Arthroscopic Removal of Loose Bodies (Shoulder)
A minimally invasive procedure to remove debris or bony overgrowth causing shoulder pain and stiffness
Loose bodies in the shoulder are fragments of cartilage, bone, or soft tissue that move freely within the joint space. While small, these fragments can cause significant pain, catching, locking, or loss of motion. In many cases, they are the result of injury, arthritis, or degenerative changes in the joint. When non-surgical options are no longer effective, minimally invasive surgery may be recommended to remove these loose bodies and relieve symptoms.
Dr Ben McGrath is an experienced orthopaedic surgeon offering arthroscopic procedures to address a range of shoulder conditions. Using small incisions and precision instruments, he can assess the shoulder joint and remove loose fragments to help restore comfort and function.
Why Do Loose Bodies Develop in the Shoulder?
Loose bodies can develop for several reasons, including:
Osteoarthritis or degenerative joint changes, which may cause cartilage or bone fragments to break off
Previous shoulder injuries, including fractures or dislocations
Cartilage wear or damage, often from repetitive motion or age-related changes
Post-surgical debris, such as small bone spurs or cartilage fragments that persist after previous procedures
In some cases, loose bodies may be asymptomatic. However, when they interfere with joint movement or cause discomfort, treatment may be required.
When Shoulder Surgery May Be Recommended
Surgery may be considered when loose bodies cause:
Persistent pain or aching within the shoulder
Locking, clicking, or catching sensations during movement
Limited shoulder range of motion
Disruption to daily activities, sport, or work
Failure of non-operative treatments such as rest, physiotherapy, or anti-inflammatory medications
Before recommending surgery, Dr McGrath will perform a thorough clinical assessment and review imaging such as X-rays or an MRI to confirm the diagnosis.
About the Procedure: Arthroscopic Removal
Arthroscopic surgery uses small incisions and a camera (arthroscope) to view the inside of your shoulder joint.
During the procedure:
- A tiny camera is inserted through one incision to provide a detailed view of the joint.
- Specialised instruments are introduced through additional small incisions.
- Loose bodies are carefully identified and removed.
- Any other contributing issues, such as inflamed tissue or cartilage roughness, can also be addressed during the same procedure.
This technique allows for precise removal while preserving healthy joint structures and reducing trauma to the surrounding tissues.
Potential Benefits of Arthroscopic Shoulder Surgery
Relief from pain, clicking, or locking caused by loose bodies
Improved range of motion and shoulder function
Minimally invasive approach with smaller incisions and quicker healing
Reduced risk of stiffness or scarring compared to open surgery
Ability to address multiple joint issues in one procedure if required
Recovering from Arthroscopic Shoulder Surgery
Recovery times vary depending on the extent of the procedure and any underlying joint damage, but in general:
Most patients return to light activities within a few days
A sling may be used briefly for comfort, though early movement is encouraged
Physiotherapy may begin shortly after surgery to improve shoulder strength and mobility
Many patients resume normal activities or work within 2 to 4 weeks
Full recovery may take 6 to 12 weeks for more complex cases
Dr McGrath and his team will provide detailed post-operative instructions and guide your recovery through regular follow-up appointments and collaboration with your physiotherapist.
Rehabilitation and Recovery
A structured rehabilitation program is critical to restoring shoulder function.
Phase 1: Early Recovery (Weeks 0–6)
- Focus: Pain control and gentle range-of-motion exercises.
- Physiotherapy begins shortly after surgery to maintain flexibility.
Phase 2: Intermediate Recovery (Weeks 6–12)
- Focus: Gradual strengthening of shoulder muscles and improving mobility.
- Exercises become more intensive under the guidance of a physiotherapist.
Phase 3: Advanced Recovery (Months 3–6)
- Focus: Restoring full function and resuming normal activities.
- Low-impact activities such as swimming or light gym exercises are introduced.
Long-Term Outcomes
Capsular release surgery is often effective in relieving pain and restoring shoulder mobility, though outcomes can vary based on the severity of the condition and adherence to post-operative care.
Expected Improvements:
- Reduction in pain and stiffness.
- Improved shoulder movement and strength.
- Enhanced ability to perform daily activities and return to an active lifestyle.
Regular follow-up appointments with Dr McGrath ensure ongoing progress and address any concerns during recovery.