Explore Arthroscopic Shoulder Surgery Options
Understand the Benefits, Limitations, and Common Procedures
Minimally invasive shoulder surgery, also known as arthroscopic shoulder surgery, has become a widely adopted approach for diagnosing and treating many shoulder conditions. In this presentation, Dr. Matthew DiPaola—shoulder and elbow specialist—explains what arthroscopic surgery really means, how it differs from other surgical approaches, and when it’s the right option.
This page summarizes key points from his talk and outlines the most common procedures performed using arthroscopy. Watch the full presentation below for a deeper look.
What Is Arthroscopic Shoulder Surgery?
Arthroscopy involves using a fiber optic camera (called an arthroscope) and specialized small instruments inserted through tiny incisions—usually about a centimeter long. The goal is to repair, remove, or reshape tissue inside the joint with as little disruption to surrounding muscle and soft tissue as possible.
It is not the same as “minimally invasive open surgery,” which simply refers to making a smaller traditional incision. Arthroscopic procedures are truly different—they rely on long, precise tools and cameras to access and work inside the joint, offering unique benefits.
Common Arthroscopic Shoulder Procedures
Arthroscopy is particularly effective for:
Rotator Cuff Repairs
Most rotator cuff tears—especially small or moderate ones—can be repaired arthroscopically. This avoids the need to detach the deltoid muscle, a key benefit for recovery and long-term function. Learn more about minimally invasive rotator cuff repair:
Labrum Repairs
Whether caused by trauma or instability, labrum tears (including SLAP tears) are frequently treated through arthroscopy. This allows access to hard-to-reach areas of the shoulder socket with minimal disruption.
Shoulder Impingement or Bursitis
Arthroscopy can remove inflamed bursal tissue or bone spurs causing impingement, often resulting in quick pain relief and improved motion.
Frozen Shoulder (Adhesive Capsulitis)
When conservative care fails, arthroscopy allows surgeons to release tight capsule tissue and restore movement.
Shoulder Instability
Procedures to tighten loose ligaments and stabilize the joint—often after dislocations—are commonly done arthroscopically.
Biceps Tendon Problems
When the biceps tendon is frayed or inflamed, it can be released or repositioned using minimally invasive techniques.
Removal of Loose Bodies
Arthroscopy allows the removal of bone or cartilage fragments within the joint that are causing locking or catching.
Benefits of Arthroscopic Shoulder Surgery
- Smaller incisions and minimal scarring
- Lower risk of damaging surrounding muscles—especially the deltoid
- Reduced post-operative stiffness due to less scar formation
- Enhanced visualization inside the joint using high-definition cameras
- Access to areas that are difficult to reach through open surgery
- Often results in faster early recovery for select procedures
Important Considerations and Limitations
While arthroscopic techniques offer clear advantages, they are not ideal for every patient or condition. Some larger rotator cuff tears or complex revisions may still require open or hybrid approaches.
It’s also important to know that:
- Pain is not completely avoided—fluid used during the procedure can cause swelling post-operatively
- Recovery timelines depend more on the specific repair done than the size of the incision
- Skill and experience matter—arthroscopy is a technical procedure that requires advanced training
When Arthroscopy May Not Be the Best Choice
Dr. DiPaola emphasizes that while arthroscopy is a powerful tool, it’s just that—a tool. It works best in the hands of surgeons with extensive experience using it. For some patients and procedures, a well-done open surgery may offer better outcomes.
Want to Know More?
If you’re considering shoulder surgery or were told you might need one, understanding all your options is key. Explore related resources below, or schedule a consultation to discuss what’s right for you.