Equis ISSN 2398-2977

Shoulder: arthroscopy

Contributor(s): Bud G E Fackelman, Graham Munroe

Introduction

  • Arthroscopy is a useful tool for both diagnosis and treatment of joint lesions   Joint: arthroscopy - overview  but it is a procedure which should only be carried out by specialists in the field.

Uses

  • Diagnostic evaluation of the joint in cases of lameness localized to the shoulder joint.
  • Surgical treatment of sepsis of the shoulder joint.
  • Osteochondrosis lesions of the shoulder joint   Bone: osteochondrosis  .
  • Subchondral bone cysts.

Advantages

  • Minimally invasive with reduced trauma and fewer complications.
  • Improved visibility.
  • Multiple arthroscopies can be performed in multiple joints on one occasion.
  • Good cosmetic appearance following surgery.
  • Shorter operating time vs. arthrotomy.
  • Reduced convalescence vs. arthrotomy.
  • Better prognosis for return to previous level of performance (and beyond) vs. arthrotomy.

Disadvantages

  • Expensive equipment.
  • High levels of surgical expertise, knowledge and experience of technique required.
  • The shoulder joint is one of the more difficult joints to operate on via arthroscopy.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends on specifics of case.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Bertone J et al (1987) Arthroscopic surgery for the treatment of osteochondrosis in the equine shoulder joint. Vet Surg 16 (4), 303-311 PubMed.
  • Bertone J & McIlwraith C W (1987) Arthroscopic surgical approaches and intra-articular anatomy of the equine shoulder joint. Vet Surg 16 (4), 312-317 PubMed.
  • Nixon A J (1987) Diagnostic and surgical arthroscopy of the equine shoulder joint. Vet Surg 16 (1), 44-52 PubMed.


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