Arthroscopic Shoulder Surgery Specialist

Charles J. Pearlman, MD

Orthopaedic Surgeon located in Sheepshead Bay, Brooklyn, NY

Many injuries and conditions of the shoulder will need surgery to be fixed. At his practice, Dr. Pearlman provides minimally-invasive, arthroscopic shoulder surgery to patients throughout Sheepshead Bay, Brooklyn, and the New York City areas.

Arthroscopic Shoulder Surgery Q & A

What is Arthroscopic Shoulder Surgery?

Arthroscopy is a surgical operation where an orthopedic surgeon will diagnose, examine, and mend problems within a joint. The term actually means to view the inside the joint. Throughout shoulder arthroscopy, the surgeon puts an arthroscope into the shoulder joint. This camera shows images of the inside joint on a TV which guide the surgeon. Since the arthroscope and surgical instruments are extremely thin, the surgeon only has to make a few small incisions instead of the larger incisions needed for open surgery. The procedure is, therefore, less painful for patients and needs a shorter healing period.

When Is Shoulder Arthroscopy Advocated? 

The surgeon can recommend shoulder arthroscopy when the individual has a painful condition which has gotten better with other treatments such as physical therapy, medications, rest, and injections. In a damaged or diseased shoulder, inflammation leads to swelling, pain, and inflexibility. Damage, overuse, and age-related deterioration are typically the cause most shoulder discomfort. Shoulder arthroscopy is employed to address painful symptoms which damage labrum, articular cartilage, the rotator cuff tendons, and other soft tissues around the joint. Frequent uses include:

  • Labrum removal or repair
  • Ligament repair
  • Rotator cuff repair
  • Removal of bone spur
  • Repair for recurring shoulder dislocation
  • Extraction of inflamed tissue or loose cartilage

What is the Procedure Like?

Initially, fluid is injected into the shoulder to expand the joint. This allows all the structures of the shoulder to be examined. Then the doctor will use a small puncture in the shoulder and insert the arthroscope. Fluid flows through the arthroscope to manage any bleeding and maintain a clear view. Once the problem has been determined, the doctor will use specialized, thin instruments to correct it. These can be employed for grasping, cutting, shaving, passing sutures, and tying knots. Commonly, special devices are utilized to anchor stitches to the bone. The doctor will then suture the incisions closed with either stitches or a sterile strip and protect them with a bandage.