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An alternative to shoulder replacement surgery
Osteoarthritis is a condition where the cartilage in your joint becomes worn away, causing pain and swelling. It is most common in people over the age of fifty, but can also affect younger people.
CAM is a minimally invasive procedure, which means it doesn't involve making large incisions (cuts) during the surgery. It may be used instead of shoulder replacement surgery, especially in young, active people. The procedure aims to preserve your joint and relieve pain along the back and side of your shoulder.
Call us on 0141 300 5009 or book online today to arrange a consultation to discuss private comprehensive arthroscopic management with a consultant of your choice at Circle Health Group.
This page explains what comprehensive arthroscopic management is, what happens during the procedure and what to expect afterwards.
Your consultant will ask you about your general health and medical history. They will ask you about your symptoms and perform a physical examination.
Your consultant may want to confirm your diagnosis with tests and scans including:
At Circle Health Group, your first appointment is very important as it's where your consultant will examine you, ask you about your symptoms, order any necessary tests, and discuss possible treatments.
Your first consultation is also where we get to know you, discuss your expectations for treatment and encourage you to ask any questions you may have. It is important to us that you are as well-informed and comfortable as possible before, during, and after your treatment, so please ask your consultant any questions you have about the procedure.
Your consultant will decide if CAM surgery is suitable for you based on your diagnosis, general health, and lifestyle, as well as your preferences and expectations for treatment.
If you are taking blood thinners like aspirin or warfarin, your consultant may tell you to stop taking them for a few days before the procedure. This is to reduce the risk of bleeding during and after your surgery.
Being as fit as possible before your operation will help your surgery and recovery go more smoothly. Some things you can do to ensure you are as healthy as you can be before your operation include:
You may not be able to eat or drink anything from midnight on the day of your surgery.
Let your consultant or hospital know if you have any questions about preparing for your surgery.
It is a type of arthroscopic (keyhole) surgery meaning it is performed through small incisions (cuts) using a flexible camera to see what's happening inside the joint and specially designed small instruments to operate inside it.
There are three stages to CAM surgery:
Your consultant will remove any damaged labral tissue (the tissue attached to the shoulder socket that keeps the shoulder in place) and smooth over the bone.
Scar tissue is removed from the joint capsule freeing the joint and restoring mobility.
Any bone spurs and scar tissue are removed, releasing the trapped axillary nerve and relieving pain.
When your surgery is complete, your incisions will be closed, and a sterile dressing applied.
CAM surgery may be different for everyone and what happens during your procedure will depend on your diagnosis, general health, and individual circumstances. Talk to your consultant about what will happen during your surgery.
CAM surgery is a minimally invasive procedure and recovery is usually faster than with other types of surgery.
In general, your incisions will heal and pain will improve after around two weeks. You will have physiotherapy on your shoulder for between six and twelve weeks after your surgery.
CAM surgery is sometimes performed as a day case, meaning you will be able to go home the same day, or you may need to spend one night in hospital.
No. After your procedure, you will have your arm immobilised in a sling and will not be able to drive yourself home. Ask someone to pick you up from the hospital, or we can arrange a taxi for you.
When you can go back to work after your surgery depends on your individual recovery and the type of job you do.
You can normally return to office work within two to four weeks, light physical work within six to twelve weeks and heavier physical work after around four to six months.
Talk to your consultant about when you can expect to return to work after your surgery.
You can drive when you are able to perform emergency and non-emergency manoeuvres comfortably. It will probably be at least four weeks after your surgery before you can drive.
Recovering from any type of surgery is a gradual process and is different for everyone. You can help speed your recovery by being as well prepared as possible before your surgery and following your consultant's instructions carefully after your procedure.
Your consultant will schedule follow-up appointments with you to check your progress after your surgery.
Most people feel their shoulder is back to normal around six months after CAM surgery.
Benefits of CAM surgery include:
Arthroscopic (keyhole) surgery is generally very safe, but like any surgical procedure, there is a small risk of complications.
Your consultant will explain all the possible risks and complications of CAM surgery before your procedure. Please ask any questions and discuss any concerns you may have about your surgery. Being fully informed about what to expect before, during and after your operation will help put your mind at rest and allow you to make an informed decision.
General risks of surgery include:
Risks specific to CAM surgery include:
Arthroscopic (keyhole) surgery is a type of procedure where a flexible camera is inserted through small incisions in the skin and the surgeon performs the operation using images transmitted from the camera on a large screen. The technique allows surgery to be performed without making large incisions and is safer and carries less risk of complications than regular (open) surgery.
Whether arthroscopic surgery is worth it is a very personal decision and depends on your symptoms, how much they impact your life and your expectations for surgery. Talk to your consultant about what arthroscopic surgery involves, an estimated timeline for recovery and what outcomes you can expect from your surgery.
During arthroscopic shoulder surgery, your consultant usually makes between three and four small incisions (about 1cm in length).
How long your surgery takes depends on your individual surgery, but on average arthroscopic shoulder surgery takes around one hour.
If you would like to see a consultant or learn more about comprehensive arthroscopic management, book your appointment online today or call a member of our team directly on 0141 300 5009.
Content reviewed by Circle in-house team in January 2023. Next review due January 2026.