Inflammation of the shoulder joint capsule with subsequent shoulder stiffness (Frozen shoulder or adhesive capsulitis):
Chronic, inflammatory changes in the area of the shoulder joint capsule, which lead to a temporary bracing of the shoulder joint. The Frozen shoulder represents the adhesive form of the periarthropathy humeroscapularis (PHS).
The exact development of the inflammatory changes has not yet been clarified. Histologically, the disease is characterized by a fibrosis of the peri-articular tissue as well as by perivascular infiltrates.
This may be caused by accidental triggers (falling on the shoulder joint) or by internal causes such as diabetes mellitus or metabolic disorders (thyroid function or metabolic function disorders).
Through mobilization under general anesthesia, including a minimally invasive arthroscopic operation of the shoulder, removal of mucous membrane inflammation, with partial separation of the joint capsule and broadening of the subacromial region is performed.
Impingement syndrome at the shoulder joint:
An impingement of the shoulder is referred to as the distance between humerus and bony shoulder has decreased to about 7 mm or less.
The ideal distance between the upper arm and the bony shoulder is approx. 15-17mm.
The acromion can have a hook shape, but also causes like degenerative changes of the shoulder joint and accident can narrow the subacromial space.
An acute onset of pain, which occurs discreetly at rest and strengthens under stress (especially in overhead activities). The pain is described as lying deep in the joint and often strengthens at night, so that lying on the affected side is scarcely possible.
A minimally invasive ambulatory arthroscopic operation of the shoulder results in an extension of the subacromial space as well as subacromial bursectomy.
Calcific tendinitis of the shoulder joint (Tendinosis calcarea):
Is a disease in the region of the shoulder tendons, especially the supraspinatus tendon.
The cause is an insufficient blood supply to the rotator cuff is seen leading to reactive lime deposits on the tendons, the degree of stress on the shoulder, a previously suffered injury or crash appears to be irrelevant to the shoulder.
Initially occurs shoulder pain which is possibly only with certain movements, especially in an overhead activity and rotators movements of the arm. Increasingly, pain during rest which can be particularly distressing at night and often radiates into the upper arm. In addition, the irritation in the joint leads to an inflammation of the mucous bag in the shoulder joint.
In the early phase of the disease one can use shockwave therapy.
The lime deposit is removed by minimally invasive outpatient arthroscopic surgery.
Rotator cuff rupture (tear of the upper arm cuff-muscle of the shoulder):
The muscles and tendons of the rotator cuff enable the arm to be turned in and out. A tear of muscles or tendons in the shoulder can cause pain in the shoulder area as well as movement restriction of the arm especially the abduction movement.
Damage to the rotator cuff may occur due to accident or wear. Frequent trigger of the disease is a fall on an outstretched arm.
Persistent pain in the shoulder or upper arm, especially agonizing pain at night. As the stage progresses, complaints of movement restriction up to the shoulder stiffness occur.
The aim of the therapy is the operative reconstruction of the tendon function and the restoration of the strength and mobility in the shoulder joint.
A minimally invasive ambulatory arthroscopic operation of the shoulder joint is used to fix the damaged tendon attachment with detachable thread anchors, which reconstruct the tendon with the bone. This will result in a complete healing.