DIAGNOSTIC SHOULDER ARTHROSCOPY REPORT
Diagnostic shoulder arthroscopy is a minimally invasive surgical procedure that allows direct visualization of the shoulder joint’s internal structures through small portals. This procedure is valuable for both diagnosis and treatment of various shoulder pathologies.
The procedure enables visualization of key anatomical structures including the glenohumeral joint, rotator cuff tendons (supraspinatus, infraspinatus, subscapularis, teres minor), biceps tendon and its anchor, glenoid labrum, articular cartilage surfaces, synovial lining, and joint capsule.
Standard portal placement involves a posterior portal serving as the primary viewing portal, an anterior portal as the working portal, and a lateral/subacromial portal for additional access when needed.
The systematic examination begins with glenohumeral joint assessment, evaluating articular surfaces, synovial tissue, and capsular integrity. The rotator cuff examination includes visualization of tendon attachments, assessment of tendon integrity, and evaluation of muscle belly quality. The biceps tendon complex inspection involves examination of the long head of biceps, assessment of bicipital groove, and evaluation of superior labral attachment.
Labral assessment requires a 360-degree inspection of the labrum, evaluation of labral attachment, and assessment of labral integrity. The subacromial space examination includes evaluation of acromion undersurface, assessment of bursal tissue, and inspection of coracoacromial ligament.
Documentation requirements include photographic documentation of pathology, video recording of key findings, detailed description of all visualized structures, and documentation of any interventions performed.
Potential findings may include labral tears (SLAP, Bankart), rotator cuff pathology, biceps tendon abnormalities, cartilage damage, synovitis, loose bodies, and capsular abnormalities.
The procedure offers several advantages including direct visualization of pathology, minimal surgical trauma, excellent diagnostic accuracy, opportunity for immediate intervention, and rapid recovery compared to open surgery.
Limitations include the requirement for specialized equipment, need for technical expertise, limited access to certain areas, potential for fluid extravasation, and risk of neurovascular injury.
This systematic approach to diagnostic shoulder arthroscopy ensures comprehensive evaluation of all relevant anatomical structures while maintaining efficiency and thoroughness in the diagnostic process.
