With the shoulder arthroscopy we can see and check , in different positions of arm , where does the injury or the conflict of the internal structures . We can also perform surgery within the articulation with instruments very small that is introduced through small incisions .
The shoulder arthroscopy he has allowed to see better small dynamic details and so both increase the chances of treatment of small injuries that could reach be serious if not treat . Thus we can treat syndromes that cause a clamping between different bones and tendons that run through the subacromial space (subacromial syndrome)
By arthroscopy , can repair breaks and traumatic tears or degenerative of the tendons of the rotator cuff (supraspinatus e infraspinatus ) that prevent lifting shoulder or also the recurrent shoulder dislocation (injury of Bankart ), solving the instability of shoulder on the recurrent dislocation .
WHAT SHOULD I DO AFTER THE INTERVENTION ?
Usually , the stay in the clinic is usually 12-24 hours until the drains are removed .
In the postoperative period, ice packs are placed and passive and pendular shoulder exercises are started . Nevertheless, if there are sutures , the arm will remain in a sling and on proper position to avoid tension of the suture . then it will happen to passive exercises and assisted , but never active exercises so you don’t breakage or loosening of the anchors
In the following weeks the rehabilitation usually includes cryotherapy , active exercises to recover rotations , empowerment of deltoid muscle and finally all muscles that form the rotator cuff .
But there are no sutures or muscle retractions , early mobility is usually achieved and normal force between 4-6 weeks , but if there are sutures strength and full mobility is will get between 2-3 months .
Any surgery on the shoulder should be done after have achieved an acceptable rehabilitation , achieving good passive mobility _ rotations for optimal results . _