Orthopedic Shoulder Arthroscopy is a surgical technique to visualise, diagnose and treat problems inside the shoulder joint. Small incisions on the skin allow a pencil-sized camera and instruments to address the shoulder pain. Arthroscopic surgery allows for early rehabilitation, faster recovery and lesser pain.
The acromioclavicular joint (ACJ) is a small joint between your collar bone (clavicle) and the part of your shoulder blade (scapula) known as the acromion. The causes for pain in the ACJ are Trauma, Osteoarthritis, Repetitive strain that may be due to sudden increases in activity, Bone injuries of the clavicle.
Any abnormality resulting in dysfunctioning of the rotator cuff causes it to rub against the Acromion (upper bone arch) resulting in inflammation of the bursa causing pain. This occurs each time the shoulder is moved and is called impingement. Pain that is sharp in nature and associated with movement of the shoulder. Pain can also affect sleep. Shoulder moves fully but with pain.
Calcific tendinitis (or tendonitis) occurs when calcium deposits builds up in the rotator cuff tendon. Calcific tendonitis is one of the most common causes of shoulder pain. Associated with performance of a lot of overhead motions, such as heavy lifting, or play sports like basketball or tennis. The most common complaint is pain. The pain worsens with activities, especially with any activities that require the arms to reach over the head, and often affects sleep. Pain is sharp and unbearable. Restricted movements associated with pain is also present.
Non-steroidal anti-inflammatory medication form the mainstay of treatment. Physiotherapy helps to maintain movement and strengthen of shoulder. Steroid injections provide relief, but this is often temporary. Ultrasound guided needling of the tendon undertaken by experienced surgeon can provide relief of symptoms and may prevent surgery. Surgery is recommended if the pain is intractable and not relieved with pain killers. The surgical technique most commonly used is shoulder arthroscopy with removal of calcium deposit carefully from within the tendon.
The biceps is a muscle in the upper arm that helps bend the elbow. It has a tendon in the shoulder joint. This is caused by mechanical injury to the tendon heavy lifting and different types of sporting activities. Biceps tendon subluxation results in the setting of a subscapularis tear where the biceps actually dislocates from its normal position in the shoulder.
The most common complaint is pain in front of the shoulder; however, symptoms can be consistent with rotator cuff tears or arthritis of shoulder. These include pain with activity/overhead motion, weakness, and night pain. Motions such as bending the elbow, carrying heavy weights, and throwing movements can cause pain. On rare occasion, patients may feel a “pop” in the shoulder that is followed by severe pain.
Arthroscopic surgery involves either biceps tenotomy (cutting the tendon and letting it retract) or biceps tenodesis (cutting the tendon and pinning it to the arm bone). The downside of biceps tenotomy is appearance of a “popeye” deformity as the cut tendon retracts down the arm. Biceps tenodesis avoids the popeye deformity but the surgery may require an open incision. Recovery is prolonged after a tenodesis in comparison to a tenotomy.
There are other more invasive surgical procedures to solve shoulder related afflictions but with shoulder arthroscopy, one can expect to
Heal faster and
Recover with almost hard-to-spot scar(s).
There are minimal risks associated with the minimally invasive surgical procedure and they range between
Infections
Pain and
Post-surgery stiffness – all of which are quite manageable.
The patient can get back to his or her daily routine on the same day he or she has received the treatment but there is a catch – one would need to pop quite a few pain medications since it is the only way to keep post-procedure pain at bay or at least under manageable limits.
Recovery time can range anywhere between days to almost a year. On top of this, the patient would need to steer clear from strenuous activities like –
Driving
Sitting long hours in front of their computers
Writing countless pages or
Participate in their preferred sports activity.
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Dr. Omkar Sadigale is very knowledgeable. He diagnosed my wife’s ankle fracture correctly which other doctors could not do. He follows full ethical practices so you are assured that you are in safe hands. I would highly recommend Dr. Omkar Sadigale for any orthopedic or bone surgery related needs.
Best doctor I ever came across! SRV hospital rocks only because they have Dr. Omkar in their hospital as the best orthopedic!! Excellent guidance throughout and for any issues just a call away be it whatever time day or time blessed to have such Dr's whom we trust with our treatments and they don't let us down!
I had a toe fracture as I fell while parking my two wheeler. I was immediately taken to SRV hospital, Chembur under the care and treatment of doctor Omkar Sadigale. Thereafter everything was well handled and taken care by dr.Omkar. There was a small operation conducted on my toe to realign the fractured bones. Now I am fine and able to walk. He is one of the best orthopaedic in Mumbai.
My son has got hip and shoulder fractures due to conversion. I admitted him to SRV Chembur due to RTPCR positive. To be great humanity Dr. Omkar was there at that time in hospital. When I met him at that time I had confidence that I am at the right place. He checked my son and carried operation on the same day afternoon. during the operation, he boosts my morale...Read More
