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Upper Limb and Hand Pathology

Shoulder Arthroscopy

OVERVIEW

Shoulder arthroscopy is an advanced surgical technique that involves the use of a small camera, called an arthroscope, to visualise and treat the internal structures of the shoulder joint. This procedure allows Dr du Plessis to examine the shoulder in detail and address a wide range of orthopaedic issues with minimal incisions. The arthroscope is inserted through small portals, providing a clear view of the joint on a monitor, enabling precise diagnosis and targeted interventions.

Beyond diagnosis, therapeutic arthroscopy allows Dr du Plessis to treat various shoulder conditions during the same procedure. Common therapeutic interventions include repairing torn ligaments and tendons, removing inflamed tissue, and addressing impingement syndrome.

Rotator cuff repair is one of the most common reasons to undergo an arthroscopy of the shoulder. For patients with a torn rotator cuff, Dr du Plessis employs arthroscopy to delicately repair the damaged tendons, promoting optimal healing and restoring shoulder function.

Causes

Several factors can lead to the need for shoulder arthroscopy, including:

  • Rotator cuff injuries: Tears and inflammation of the rotator cuff
  • Labral tears: Damage to the cartilage surrounding the shoulder socket.
  • Impingement syndrome: Compression of the rotator cuff tendons between the shoulder blade and humerus.
  • Shoulder instability: Dislocation or excessive motion of the shoulder joint.
SYMPTOMS
Common symptoms that may indicate the need for shoulder arthroscopy include:
  • Persistent shoulder pain.
  • Limited range of motion.
  • Swelling or inflammation around the joint.
  • Recurrent shoulder dislocations.
  • Weakness in the shoulder or arm.
TREATMENT
Dr du Plessis offers a comprehensive approach to shoulder care, tailoring treatment plans based on the severity and nature of the condition. Treatment options include:
  • Conservative treatment: Non-surgical approaches may include physical therapy, anti-inflammatory medications, and lifestyle modifications to manage symptoms and improve shoulder function.
  • Surgery: When conservative measures prove insufficient, surgical intervention may be recommended. Dr du Plessis specialises in minimally invasive arthroscopic procedures, ensuring less pain, quicker recovery, and reduced scarring.

FAQ

How is the recovery process after shoulder arthroscopy?
The recovery process after shoulder arthroscopy varies depending on the specific procedure performed and the patient's individual condition. Generally, patients can expect less pain and a quicker recovery compared to traditional surgery. Physical therapy is often recommended to aid in rehabilitation and restore shoulder function.
Are there risks associated with shoulder arthroscopy?
While shoulder arthroscopy is considered a safe and effective procedure, like any surgery, it carries some inherent risks. Potential complications may include infection, bleeding, nerve injury, or stiffness. Dr du Plessis will thoroughly discuss potential risks and benefits with each patient before the procedure.
Can all shoulder conditions be treated with arthroscopy?
While shoulder arthroscopy is effective for a wide range of conditions, not all shoulder issues can be addressed through this technique. Dr du Plessis will carefully assess each patient's condition and recommend the most suitable treatment approach, which may include arthroscopy or other surgical or non-surgical interventions.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4