Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Shoulder arthroscopy is a surgical technique, in which a small camera is used (called arthroscope) to examine or repair tissues in or around the shoulder joint. The arthroscope is inserted through a small cut (incision) in their skin.

Arthroscopic surgery can be used to diagnose and treat certain shoulder injuries.. This minimally invasive surgery approach can help speed recovery, reduce pain and minimize scarring, compared to traditional open surgery.

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Cirugía artroscópica de hombro Centro Dermatológico Federico Lleras Acosta en Bogotá

Arthroscopy is a surgical technique or procedure, used by orthopedists and traumatologists to inspect, diagnose and treat problems within a joint.

During surgery (arthroscopy) shoulder, your surgeon inserts a camera and lens, commonly called an arthroscope, which transmits images of the shoulder joint to a high resolution screen; which it's, allows the surgical instruments to be properly guided during the procedure.

Shoulder arthroscopy is a minimally invasive technique that allows access and treatment of many injuries and diseases of the various structures that make up this joint.. The joint is accessed by 2 O 3 small incisions less than a centimeter in size.

Arthroscopy has become the technique of choice for shoulder pathology, as difficult-to-reach shoulder structures can be addressed, allowing a complete view from the inside.

Arthroscopic Shoulder Surgery in Bogot√°
Arthroscopic Shoulder Surgery Bogot√°

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Cirugía artroscópica de hombro Centro Dermatológico Federico Lleras Acosta en Colombia

Arthroscopy produces less pain and stiffness, lower percentage of complications, low chance of hospitalization and faster recovery than open surgery.

If you had an arthroscopic repair, your shoulder may recover faster if you have proper and timely rehabilitation.

The use of shoulder arthroscopy, It is possibly the most suitable option for the treatment of traumatic or even degenerative injuries of the shoulder..

Rotator cuff repair , managing biceps injuries, repair of ligaments in instability (dislocation), among other, generally relieves pain and improves mobility, which favors the progressive recovery of strength with the help of physical therapy (rehabilitation).

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

What is the rotator cuff?

The rotator cuff is made up of the tendons of four muscles. It surrounds the head of the humerus much like the fist surrounds the wrist at the end of a sleeve.. A portion of these muscle attachments is below the top of the shoulder. These tendons lie between two opposing movable bones and, Thus, are easily damaged. The tendons hold the head of the humerus within the joint and provide stability when the arm is moved.

Common Rotator Cuff Injuries

If the head of the humerus slips out of place (due to trauma), or if the space within the shoulder joint is reduced, shoulder pain and arm mobility problems will occur, as inflammation of the bursa (bursitis), tendon irritation (tendinitis ) or premature tendon wear.

Reasons for damage to the rotator cuff of the shoulder

Sometimes, the tendon tears after a fall or strenuous physical labor. However, usually the tendon must have suffered previous degeneration or damage, since a healthy tendon will rarely tear as a result of an accident. If the tendon is torn, it is impossible for it to repair itself.

If there is a rotator cuff tear, the tear will get bigger and bigger until the tendon completely disintegrates, the muscle degenerates (muscle fibers turn into fat) and the shoulder joint will no longer be able to function. At this stage it is too late to repair the rotator cuff by tenosuture..

For the best long-term results, tenosuture required as soon as possible after tendon injury.

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

What are the symptoms of a rotator cuff tear or injury?

Symptoms of rotator cuff tear or injury are as follows.

  • Immediate or sharp pain: Rotator cuff tendon injuries may be suspected, during or after a fall, when making a sudden movement (high energy) or lifting heavy objects and having severe pain in the shoulder, that can radiate to the arm and limits mobility.
  • Dull or chronic pain : in cases of rotator cuff tears that occur as a result of overuse, which are usually associated with inflammation such as bursitis and tendinitis, it is likely that you will not be able to define an exact moment of the onset of pain. However, you may notice a dull, aching pain in your shoulder, that increases during the night; and in the day, It is more intense when performing movements that involve raising the arm or making physical effort .
  • Pain when lying down: In acute or chronic injuries (ancient), pain is common when lying on the affected shoulder and especially at night, even not allowing sleep.
  • Weakness and restricted range of motion: Weakness or loss of strength in the affected shoulder is another common symptom of a torn rotator cuff.. Rupture in the rotator cuff tendon, can make it difficult to move the arm in different positions, like elevation, abduction (move the limb away from the body) and rotations, it is frequent, even, limitation or loss of ability to perform common activities , how to dress or comb your hair.
Arthroscopic Shoulder Surgery colombia

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center Bogota Medellin Colombia Cali Pereira Manizales

Every year, millions of people experience shoulder pain and seek help from a doctor. While many of these people have a minor problem that can be treated with rest and physical therapy, some people have a torn rotator cuff , who needs treatment from an orthopedic surgeon and trauma surgeon. Here you will find what is necessary for the treatment of this pathology.

Rotator cuff surgery is performed by arthroscopy. In a shoulder arthroscopy , small incisions are made and an arthroscope is navigated, a small tube fixed with a camera, to the site of the tear. We then use specially designed instruments that allow us to repair the rotator cuff with minimal trauma to the surrounding muscles and tissues..

Hospital for Special Surgery patients undergo this procedure under a nerve block ( regional anesthesia ) and partial sedation instead of general anesthesia. This minimizes the amount of pain medication and anesthesia that are administered, which reduces nausea and vomiting. These improvements in minimally invasive techniques and anesthesia allow most of our patients to go home just a few hours after their procedure..

Shoulder Fracture Colombia

Cirugía artroscópica de hombro Centro Dermatológico Federico Lleras Acosta en Colombia

Arthroscopic rotator cuff surgery: all you need to know

A group of muscles that surround the shoulder joint is called the rotator cuff muscles.. Its function is to generate the force necessary to lift and rotate the arm.. With increasing age, these muscles become weak and more likely to tear, often with minimal injuries. Rotator cuff tears usually occur at the point where the muscle attaches to the bone., which is at the junction of muscle and tendon.

Unfortunately, when the rotator cuff muscles are completely torn, they don't heal on their own. Ignoring them unattended could cause the tear to progress, which would cause loss of mobility and strength. The longer a major knee tear is left, larger it becomes and more mobility and strength are lost. Treating a smaller tear has a better surgical outcome than treating a larger tear. Then, if the large tear is not treated, surgical results are very poor.

Patients tend to experience extreme pain during arm elevation and pain while sleeping. They may eventually lose movement in the shoulder to a greater extent.

Shoulder arthroscopy is one of the common orthopedic procedures after knee arthroscopy. Can help diagnose and treat various joint-related problems, the bones, the muscles, ligaments and tendons.

Rotator cuff repair is among the most commonly performed shoulder arthroscopy procedures

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Arthroscopic rotator cuff surgery: all you need to know

Shoulder surgery is a common orthopedic procedure used to treat a variety of shoulder conditions., including shoulder arthritis and rotator cuff tears. Surgery is not usually the first treatment option for shoulder pain or injury. However, Surgical repair may be considered if physical therapy, Medications and less invasive medical procedures have not sufficiently alleviated the pain or improved movement. Understanding the different types of shoulder surgery will help you discuss your treatment options with your health care provider..

arthroscopic surgery , O arthroscopy , It is surgery that is performed through small incisions using a specialized tool called an arthroscope.. An arthroscope includes a camera, so the surgeon can see inside the joint area without creating a large incision. However, the surgeon makes a few small cuts and inserts the arthroscope and surgical tools through these cuts. The camera transmits images of the interior of the joint to a screen so that the surgical team can evaluate and repair problems within the shoulder joint..

According to the American Academy of Orthopedic Surgeons, Shoulder arthroscopy has been performed since the 1990s. 1970. Common arthroscopic shoulder surgeries include:

  • Rotator cuff repair
  • Shoulder stabilization surgery (to treat the recurrent shoulder dislocation )
  • shoulder rejuvenation (a treatment for arthritis )
  • Minimally Invasive Shoulder Replacement

Open shoulder surgeries involve a larger incision. During open surgery, the surgeon sees the shoulder joint directly, instead of on a screen. Recovery from open surgery typically takes longer than recovery from arthroscopic shoulder surgery..

when possible, doctors and patients often prefer arthroscopic shoulder surgery. However, if the injury or needed repair is extensive, open shoulder surgery may be the best option.

Shoulder Joint Replacement

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Rotator cuff surgery Bogota Medellin Colombia Cali Pereira Manizales

The rotator cuff is a group of muscles and tendons that surround the shoulder joint and facilitate movement. A tear in one or more of the tendons can limit movement and cause pain.. Rotator cuff injuries can be due to injury or overuse.

Minor rotator cuff tears do not usually require surgery.. Rotator cuff surgery may be indicated if:

  • several months of physiotherapy symptoms have not improved significantly.
  • has a complete tear rotator cuff .
  • you have a big tear.
  • The tear was caused by a recent injury.
  • Your tear has caused soft spot significant and loss of function.

rotator cuff surgery can be done by arthroscopy or by open surgery. Open surgery is typically used for large, complex tears.

Full recovery from rotator cuff surgery can take 4 a 6 months, but it may take longer.

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Shoulder replacement surgery

Shoulder replacement surgery is a treatment option for arthritis of the shoulder. In fact, the osteoarthritis is the most common reason for shoulder replacement surgery. Over time, arthritis can damage the cartilage in the shoulder joint, resulting in bone-on-bone wear.

In shoulder replacement surgery, the “she was” at the end of the upper arm bone (humerus) is removed and replaced with an artificial stem and metal ball. During a total shoulder replacement , the part of “lace” of his shoulder blade is also replaced with smooth plastic. (If only the ball is replaced, and not the cavity, the procedure is considered a partial shoulder replacement).

According to the American Academy of Orthopedic Surgeons, about 53 000 people in the United States undergo shoulder replacement surgery each year. Full recovery usually takes 4 a 6 months or more.

Your healthcare provider can help you understand the shoulder surgery options available and the estimated recovery time for each..

Shoulder Joint Replacements

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Benefits of minimally invasive arthroscopic shoulder surgery

Fast recovery
One of the best things about shoulder arthroscopy is that you can go home the day of surgery.. Immediately after surgery, you may need to spend a few hours in the recovery room, but after that you can go home. Most patients experience slight discomfort as they heal during the first few weeks after surgery.; however, you will not be expected to stay in the hospital for days with long recovery times unlike traditional open surgeries.

small A small incision means limited healing. The standard incision for arthroscopy is the size of a buttonhole., although multiple incisions may be needed for more complex procedures. Open surgery usually requires an incision of at least five centimeters. Shoulder arthroscopy incisions are usually made in the front or back of the shoulder joint..

minimally invasive
The risk of complications and infections is very low when it comes to arthroscopic shoulder surgeries.. Many people can return to sports a few months after surgery, and physical therapy can help you regain strength and movement in your shoulder. The most common post-procedure symptoms include shoulder stiffness that will go away with time, especially with the help of physiotherapy.

Recovery after arthroscopic shoulder surgery
After surgery, it will take weeks to a few months to fully heal. You may notice slight pain and swelling for the first few weeks after surgery.; however, this will go away with the help of physical therapy and time. Ice and medication can ease any pain you may feel after surgery.. Your surgeon will also provide you with a comprehensive recovery plan to help your shoulder regain mobility faster and make it stronger..

Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Frequently Asked Questions about: Arthroscopic shoulder surgery Federico Lleras Acosta Dermatological Center

Preguntas y Respuestas comunes sobre Cirugía artroscópica de hombro Centro Dermatológico Federico Lleras Acosta

Shoulder arthroscopy is recommended in acute injuries that cause rotator cuff tears. , ligamentos o labrum glenoideo, even fractures or dislocations, usually caused by high-energy trauma. As well, recommended when non-surgical treatment does not improve symptoms. Non-surgical treatment includes rest, physical therapy and oral medications or injections (infiltrations) that can reduce inflammation and allow injured tissues to heal.

The lesions, overuse and age-related wear and tear are responsible for most shoulder problems. Shoulder arthroscopy can relieve painful symptoms of many problems that damage the rotator cuff tendons., the impeller, the articular cartilage and other soft tissues that surround the joint.

A shoulder arthroscopy is recommended when you have a painful condition that does not respond to non-surgical treatment. Non-surgical treatment includes rest, physical therapy and medications or injections that can reduce inflammation and allow injured tissues to heal. Inflammation is one of your body's normal reactions to injury or illness.. In an injured or diseased shoulder joint, inflammation causes swelling, pain and stiffness.

The lesions, overuse and age-related wear and tear are responsible for most shoulder problems. Shoulder arthroscopy can relieve painful symptoms of many problems that damage the rotator cuff tendons., the impeller, the articular cartilage and other soft tissues that surround the joint.

Common arthroscopic procedures include:

  • Rotator cuff repair
  • Labral removal or repair
  • Ligament repair
  • Removal of swollen tissue or loose cartilage
  • Repair of a recurrent shoulder dislocation

Arthroscopy may be recommended for these shoulder problems.:

  • A broken or damaged cartilage ring (labrum) the ligaments
  • Shoulder instability, in which the shoulder joint is loose and slides too much or dislocates (comes out of the ball joint)
  • A torn or damaged biceps tendon
  • A torn rotator cuff
  • A bone spur or swelling around the rotator cuff.
  • Inflammation or damaged joint lining, often caused by illness, like rheumatoid arthritis
  • Arthritis of the end of the clavicle (clavicle)
  • Loose tissue that needs to be removed
  • Shoulder impingement syndrome, to allow more room for the shoulder to move

Recovery may take from 1 a 6 months. You will probably need to wear a sling for the first week. If they did a lot of repairs, you may need to wear the sling for a longer time.

You can take medicine to control your pain.

When you can return to work or play sports will depend on what your surgery involved.. It can vary from 1 week to several months.

Physical therapy can help you regain movement and strength in your shoulder. The duration of therapy will depend on what was done during the surgery..

The rotator cuff refers to the four muscles that make up the tendons around the shoulder joint.. A rotator cuff injury usually means that one or possibly more of these tendons have been torn.. Tears can be partial or complete. Usually, this type of injury is the result of repetitive movements. For example, is a common injury among professional athletes, particularly among baseball pitchers .

Besides, this type of injury becomes more likely with the wear and tear of aging. People over 40 years are at increased risk of rotator cuff tear. While overuse is the most common cause of rotator cuff injuries, an acute injury can also result in a rotator cuff tear.

Not all rotator cuff injuries require surgery. Depending on the severity of the injury, your doctor may prescribe more conservative treatments first. Simple measurements at home, like rest and ice, can help you manage your symptoms while undergoing physical therapy to strengthen injured tendons. Specific physical therapy exercises will help you regain strength and range of motion. Your doctor may prescribe anti-inflammatories or inject cortisone directly into the injured shoulder..

More conservative treatment approaches can only provide temporary rotator cuff pain relief. If the injury is a severe tear that causes constant pain or does not respond to more conservative treatment, symptoms are unlikely to resolve without surgery. Pain and weakness may increase if the tear or tears are not treated surgically.

If you think you may need surgery, learn more about whether you may need it.

Surgery is recommended for a full-thickness tear, or in those patients with a partial thickness tear who have failed conservative treatment (of the months of physiotherapy). If a patient tries conservative treatments and continues to have pain and difficulty with activities after two to three months, may consider surgery to repair the tear.

Small or partial rotator cuff tears can be treated with two months of physical therapy.

It takes six to eight weeks for the tendon to heal to the bone. Full recovery time varies depending on the size of the tear. For small tears, full recovery time is about four months, for large tears, six months. For severe massive tears, full recovery may take between 6 Y 12 months.

Patients can often return to most activities after about 12 weeks after surgery, but participation in strenuous sports may be restricted for four to six months. The goal is to achieve a full range of motion and full strength.

Usually, a patient wears a sling for the first two to three weeks and begins physical therapy a week after surgery. The physical therapy program usually lasts three to four months.. Strengthening exercises begin after the healing period of 6 a 10 weeks.

Protecting the repair for the first six to eight weeks is essential to allow bone healing.. Because patients can quickly feel well, it is particularly important that they take care to protect the joint during the healing period. Shoulder surgeons prescribe a very specific and detailed rehabilitation program after surgery that must be strictly followed..

Rotator cuff surgery has a success rate of more than 95 % for small tears. For two tendon tears, the success rate is still higher than 70%. Untreated tears tend to get bigger, so it is better to repair tears while they are small.

However, even those patients with very large tendon tears can benefit from surgery. In some cases, we can use a technique called margin conversions. This involves covering the humeral head with grafted tissue to hold the tendon in place in the joint.. When tendon tissue is insufficient for direct repair, we place a patch of donated tissue in the area. When these tissue grafts are required, shoulder surgeons typically perform a mini-open repair, instead of an arthroscopic repair.

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Schedule your Appointment with him Dr. Danilo Velandia to be able to provide you with information and guidance about our Procedures. All the necessary information will be explained to you from: how to prepare for surgery, what will happen to you at the Clinic or Hospital, how you should take care of yourself at the end of the Procedure, as well as the changes that must occur in your lifestyle.

Testimonials from our patients

I broke my left rotator cuff while falling. I tried to put up with it for almost a year with medications, physical therapy and basically it didn't help . I was scheduled for surgery elsewhere. I did not like the atmosphere, so I looked for another opinion. I am happy to have done it !! all nursing staff, ambulatory surgical units, postoperative care and now the final results: I have no pain I have a full range of motion, I have strength and continue to develop it while following a very detailed therapy regimen. I can only recommend Dr.. Danilo Velandia and elite staff, professional, personal, warm and friendly.

Camila cardenas Orthopedics and Traumatology Patient

I am so impressed and grateful for the care that Dr.. Danilo, that every time I get a chance to give a positive review, I can not resist! The level of care he provides far exceeds that of any other doctor I have ever seen. I am so impressed. He patiently explained every detail of the treatment plan for my broken Knee to me and really took the time to listen and answer all the questions I had.. If I ever have to refer someone I know to an orthopedic surgeon, I will insist that they see Dr.. Danilo Velandia. There is no one else I would turn to if I needed one again. Thank you Dr. Danilo for the great care you have given me!

Raul Cespedes Orthopedics and Traumatology Patient

I have seen Dr.. Danilo Velandia a couple of times in Bogot√° and I'll be back, it's been great so far. No pressure to rush to surgery, great advantage. Gives good information and options from the first day to the surgery process. All staff are friendly and helpful highly qualified, He has been the most proactive and helpful medical person I have dealt with and I am really very happy. Your diligence has made sure you get the help you need, and it even helped me avoid forgetting things. Thank you very much indeed! I am very happy with my visits with him. Highly recommended Dr. Danilo Velandia and his team of professionals!

Pedro Mutis Orthopedics and Traumatology Patient

My experience as a patient of Dr.. Daniel has been extremely positive. Performed surgery on my right shoulder, completely relieving my symptoms. He patiently listened to my concerns, answered my many questions and provided insightful information, but not too technical. The doctor. Danilo made himself available both before and after my surgery to address my pre-surgery nerves and my post-surgery expectations.. He was always professional, patient and attentive. I feel very lucky that when I could no longer suffer with the symptoms, my husband, who recommended me to Dr.. Danilo Velandia.

Maria lopez Orthopedics and Traumatology Patient

After playing competitive soccer for several years, I broke my anterior cruciate ligament and meniscus. I was very nervous about the long process of surgery and recovery really is a life changing process, I thought I would lose everything since sport is my life and my passion, but Dr.. Danilo Velandia was very helpful, informative and reassuring, he really knew how to handle the situation. My surgery went smoothly and my recovery went according to plan. The doctor. Danilo was present every step of the way and showed his medical competence, as well as his natural compassion, Thank you very much and very grateful, I have been able to continue with my day to day.

Andres Perea Orthopedics and Traumatology Patient

    Traumatologist Orthopedist