Minimally invasive shoulder surgery at Beta Klinik is often performed arthroscopically. It is also commonly known as shoulder arthroscopy, shoulder endoscopy or keyhole surgery. Shoulder arthroscopy has revolutionized the treatment of shoulder injuries because it is gentle since less tissue is damaged and has a lower risk of infections in comparison to open surgery. In addition to that, it has shortened recovery periods and the duration of hospitalization, and it makes a quick return to work, sports and daily activities possible.
During shoulder arthroscopy, an endoscope is inserted through small incisions of about 1 cm length (0.4 inches). Inside the endoscope is a camera that enables us to visualize the inner of the shoulder as well as damaged structures enlarged at a monitor.
Due to these features, shoulder arthroscopy is also an effective diagnostic procedure since damaged structures can be directly visualized in opposite to imaging procedures like MRI, CT or X-raying. This makes a direct evaluation of the extent of the injury possible.
Another advantage of shoulder arthroscopy is that therapy may directly follow diagnostics during the same procedure because the physician can insert small instruments and operate with them. This way, damaged structures, for example, may be stitched, removed or stabilized.
Due to the proximity to the head, local anesthesia is not reasonable in most cases during shoulder arthroscopy but a slight general anesthesia. Shoulder arthroscopy lasts between 20-120 minutes subject to the shoulder injury. A short hospitalization of a few days is generally recommended if minimally invasive shoulder surgery or minimally invasive shoulder arthroscopy are carried out.
(in comparison to other surgery methods, extent may vary subject to the surgery type)
After a short hospitalization of a few days, the inability of work amounts 2-6 weeks. Sitting work postures are possible much earlier than physical labor postures.
It depends on the kind of surgery, injury and the individual condition of a person how long it lasts until sports activities can be resumed.
Return to sports activities is possible after 2-4 weeks in case of operations during which tissue has to be removed only. But it can also last 3 months to perform sports activities again if, for example, a tendon has to be stitched.
In case of the Impingement syndrome / painful arc syndrome , the space for the shoulder tendon has become too narrow. During arthroscopic surgery, a part of the roof of the shoulder (acromion) is removed relieving clamped structures. The inflamed bursa tissue is gently removed in order to stop the chronic pain.
A quite rare shoulder injury is arthritis (cartilage damage). In this case, the missing or worn out cartilage causes friction between the bones of the shoulder joint resulting in pain during the rotation of the shoulder. If the diagnosis shoulder arthritis is consolidated by state-of-the-art diagnostics (MRI, CT or X-raying), a minimally invasive joint replacement may create relief. The damaged parts of the joint are smoothed by special surgical fraises, and a metal replacement is fixed with special surgical screws. The advantage of this procedure is a gentle surgery access and quick recovery.
In case of shoulder instability, the experts of Beta Klinik perform arthroscopic surgery using small incisions of 1-2 cm (0.4-0.8 inches) in 99 % of all cases. The damaged and destroyed structures (labrum, SLAP, biceps tendon anchor) are gently anchored at the socket of the shoulder with several modern synthetic-bone anchors. We use a knotless system that does not cause knots in the joint in comparison to older procedures (knotless technique. Gilchrist’s bandage is worn for about 4 weeks after surgery.
The separated shoulder is also treated arthroscopically. A self-arresting suture-plate-complex is inserted and stabilizes the joint until it has recovered. This way, we can avoid arthritis. Gilchrist’s bandage is worn for about 4 weeks after surgery.
If the long biceps tendon is damaged and causes pain, leading shoulder specialists all around the world recommend removing the tendon from the joint and anchoring it, subject to age and individual needs, underneath the joint line by using special surgical anchors. This procedure is also performed arthroscopically.
If the rotator cuff is torn due to wear and tear or an injury, it has to be stitched arthroscopically and stabilized by modern bone anchors. In case only the narrowed space of the AC joint (acromioclavicular joint) has to be widened, wearing a special bandage after surgery is not necessary. If a tendon has to be stitched, Gilchrist’s bandage is worn for about 6 weeks after surgery to relieve the tendon during this period.