Specialty Surgeon Complete Packaged Procedure for Shoulder Arthroscopy with an Orthopedic Surgeon. Shoulder Arthroscopy is a procedure that orthopedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word arthroscopy comes from two Greek words, ‘arthro’ (joint) and ‘skopein’ (to look). The term literally means ‘to look within the joint.’ During shoulder arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments. Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions (cuts), rather than the larger incision needed for standard, open surgery. This results in less pain for patients and shortens the time it takes to recover and return to favorite activities.
Your doctor may recommend shoulder arthroscopy if you have a painful condition that does not respond to nonsurgical treatment. Nonsurgical treatment includes rest, physical therapy, and medications or injections that can reduce inflammation. Inflammation is one of your body’s normal reactions to injury or disease. In an injured or diseased shoulder joint, inflammation causes swelling, pain, and stiffness. Injury, overuse, and age-related wear and tear are responsible for most shoulder problems. Shoulder arthroscopy may relieve painful symptoms of many problems that damage the rotator cuff tendons, labrum, articular cartilage, and other soft tissues surrounding the joint.
Common arthroscopic procedures include:
– Rotator cuff repair
– Bone spur removal
– Removal or repair of the labrum
– Repair of ligaments
– Removal of inflamed tissue or loose cartilage
– Repair for recurrent shoulder dislocation
Shoulder Arthroscopy – Orthopedic Surgeon Procedure
Once you are under General Anesthesia, your surgeon will first inject fluid into the shoulder to inflate the joint. This makes it easier to see all the structures of your shoulder through the arthroscope. Then your surgeon will make a small puncture in your shoulder (about the size of a buttonhole) for the arthroscope. Fluid flows through the arthroscope to keep the view clear and control any bleeding. Images from the arthroscope are projected on the video screen showing your surgeon the inside of your shoulder and any damage. Once the problem is clearly identified, your surgeon will insert other small instruments through separate incisions to repair it. Specialized instruments are used for tasks like shaving, cutting, grasping, suture passing, and knot tying. In many cases, special devices are used to anchor stitches into bone.
Your surgeon may close your incisions with stitches or steri-strips (small Band-Aids) and cover them with a large, soft bandage. After surgery, you will stay in the recovery room for 1 to 2 hours before being discharged home. Nurses will monitor your responsiveness and provide pain medication if needed. You will need someone to stay with you for at least the first night. Although recovery from Shoulder arthroscopy is often faster than recovery from open surgery, it may still take weeks for your shoulder joint to completely recover.
You can expect some pain and discomfort for at least a week after surgery. If you have had more extensive surgery, however, it may take several weeks before your pain subsides. Your doctor may prescribe pain medication if needed. A few days after surgery, you should be able to replace your large bandage with simple Band-Aids.
This treatment package for a Shoulder Arthroscopy – Orthopedic Surgeon cost includes the facility fee, physician’s fee, cost of drugs, and any related medical procedures required to administer the plan of care. Not included are other diagnostic studies, consultations with additional specialists, and cost of complication management; travel, food, and lodging.