• Shoulder Joint Pain Is one of the most common Joint-Ache.
• Patient Is Evaluated By Orthopedic Surgeons.
• Initial Radiological and Lab Studies Suggested are-
  • X-Ray, MRI, Ultrasound and Blood Examination.

1. Diagnostic Arthroscopy- To Conform Diagnosis.
2. Therapeutic Arthroscopy- To Treat Shoulder pain.

• Procedure Is Performed In Hospital or Outpatient Surgical Center
• Aseptic Precautions as Guided By JCHO Are Followed.
• Procedure is performed under General anesthesia, Sedation or Regional Anesthesia.
  • General Anesthesia- Patient is completely asleep.
  • Sedation- Patients receives intravenous sedation and local anesthesia.
  • Regional anesthesia is known as Cervical Plexus Block.

After anesthesia skin is prepared and covered with sterile drape. Marking pen is used to mark the entry point of scope.

Skin over the marking point is injected with local anesthesia. 1 to 3 ccs of 1% lidocaine injected into the skin and soft tissue underneath the skin.

Skin incision is made with sharp knife. Arthroscope is passed through the skin into shoulder joint. Arthroscope is used to diagnose cause of the pain.

• The bursa is observed thkrough arthroscope.
• Needle Is passed in to bursa and synovial fluid is aspirated
• Deflation of bursa results in pain relief.

• Inflammation of supraspinatous ligament causes severe pain.
• Arthroscopic examination of tendon confirms the diagnosis.

Shoulder joint capsule when pinched under acromion causes severe pain. Diagnosis is confirmed by arthroscopy.

Clinical diagnosis of rotator cuff tear is confirmed by arthroscopic examination.

• Inflammation of biceps tendon causes severe pain and restricted shoulder joint movement.
• Inflamed tendon is observed under scope.

• Bone spur often is difficult to diagnose with x-ray or MRI.
• Arthroscopic examination confirms the presence of bone spur.

G. Inflamed Loose Cartilages are observed in advanced osteoarthritis and rheumatoid arthritis of shoulder joint.