As the shoulder joint has a very high degree of mobility, its susceptibility to damage is equally high. A whole range of conditions can occur here that require surgical treatment. What should you do if the joint becomes damaged? A shoulder arthroscopy at our Silesian medical centre will prove to be the solution!
The glenohumeral joint is the main component of the shoulder, responsible for range of motion, and can cause either congenital or post-traumatic instability. Post-traumatic instability most commonly develops in young people after a shoulder dislocation. Classic immobilisation after the dislocation has been set does not guarantee proper healing of the stabilising structures and habitual shoulder instability develops, resulting in repeated dislocations in trivial situations. These dislocations cause destruction of the cartilaginous surfaces of the joint, indentations of the acetabulum and the head of the humerus, rapidly leading to osteoarthritis of the shoulder joint. Early restoration of the anatomical relationships of the damaged ligament-bone structures, protects the joint from instability and secondary degeneration.
Rupture of the tendon of the supraspinatus muscle, which is part of the rotator cone, is common in the shoulder joint. Damage to this tendon can be caused by trauma, direct sprain and slow degenerative changes to the tendon. Damage to this tendon results in limited shoulder elevation and severe pain, which significantly limits joint function.
It is caused by a reduction in the anatomical space between the head of the humerus and the shoulder process of the scapula. It manifests itself in shoulder pain, particularly severe and radiating to the shoulder and elbow, crackling under the shoulder process, and ultimately to a significant limitation of mobility.
Shoulder arthroscopy is a very modern and minimally invasive method of joint surgery. It involves inserting a camera into the joint cavity - from a small 0.5 cm incision - which transfers the image onto a monitor screen. This makes it possible to insert surgical instruments from separate small incisions in the skin and perform repair surgery.
All patients are eligible for arthroscopic shoulder reconstruction if they have pain lasting longer than three weeks, either spontaneous or caused by trauma to the shoulder joint, preventing free movement in all directions, often radiating towards the elbow.
We perform arthroscopic reconstruction of the rotator ring and damage to the acetabular articular casing. In the case of chronic dislocation of the shoulder, we perform surgical procedures using bone grafts to supplement the damaged joint capsule. In arthroscopic reconstruction of shoulder injuries, we use instrumentation and the ConMed Linvatec system. We have SUPER REVO, Bio Mini - Revo implant systems at our disposal. Link PARTNERS
Length of stay:
After shoulder arthroscopy, the patient is discharged home on the 2nd or 3rd day after surgery.
After treatment:
Following surgery, the patient remains under constant follow-up at the hospital's orthopaedic clinic, from where he or she is referred to a rehabilitation centre.
Waiting time:
The waiting time for surgery varies from 2 to 3 weeks.
It consists of a total joint replacement, i.e. replacing the natural joint with an artificial one - an endoprosthesis. The treatment restores the lost function of this joint and allows basic movements such as walking, lifting weights. It is the only method that allows you to function without experiencing pain.
In the event that a shoulder joint replacement is required, we have a half-acetabular endoprosthesis used when the head of the humerus is damaged. However, the acetabulum, which is not damaged by disease, does not need to be replaced. In the case of degenerative changes involving the acetabulum, we use total shoulder endoprosthesis, replacing the affected acetabulum with a plastic implant.
The hospital stay lasts an average of six to 10 days and ends with initial rehabilitation.
Following surgery, the patient remains under constant supervision at the hospital's orthopaedic outpatient clinic, from where he is referred for a three-week course of improvement treatment at a renowned rehabilitation centre.
The waiting time for surgery varies from 2 to 4 weeks.
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