Adhesive capsulitis – artorskopicheskaya surgery – Frozen shoulder – artorskopicheskaya surgery

Description artorskopicheskoy surgery treatment of adhesive capsulitis

Адгезивный капсулит – утолщение в плечевом суставе. It arises as a result of inflammation capsule, surrounding the shoulder joint. This reduces the the range of motion of the shoulder and causes pain. Еще одно название болезни – плечелопаточный периартрит.

During arthroscopic surgery the doctor cuts and removes scar and inflamed tissue around the shoulder. The purpose operation is, to increase the range of motion, removing the inflamed tissue.

Indications for surgery

The operation is aimed at:

• Relieve pain;
• Restore range of motion in the shoulder joint;
• Removal of scar tissue and inflamed.

Possible complications during surgery

If you plan to have surgery, you need to know about possible complications, which may include:

• Bleeding;
• Infection;
• Pain;
• Damage to nerves;
• Soft tissue injuries;
• Ankylosis;
• Fracture;
• The negative reaction to anesthesia.

Some factors, that may increase the risk of complications include:

• Recently transferred or chronic illness;
• Taking certain medications, notably increase the risk of bleeding (eg, aspirin);
• Smoking or drinking alcohol;
• Previous shoulder surgery.

As held artorskopicheskaya Surgery?

Preparing for Surgery

Before the operation it is necessary to pass the following tests:

• Medical checkup;
• X-ray examination, to make pictures of bones;
• МРТ – тест, which uses magnetic waves, to make pictures of internal organs.

Perhaps it will be necessary to stop taking certain medicines a week before surgery, eg:

• Aspirin or other anti-inflammatory drugs;
• Do not take blood thinners, such as warfarin, Clopidogrel.

You can not eat after midnight the day of surgery.

If the patient has diabetes, You may need to take special medicines. On the day of the operation you should take a shower with a special antibacterial soap. Do not use deodorant.

Anesthesia

The operation is performed under general anesthesia, during the operation the patient is asleep.

Activity description

The shoulder made three small incisions. Inserts a special instrument called an arthroscope. The arthroscope is a flexible tube with a light source at the end. This will allow the doctor to view the inside of the shoulder on the screen. Miniature tools are inserted into the other incisions. The doctor cuts and removes scar tissue and inflamed. After the surgery, the incision is closed.

After operation

After surgery, the patient is sent to the recovery room until the end of anesthesia.

How long does the surgery?

Operation takes from half to two hours.

Will it hurt?

Anesthesia will prevent pain during the procedure. После операции в течении двух – трех дней может чувствоваться боль в плече. For pain relief after surgery appoint appropriate painkillers.

The time spent in hospital

If there are no complications, Out of the hospital on the day of surgery.

Postoperative care

Shoulder pain may be felt for several weeks after surgery. Full recovery may take 3 – 6 months.

For a normal recovery, you need to do the following:

• Applying ice on the swollen area for 24 – 48 hours after surgery. Длительность процедуры – 20-30 minutes at a time;
• Sleeping or sitting in a chair. Elbow pillow;
• Regularly doing dressings;
• Start to take a shower later 2-3 day after surgery;
• It is necessary to take painkillers funds;
• Through 10 – 14 shry days must be removed;
• It is necessary to do special exercises, to increase the mobility of the shoulder joint;
• We must stick to the doctor's recommendations.

It is necessary to go to the hospital in cases

• The appearance of signs of infection, including fever and chills;
• Redness, edema, strong pain, excessive bleeding, or discharge from incisions;
• Inability to relieve pain using painkillers;
• Cough, shortness of breath or chest pain;
• Severe nausea or vomiting;.
• Constant tingling or numbness, especially in the hands and wrists.