Arthroscopic shoulder surgery incorporates the use of very small poke-hole incisions (portals) around the joint, and the use of a specialized camera (arthroscope) among other specified arthroscopic surgical instruments. The goal of an arthroscopic surgery is to repair and restore the joint to full strength, while maintaining full range of motion. Due to the minimally invasive nature of the arthroscopic technique, damage to surrounding muscles, ligaments, tendons, nerves and blood vessels is significantly reduced, thus, less pain and rehabilitation after surgery. There is also a reduced risk of infection compared to an open technique.
Shoulder arthroscopy is generally an outpatient procedure. The average postoperative course involves 2-6 weeks in a shoulder sling to protect the work done on the shoulder. A sling may be required for 6 weeks if the shoulder's condition requires a more extensive surgery. Most patients begin physical therapy 2-6 weeks after surgery. Patient's return to work is extremely variable after their procedure, depending on their surgery and their work type. Athletes can expect to return to sports between 6 months and 1 year after surgery. High-level athletes participate in an intense physical therapy course after surgery, gradually increasing their workout intensity.
In arthroscopic rotator cuff repair, the torn tendon is sewn back to the bone of the humerus. Dr. Domb continues to research the most advantageous methods of repair, and his evolving innovations have been published in the Journal of Bone and Joint Surgery, the most prestigious journals in Orthopedic Surgery.
In arthroscopic labral repair, the torn labrum is sewn back to the edge of the glenoid socket using sutures. Dr. Domb continues to research the most advantageous methods of repair, and his innovations have been published in the journal Arthroscopy, one of the most prestigious journal in Orthopedic Surgery.
Biceps tenodesis is an option for those who do not have relief or improvement with a biceps tendon tear with conservative methods. Several new, procedures have been developed to repair the tendon in a minimally invasive fashion. The goal of the surgery is to re-attach the tendon to the bone. At the level of the shoulder, the biceps tendon will usually be reattached or anchored to the proximal humerus using a small screw and suture.