[Arthroscopic shoulder surgery].
In the field of orthopedic surgery, arthroscopic surgery has become widespread since its first development by Dr. Watanabe in 1950. Arthroscopic surgery for the knee joint is now a common procedure, but this surgery is not so common when the procedure involves the shoulder joint. Although using arthroscopic surgery is not so common on the shoulder joint, there are several benefits by utilizing arthroscopy in such cases. Some of the benefits are; minimal scar formation, no functional limitation of the deltoid muscle, and a quick recovery time. So it is believed that due to these benefits, shoulder arthroscopy will become common in the future. The glenohumeral joint and subacromial bursa are the area of shoulder where arthroscopic surgery proves to be useful. In the glenohumeral joint, it is possible to see the biceps tendon, glenoid surface, humeral head, labrum, glenohumeral ligament, subscapularis tendon, supraspinatus tendon, infraspinatus tendon, teres minor, and rotator interval. In the subacromial bursa, it is possible to see the acromion, coracoacromial ligament, acromioclavicle joint, and the bursal side of the cuff. For recurrent anterior dislocation of the shoulder, Caspari's method is the arthroscopic Bankart repair. This is the multiple suture technique for a detached labrum-anteroinferior glenohumeral ligament complex from glenoid neck by using Caspari's suture punch. This is the anatomical repair for anterior instability. Superior labral injuries of the shoulder are usually caused by trauma or over use.(ABSTRACT TRUNCATED AT 250 WORDS)
Okamura
K
K
Department of Orthopedic Surgery, Sapporo Medical University, Japan.
D001182:Arthroscopy; D004724:Endoscopy / Q000379:methods; D006801:Humans; D012785:Shoulder Joint / Q000601:surgery*