Shoulder Arthroscopy Lake Oswego OR

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Jon Carper Vessely, MD
(503) 636-3130
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
James Robert Loch, MD
(503) 203-2096
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1976

Data Provided By:
Rosalyn Marie Montgomery, MD
(503) 699-4042
Lake Oswego, OR
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1986

Data Provided By:
Dale Van Rhoney, DDS
(503) 635-9371
440 A Ave
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Walter Swanson, MD
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1970
Hospital
Hospital: Columbia Mem Hosp, Astoria, Or
Group Practice: Columbia Orthopedic Clinic

Data Provided By:
Stephen Fuller, MD
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Terry G Dischinger, DDS
(503) 635-4439
3943 Douglas Way
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Brendan Mcsherry, DDS
(503) 657-8312
15775 SE 82nd Dr
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Raymond Marble, MD
16869 65th Ave PMB 507
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1967

Data Provided By:
Robert Keith Smith, MD
(503) 203-2096
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1975

Data Provided By:
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Shoulder Arthroscopy

A Patient's Guide to Shoulder Arthroscopy

Introduction

The use of arthroscopy (arthro means joint and scopy means look) has revolutionized many different types of orthopedic surgery. During a shoulder arthroscopy, a small video camera attached to a fiber-optic lens is inserted into the shoulder joint to allow a surgeon to see without making a large incision. Today the shoulder is one of the joints in which the arthroscope is commonly used to both diagnose problems and to perform surgical procedures inside the joint.

This guide will help you understand

  • how the condition develops
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy


The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). A part of the scapula, called the glenoid, forms the socket of the shoulder. The glenoid is very shallow and flat, shaped somewhat like a dinner plate rather than a bowl. The humeral head forms the ball portion of the joint. Both the glenoid and the humeral head are covered with articular cartilage. Articular cartilage is the smooth, white material that covers the ends of bones in most joints. Articular cartilage provides a slick, rubbery surface that allows the bones to glide over each other as they move. Articular cartilage also functions as a shock absorber.


The rotator cuff connects the humerus to the scapula. The rotator cuff is formed by the tendons of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. Tendons attach muscles to bones. Muscles move the bones by pulling on the tendons. The rotator cuff helps raise and rotate the arm. As the arm is raised, the rotator cuff also keeps the humerus tightly in the shoulder socket, the glenoid. The upper part of the scapula that makes up the roof of the shoulder is called the acromion.


The shoulder joint is surrounded by a water tight pocket called the joint capsule. This capsule is formed by the rotator cuff tendons, ligaments, connective tissue and synovial tissue. When the joint capsule is filled with sterile saline and is distended, the surgeon can insert the arthroscope into the pocket that is formed, turn on the lights and the camera and see inside the shoulder joint as if looking into an aquarium. The surgeon can see nearly everything that is inside the shoulder joint including: (1) the joint surfaces of the glenoid socket and the humeral head (2) the rotator cuff tendons, (3) the glenoid labrum and (4) the synovial lining of the joint.

The arthroscope can also be placed in the space outside the shoulder joint known as the subacromial bursa. This bursa is a water tight pocket that sits above the shoulder joint. By placing the arthroscope into this space, the surgeon can see the underside of the distal end of the clavicle (collarbone) and the acromion as well as the joint that is for...

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