. The synovial fluid can be analyzed to determine their composition.
- The appearance of the synovial membrane (sac lining inside the joint and produces synovial fluid). In some cases, a sample (biopsy) for microscopic analysis.
- The cartilage that lines the humeral head and glenoid cavity. It feels a special hook to see the consistency and observed for injuries. Read the rest of this entry »
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How is Arthroscopy Performed?
To see well inside the joint and prevent injuries with our maneuvers tissues, fill it with sterile serum pressure, which produces an effect similar to inflating a balloon at the same time allows us to coordinate continuous washing, eliminating waste Blood, pieces of tissue removed, and so on. It is common for both the shoulder and chest of the volume increase significantly for several hours. This phenomenon is due to their tissues absorb some of the liquid (forming a “edema”), but is eliminated rapidly.
- The patient is placed semi-sitting or lying on its side. In the latter case it is necessary to add a harness that pulls the tip moderately to overcome embeddedness articulate.
- Introducing a metal tube with an optical system that illuminates and magnifies the inside of the joint, seeing the image on a television monitor. Read the rest of this entry »
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Shoulder Arthroscopy
What is the shoulder joint?
It is the linker that build bone of the humerus to the scapula or shoulder, the humeral head that is large and shaped like a sphere was linked to the “Glen” of the shoulder, a smaller pouch and in a shallow bowl. That makes it very mobile joint, with nearly 360 degree range of motion of the arm.
But it is also little consistent, so you need to increase the fit between the two bones by fibrocartilage ring around the edge of the glenoid rim (labrum), plus the stability that depends on muscles and ligaments. Read the rest of this entry »
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