Shoulder and elbow joint surgery

Shoulder arthroscopy is little invasive surgery during which two or three approximately 1 cm wide incisions are made in the shoulder joint. The arthroscope (video camera objective) is inserted through one of incision points that together with very bright light beam illuminate the completely dark knee joint space. In repeated magnification operative surgeon sees the internal space of the shoulder joint on the screen. Surgery is performed through the other incision points.

Arthroscopy surgery is much more caring that open surgery of the shoulder joint, recovery period is comparatively short and scars after the surgery - small.

Arthroscopic shoulder joint subacromial decompression. It is performed while treating chronic shoulder joint overload syndrome when steroid injections and physiotherapy was unsuccessful. During the subacromial decompression space for the rotator cuff tendons are expanded, thus reducing pain and restoring amplitude of shoulder movements.

Arthroscopic restoring of rotator cuff. Rotator cuff can be stitched in open surgery or arthroscopic through small incisions in the shoulder joint. Arthroscopic surgery is much less traumatic to tissues covering the shoulder joint and rotator cuff. On its turn it reduces pain during post-operative period and facilitates recovery.

Arthroscopic stabilisation of the shoulder joint is performed in case of repeated twists of the shoulder joint. With special implant “anchor” shoulder joint and its ligaments are fixed and stabilized protecting shoulder from repeated twists.

Arthroscopic releasing of the shoulder joint capsule. During the surgery shoulder joint capsule is released, by splitting it across the surface of the joint (arthrolysis). For example, in case of the “Frozen shoulder” capsule of the shoulder is inflamed, becomes thick and looses elasticity. When it is split during the surgery, full amount of movements in shoulder joint is restored.

Arthroplasty/ endoprosthesis of the shoulder joint are the third most common endoprosthesis of the joint after hip and knee joints. Shoulder endoprosthesis is usually performed in case of arthritis if it is not possible to treat it non-surgically. For elderly people this surgery is performed also to stabilize shoulder joint, if twists reoccur also in cases when the fractures of the shoulder bone head is very chippy. Also endoprosthesis of the shoulder joint after lingering damages of rotator cuff.

Endoprosthesis is not as traumatic as people sometimes imagine it to be, assuming that bones damaged by arthrosis will be sewed off and replaced with prosthesis. This is the case only with bone tumour. Endoprosthesis of the shoulder joint by its nature resembles dentist’s office when caps are placed on teeth. Ends of the bones are slightly filed and artificial surfaces of joints are placed on them; these surfaces are made of metal, plastics or polymer. Average lifetime of the artificial shoulder joint is 20 years.

Arthroplasty/ endoprosthesis of the elbow joint are practised relatively rarely – in situations when non-surgical treatment turns out to be ineffective. Endoprosthesis of the elbow is performed to treat arthritis, complicated fractures, malignant tumours, as well as in case of vast damages of tissues in elbow area that has caused instability of elbow in case of trauma.