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Arthroscopic surgery of the shoulder
D J Ogilvie-Harris1, G D'Angelo
1Division of Orthopaedic Surgery, Toronto Western Hospital, Ontario, Canada.
Sports Medicine (Auckland, N.Z.)
|February 1, 1990
Summary
Shoulder arthroscopy is a highly accurate diagnostic tool, surpassing conventional imaging. It enables effective surgical treatments for various shoulder conditions, including impingement syndrome and rotator cuff issues.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Diagnostic Imaging
Background:
- Shoulder arthroscopy is a well-established diagnostic procedure.
- It offers superior accuracy compared to conventional imaging techniques.
- It allows for the assessment of joint instability and mechanical derangement.
Purpose of the Study:
- To review the established and developing roles of shoulder arthroscopy.
- To highlight its diagnostic and therapeutic applications.
- To discuss its efficacy in various shoulder pathologies.
Main Methods:
- Review of current arthroscopic techniques and outcomes for shoulder conditions.
- Comparison of arthroscopic procedures with traditional open surgery.
- Evaluation of diagnostic accuracy and therapeutic effectiveness.
Main Results:
- Arthroscopy is superior to conventional imaging for shoulder diagnosis.
- Arthroscopic acromioplasty is safe and effective for impingement syndrome.
- Arthroscopic debridement effectively relieves pain in older patients with rotator cuff issues.
- Arthroscopic removal of loose bodies and torn glenoid labrum is recommended over open surgery.
- Arthroscopic stabilization and synovectomy show potential benefits.
Conclusions:
- Shoulder arthroscopy is a valuable diagnostic tool and an evolving therapeutic option.
- It provides effective treatment for impingement syndrome, rotator cuff problems, and labral tears.
- Its role in frozen shoulder is primarily diagnostic, requiring further therapeutic investigation.