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Complications of shoulder arthroscopy
L U Bigliani1, E L Flatow, E D Deliz
1College of Physicians and Surgeons, Columbia University, New York, NY.
Orthopaedic Review
|September 1, 1991
Summary
Shoulder arthroscopy is a common procedure with varying complication rates. While staple capsulorrhaphy has higher risks, subacromial space procedures are safe, with proper technique minimizing complications.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Shoulder arthroscopy has gained popularity for diagnosis and treatment over the last decade.
- Like any surgical technique, potential complications exist.
Purpose of the Study:
- To review the complication rates and outcomes associated with shoulder arthroscopy.
- To identify factors influencing complication incidence and patient outcomes.
Main Methods:
- Review of complication data for various shoulder arthroscopy techniques.
- Analysis of factors such as patient selection, surgical technique, and instrumentation.
Main Results:
- Staple capsulorrhaphy demonstrated the highest complication rate (3.2%) and increased recurrence risk.
- Subacromial space procedures are associated with a low complication rate (<1%) and favorable short-term outcomes.
- Careful patient positioning and use of electrosurgical instruments with adequate distension improve safety and visualization.
- Reported infection rates range from 0.04% to 3.4%.
Conclusions:
- Patient selection and meticulous surgical technique are crucial for minimizing shoulder arthroscopy complications.
- Subacromial space procedures appear safe with good short-term results.
- Attention to positioning and instrumentation can reduce risks like neuropraxia and bleeding.