Shoulder arthroscopy in Tehran | The best orthopedic surgeon Dr. Homan Kokbi

جراحی آرتروسکوپی شانه

آرتروسکوپی شانه یک روش جراحی کم تهاجمی است که برای تشخیص و درمان مشکلات مختلف شانه، از جمله آسیب‌های روماتیسمی، آسیب‌های ورزشی، التهاب‌ها و شکستگی‌ها، استفاده می‌شود. در این روش، جراح از یک دستگاه به نام آرتروسکوپ (یک لوله نازک دارای دوربین و ابزار جراحی) برای ورود به شانه از طریق یک برش کوچک استفاده می‌کند.

به منظور انجام آرتروسکوپی شانه در تهران، بیمار در موقعیت جراحی قرار می‌گیرد و برش کوچکی در پوست شانه ایجاد می‌شود. سپس آرتروسکوپ به داخل شانه وارد می‌شود تا دقیقاً بر روی منطقه مورد نظر تمرکز کند. از آرتروسکوپ برای تصویربرداری و همچنین برای اجرای عمل جراحی استفاده می‌شود.

آرتروسکوپی شانه مزایایی از جمله کاهش زمان بهبودی، کاهش درد پس از عمل، کمترین میزان باز شدن شانه در مقایسه با جراحی های سنتی دارد. This method is usually used to perform surgeries such as shoulder repair, removal of a part of shoulder articular cartilage (cartilage disc) or repair of shoulder ligament injuries and surrounding tissues.

However, it should be noted that any surgery has risks and should be performed by a skilled surgeon. Also, the duration and type of post-operative advice may depend on the type of shoulder problem. It is important to follow the instructions of the shoulder arthroscopy specialist, Dr. Kokbi (Shoulder Arthroscopy Specialist in Tehran) exactly and do the recommended physical therapy and exercises to have a better recovery.

Shoulder Anatomy

Shoulder, or shoulder joint, is one of the most important joints in the human body that allows the hands to move up and down and is very important. The shoulder has several parts, the upper arm bone (humerus), the shoulder blade (scapula) and the collar bone (clavicle).

Shoulder capsule

The shoulder capsule or shoulder joint capsule is an important structure in the shoulder joint. This capsule is a thick and protective layer of tissues around the shoulder joint, which protects the joint and prevents the absorption of inflammatory substances and joint destruction. This capsule is a tough and flexible tissue that holds the joint in place and prevents abnormal movements and instability of the shoulder joint. Also, the shoulder joint capsule helps nourish and supply blood to the joint.

If the shoulder joint capsule is destroyed by injury, inflammation, or joint disease, it may cause pain, swelling, and problems with shoulder movement. In this case, you need to see a maxillofacial surgeon (maxillofacial surgeon) or a rheumatologist for accurate diagnosis and appropriate treatment.

Rotator Cuff

Rotator Cuff is a set of four important muscles in the shoulder area (shoulder joint) that play an essential role in shoulder movements. These four muscles are:

deltoid muscle (Deltoid): This large, triangular muscle is located in the shoulder area and plays an essential role in shoulder movements.
Subscapularis or subscapularis muscle (Subscapularis): a wide and large muscle located in front of the shoulder and involved in shoulder contraction Supraspinatus: This muscle is located in the upper and back region of the shoulder and plays an important role in shoulder lifting movements.

When is shoulder arthroscopic surgery recommended?

The decision to undergo shoulder arthroscopy depends on the type and severity of your shoulder problems. Shoulder arthroscopy is usually recommended for:

Ligament repair: If one or more ligaments in your shoulder are damaged, arthroscopy can be used to repair and rebuild the ligaments. This may be done in cases such as rotator cuff ligament tears, etc.
Inflammation of the joint mucosa: In some cases, the shoulder joint may become inflamed, which leads to pain and movement problems. Arthroscopy can be effective for treating inflammations and draining joint mucus. Joint injury: If the shoulder joint is damaged, arthroscopy is performed to repair and strengthen the joint. The final decision to perform shoulder arthroscopy should be made by your treating physician. Your doctor will decide whether to perform this surgical procedure based on your clinical history, symptoms, results of imaging tests (such as an MRI), and your physical condition. Shoulder arthroscopy is generally considered a minimally invasive procedure that can reduce recovery time and postoperative pain.

Benefits of shoulder arthroscopy

Shoulder arthroscopy is used as a minimally invasive surgical procedure for shoulder problems and has important advantages. In the following, we will present the benefits of shoulder arthroscopy =:

reduction of recovery time: One of the main advantages of shoulder arthroscopy is the reduction of recovery time compared to traditional surgeries. This method usually requires smaller incisions and can provide a faster recovery.
Reduction of post-operative pain: Shoulder arthroscopy usually causes less compression of the nerves together and makes the person feel less pain.
Less amount of shoulder opening: This method has the least amount of opening of the shoulder joint compared to traditional surgeries. This issue can help maintain the stability and balance of the joint.
Precise diagnosis: Shoulder arthroscopy allows the doctor to closely observe shoulder problems and make a more accurate diagnosis through the arthroscope camera.
Shoulder repair: This method is used as a suitable solution for shoulder repair.
Possibility of repairing ligaments and surrounding tissues: Arthroscopy can be used to repair the ligaments and tissues around the shoulder joint, including the rotator cuff ligaments.
Reduced risk of infection: Due to the smaller incisions and less damage to the surrounding tissues, the risk of infection after arthroscopy is reduced.

In any case, the final decision on the type of surgery and the appropriate treatment is made by Dr. Kokbi and should be discussed with him about the shoulder problems and the pros and cons. Consult arthroscopy.

Complications of shoulder arthroscopy

Shoulder arthroscopy is a minimally invasive surgery, but there may still be some complications and post-operative problems, but these are very rare. In the following, I will mention some possible complications of shoulder arthroscopy:

Infection: As with many surgeries, infection after surgery is a possible risk. Doctors take steps to reduce this risk.
Bleeding: Bleeding may occur at the site of surgery after surgery. This bleeding is usually small and stops quickly.
Pain and inflammation: After shoulder arthroscopy, some patients may experience pain and inflammation in the operation area. This pain is usually reduced with medication and usually lasts for several weeks after surgery. Problems with anesthesia: In rare cases, patients may experience problems with anesthesia after surgery. The formation of lumps or damage to the tissues around the joint.

In any case, these complications are rare and very few, and most patients return to their normal state after shoulder arthroscopy without significant problems. The decision to perform this surgery should be made with the doctor and he will give you more detailed information about the complications and recovery process.

cost of shoulder arthroscopy in Tehran

The price of shoulder arthroscopy may depend on the surgeon, location of surgery, insurance coverage, shoulder problems, and level of surgery. Also, each country and region has different medical costs.

Typically, shoulder arthroscopy is one of the relatively inexpensive surgical procedures compared to many other surgeries. Costs include the following costs:

The cost of initial consultation and diagnosis by a physician.
Imaging costs such as
Costs of shoulder arthroscopic surgery, which includes the cost of surgery and equipment required.
Costs of medical insurance and insurance coverage, if applicable.
Combined costs of post-operative care, including costs of physical therapy and Medications.
Expert post-operative care costs if needed.

Please contact your doctor and insurance to get more detailed information about the costs associated with shoulder arthroscopy and insurance coverage in your case. Also, costs seem to be determined in most cases based on your shoulder problem and treatment needs.

Shoulder arthroscopy recovery period

The recovery (or recovery) period of arthroscopic shoulder dislocation surgery may last for several months, depending on the type of surgery and the type of shoulder problem. But in general, the recovery period after shoulder arthroscopy consists of:

Returning home after the operation: The patient regains consciousness in the ward after the operation and remains under medical care in the hospital until they are sure that he is in a stable medical condition. In some cases, they will stay in the hospital overnight.
Pain Relief: Your doctor will usually prescribe pain medication to reduce post-operative pain and discomfort.
Physiotherapy: This step is very important to improve shoulder strength and mobility. This is also needed for shoulder arthroscopy and return to sports.
Limitations: Until If the shoulder does its job completely, you may have limitations in movement.
Avoid lifting heavy loads: For some time after the operation, you should avoid lifting heavy loads in order to achieve a better recovery.
Continuous care and medical follow-up: You should follow regular shoulder care and medical follow-up programs to ensure recovery and return to your normal activities.

The exact recovery period is determined by Dr. Cookby and you must follow his instructions and directions carefully. Also, each person responds differently to surgery and treatment, so the importance of recommendations and attention to your condition is very important.