Closed Shoulder Surgery

What is Closed Shoulder Surgery?

Closed shoulder surgery, commonly known as arthroscopic surgery, is a minimally invasive procedure performed on the shoulder joint. This type of surgery is used for the diagnosis and treatment of various shoulder problems. Here are the details about closed shoulder surgery:

What is Arthroscopic Shoulder Surgery?

Arthroscopic shoulder surgery involves using a thin, lighted camera called an arthroscope and small surgical instruments to visualize and treat the shoulder joint. The arthroscope is inserted through small incisions (usually less than 1 cm) made around the shoulder. This method is less invasive than traditional open surgeries and generally allows for faster recovery times.

When is it Performed?

Closed shoulder surgery is used to diagnose and treat various shoulder conditions, including:

• Rotator Cuff Injuries: Tears or damage to the shoulder muscles and tendons.
• Shoulder Impingement Syndrome: Compression and irritation of the tendons during shoulder movement.
• Labrum Tears: Tears in the cartilage ring (labrum) that stabilizes the shoulder joint.
• Shoulder Instability: Dislocation or tendency for the shoulder joint to come out of place.
• Arthritis and Osteoarthritis: Calcification or inflammation in the shoulder joint.
• Bursitis: Inflammation of the bursa sac in the shoulder.

Surgical Process

1. Anesthesia: The surgery is typically performed under general anesthesia, meaning the patient is completely asleep. In some cases, local anesthesia may be used.
2. Incisions: Small incisions are made around the shoulder.
3. Arthroscope and Instruments: The arthroscope and surgical instruments are inserted through these incisions into the shoulder joint. The arthroscope displays images of the internal structures on a monitor.
4. Diagnosis and Treatment: The surgeon uses the arthroscopic images to diagnose the problem in the shoulder and performs the necessary surgical procedures. These may include repairing torn tendons, removing bone spurs, repairing the labrum, and other corrections.
5. Closure: After the procedure is completed, the instruments are removed, and the incisions are closed.

Recovery Process

• Hospital Stay: Most arthroscopic shoulder surgeries allow for same-day discharge, but in some cases, an overnight hospital stay may be necessary.
• Pain Management: You may use pain medications as recommended by your doctor to manage post-operative pain.
• Physical Therapy: Physical therapy and rehabilitation are crucial during the recovery process, helping to regain shoulder mobility and strength.
• Full Recovery: The time for full recovery varies from person to person but typically ranges from several weeks to several months.

Advantages and Risks

Advantages:

• Smaller incisions resulting in less scarring.
• Faster recovery time.
• Less post-operative pain.
• Shorter hospital stay.

Risks:

• Infection.
• Bleeding.
• Nerve or blood vessel damage.
• Post-operative shoulder stiffness or pain.

Closed shoulder surgery is an effective treatment option for many shoulder problems. However, as with any surgical procedure, it is important to discuss potential risks and complications in detail with your doctor.

Post-Operative Care for Closed Shoulder Surgery

Closed shoulder surgery, commonly referred to as arthroscopic surgery, is a minimally invasive procedure. The recovery process following such surgery requires careful monitoring. Here’s an overview of the general recovery process and key points to consider after closed shoulder surgery:

1. First Few Days After Surgery

• Rest and Recovery: Rest your shoulder for the first few days. Keep your shoulder elevated to reduce pain and swelling.
• Pain Management: Take pain medications as prescribed by your doctor regularly.
• Ice Application: Apply ice regularly to reduce swelling (usually for 15-20 minutes at a time).
• Use of Sling: You may need to use a sling to support and protect your shoulder.

2. The First Week and Beyond

• Physical Therapy: The most critical aspect of post-surgery recovery is physical therapy. Perform exercises as instructed by your doctor or physical therapist.
• Activity Restrictions: Avoid heavy lifting and strenuous activities as advised by your doctor.
• Wound Care: Keep your stitches clean and dry. If stitches need to be removed, this is usually done about 1-2 weeks after surgery.

3. Long-Term Recovery

• Exercise and Strengthening: Focus on strengthening and stretching exercises throughout your physical therapy process. This will help strengthen your shoulder muscles and improve your range of motion.
• Regular Check-Ups: Schedule regular appointments with your doctor to monitor your recovery process.
• Full Recovery Timeline: The complete recovery period varies for each individual but generally lasts between 3-6 months. During this time, following your doctor’s and physical therapist’s instructions is crucial.

Important Considerations During Recovery

• Pain and Swelling: If you experience excessive pain, swelling, or signs of infection (redness, warmth, drainage), contact your doctor immediately.
• Regular Exercise: Stay committed to your physical therapy program and exercise regularly.
• Nutrition and Hydration: Maintain a healthy diet and stay adequately hydrated. A diet rich in proteins, vitamins, and minerals can expedite your recovery process.

The recovery process after closed shoulder surgery can vary based on the type of surgery, the patient's overall health, and the surgeon’s recommendations. Therefore, carefully following your doctor’s and physical therapist’s instructions and consulting them with any concerns is the best approach.