Arthroscopic Shoulder Synovectomy
A minimally invasive procedure to remove inflamed synovial tissue in the shoulder
The synovial tissue lines the joints and helps reduce friction during movement. When this tissue becomes inflamed, it can cause pain, swelling, and limited shoulder function.
Common Reasons for Surgery
- Persistent shoulder pain caused by rheumatoid arthritis, gout, or other inflammatory joint conditions.
- Joint stiffness or swelling that restricts shoulder movement.
- Symptoms unresponsive to medications, injections, or physiotherapy.
Goals of the Procedure:
- Reduce pain and inflammation.
- Improve joint movement and shoulder function.
- Slow progression of joint damage.
Preparation for Surgery
Preparation ensures the best possible outcomes from the procedure.
Steps in Preparation:
- Pre-Surgical Consultation: Dr Ben McGrath will evaluate your condition using physical examinations, imaging studies such as X-rays, MRIs, or CT scans, and a review of your medical history.
- Medication Adjustments: You may need to pause blood-thinning medications or adjust other prescriptions before surgery.
- Fasting Requirements: You will be advised to avoid eating or drinking for several hours prior to the procedure.
Optimising Health: Lifestyle changes, such as smoking cessation or maintaining a healthy weight, may be recommended to support healing.
What Happens During the Surgery?
Shoulder arthroscopy with synovectomy is performed using small incisions and specialised tools.
Surgical Steps:
- Anaesthesia: The procedure is typically performed under general anaesthesia or regional nerve block to ensure comfort.
- Arthroscope Insertion: Small incisions are made to insert the arthroscope (a thin camera) and surgical instruments.
- Synovectomy: Inflamed or thickened synovial tissue is carefully removed to reduce irritation and allow smoother shoulder motion.
- Closure: Once the procedure is complete, the incisions are closed, and a sterile dressing is applied.
The surgery usually takes 1 to 2 hours, depending on the complexity of the condition.
Understanding the Risks
As with any surgical procedure, there are potential risks associated with shoulder arthroscopy and synovectomy.
Common Risks:
- Temporary pain or stiffness in the shoulder.
- Swelling or bruising around the surgical site.
Rare but Serious Risks:
- Damage to surrounding tissues, nerves, or blood vessels.
- Persistent symptoms or recurrence of inflammation.
Dr McGrath takes every precaution to minimise these risks.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain relief is managed with prescribed medications and cold therapy.
- A sling may be used for support and to protect the shoulder during early recovery.
- You will receive detailed instructions on caring for the surgical site and recognising signs of complications.
Discharge Instructions:
- Follow guidelines for wound care, medication use, and activity restrictions.
- Arrange follow-up appointments to monitor progress.
Rehabilitation and Recovery
A structured rehabilitation program plays a key role in recovery.
Phase 1: Early Recovery (Weeks 0–2):
- Focus: Managing pain and swelling.
- Gentle range-of-motion exercises may begin under guidance.
Phase 2: Intermediate Recovery (Weeks 2–6):
- Focus: Regaining mobility and reducing stiffness.
- Physiotherapy sessions may include more active movements and light strengthening exercises.
Phase 3: Advanced Recovery (Weeks 6–12):
- Focus: Restoring full strength and function.
- Gradual return to daily activities and work, based on your progress.
Long-Term Outcomes
Shoulder arthroscopy with synovectomy can provide significant relief for individuals with chronic shoulder inflammation.
Expected Improvements:
- Reduced pain and swelling in the shoulder joint.
- Improved mobility and range of motion.
- Enhanced quality of life and ability to perform daily tasks.
Dr McGrath recommends regular follow-ups and adherence to a physiotherapy program to maintain results and prevent recurrence.