Arthroscopy is a technique where specially-designed thin instruments are introduced into joints which removes the need for performing open surgery. This is a resection procedure where the last half inch of the clavicle (collar bone) is removed. This leaves a space between the clavicle and the acromion (the piece of bone that meets the clavicle at the outer end)
The space fills with scar tissue which allows movement but prevents the bone ends from rubbing together.
Before your Operation
You may have to attend a pre-admission appointment to assess your suitability for anaesthesia. At this appointment you will also be given a fasting instructions leaflet.
On the Day of Surgery
This is a day case procedure. You will be in hospital between four and seven hours.
Following your Operation
On returning from theatre your shoulder will be supported with a sling and sometimes cold packs will be applied to reduce pain and swelling.
Risks Involved
All surgery carries a risk. The shoulder may become infected. Damage to nerves or tendons can occur. Shoulder instability may occur, but it is uncommon. Even though the operation is successful recurrence is not uncommon.
Benefits
The pain will ease and you will be able to move your shoulder normally. The post-operative inflammation usually settles after some time and the main improvements will be seen in the first 6 months. But a slow recovery of the remaining symptoms, lasting up to 2 years, is not unusual.
Alternatives to this Procedure
Some physiotherapy may be beneficial during the early stages of the problem to control pain and strengthen muscles. Injections of steroid into the acromio clavicular joint can be tried before surgical intervention (but this often leads to recurrence).