[Arthroscopic surgical measures in the shoulder joint]

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• A combination of arthroscopic and open surgical techniques is essential for comprehensive shoulder joint therapy.
• Isolated diagnostic arthroscopy has limited indications, often being combined with operative procedures.

Purpose of the Study:

• To review the indications and outcomes of various arthroscopic and open surgical procedures for shoulder pathologies.
• To compare the efficacy of arthroscopic versus open techniques for specific shoulder conditions.

Main Methods:

• Review of current arthroscopic and open surgical procedures for shoulder pathologies.
• Comparison of success rates for different surgical approaches, including arthroscopic stabilization versus open procedures for dislocations.
• Discussion of indications for arthroscopic subacromial decompression, rotator cuff repair, and AC joint procedures.

Main Results:

• Arthroscopic subacromial decompression is highly successful, often replacing open acromioplasty.
• Arthroscopic repair is advantageous for acute Bankart lesions in young athletes, while open procedures are preferred for larger rotator cuff tears.
• Arthroscopic techniques are valuable for conditions like rheumatoid arthritis, frozen shoulder, biceps tendinopathy, AC joint arthritis, and calcific tendinitis.

Conclusions:

• A combined arthroscopic and open surgical approach offers the most successful treatment for the full spectrum of modern shoulder surgery.
• Patient selection is critical for improving outcomes, particularly in arthroscopic stabilization procedures.
• Arthroscopy provides minimally invasive options for various shoulder pathologies, while open surgery remains essential for complex cases.