Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat problems inside the shoulder joint. By using a small camera called an arthroscope, orthopedic surgeons can see the inside of the joint in great detail and perform necessary repairs without making large incisions. This advanced technique often results in less pain, faster recovery, and smaller scars compared to traditional open surgery. At the practice of Steven C. Thomas, MD and Donald W Pennington, DO, our board-certified surgeons specialize in orthopedic procedures in the Las Vegas area.
Why Shoulder Arthroscopy Is Performed
Shoulder arthroscopy can be used for both diagnosis and treatment. Surgeons often recommend it when imaging tests such as X-rays or MRIs suggest a problem that needs surgical repair or direct examination. Common conditions treated with shoulder arthroscopy include:
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Rotator cuff tears
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Shoulder impingement syndrome
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Labral tears (SLAP or Bankart)
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Shoulder instability or recurrent dislocations
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Frozen shoulder (adhesive capsulitis)
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Removal of loose bone or cartilage fragments
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Repair of damaged ligaments or tendons
Benefits of Shoulder Arthroscopy
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Minimally invasive: Smaller incisions mean less trauma to surrounding tissues.
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Faster recovery: Many patients return to daily activities sooner than with open surgery.
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Less scarring: Tiny incisions reduce visible marks.
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Versatility: Can be used to treat multiple shoulder problems in one procedure.
How the Procedure Works
Step 1: Anesthesia
The procedure is performed under regional nerve block, general anesthesia, or a combination of both.
Step 2: Small Incisions
Tiny incisions (about the size of a buttonhole) are made around the shoulder to insert the arthroscope and surgical instruments.
Step 3: Joint Inspection
The arthroscope transmits images to a monitor, allowing the surgeon to view the shoulder structures in real time.
Step 4: Surgical Repair
Depending on the findings, the surgeon may trim, repair, or remove damaged tissues; reattach torn tendons; or smooth bone surfaces to relieve impingement.
Step 5: Closure and Recovery
The incisions are closed with small stitches or adhesive strips, and a bandage is applied. Most patients go home the same day.
Recovery After Shoulder Arthroscopy
Recovery time depends on the extent of the repair:
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First few days: Expect mild swelling, soreness, and limited mobility; use ice and prescribed pain medication.
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First 2–6 weeks: Physical therapy begins to restore movement and prevent stiffness.
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6–12 weeks: Gradual strengthening exercises are introduced.
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3–6 months: Most patients regain full function, though complex repairs may take longer.
Potential Risks and Complications
While shoulder arthroscopy is generally safe, risks include:
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Infection
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Nerve injury
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Persistent stiffness or weakness
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Blood clots (rare)
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Need for additional surgery if the problem recurs
Who Is a Good Candidate for Shoulder Arthroscopy?
Ideal candidates are patients with shoulder pain, weakness, or instability that hasn’t improved with non-surgical treatments like rest, physical therapy, or medication. An orthopedic evaluation is necessary to determine if arthroscopy is the right option.
Contact Us
If shoulder pain is limiting your mobility or quality of life, our orthopedic specialists can help. Contact us today to schedule a consultation and find out if shoulder arthroscopy is the right treatment for you.
Contact Surgeons Dr. Thomas and Dr. Pennington at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:
If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments,contact the office today click here.
Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada