Shoulder arthroscopy

Arthroscopic shoulder surgery is a minimally invasive procedure that restores function to your shoulder

Minimallyinvasive surgery

Surgical treatment of diseases and injuries of the shoulder joint

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The shoulder joint is a specific structure consisting of the bony part of the upper arm bone (humerus), the bony part of the scapula (scapula), the bony part of the clavicle (clavicula), and the soft tissues – ligaments, capsule and cartilaginous part. The shoulder joint contains several tendons, vital for physiological mobility. They are called tendons of the rotator cuff, a structure that is responsible for active movements in all directions. Around the shoulder joint itself, there are several muscles that protect it.

It is the joint with the greatest mobility, but that mobility has its price – an increased risk of various injuries and changes.


In order to orientate about the cause of shoulder pain, in addition to the examination by an orthopedist, it is necessary to perform additional diagnostic processing in the form of ultrasound, X-ray processing or magnetic resonance imaging. The cause of shoulder pain is also related to the patient’s activities, so in the younger and more active population we often find inflammation and injuries of tendons and ligaments. Athletes often come for an examination, in which increased efforts in the shoulder cause an overstrain of anatomical structures.

Shoulder instability is a special unit, which often causes pain when moving, but also at rest. Due to the disproportion in the size of the joint bodies, increased joint loads can lead to “looseness”, more precisely shoulder instability. Patients often have “dislocations” of the shoulder joint.

In mostly elderly patients, on the other hand, there is the formation of “lime” or calcification in the shoulder. The cause of the formation of calcifications in the shoulder joint has not been determined, but the condition is self-limiting and passes after some time. However, the pain that occurs here, often at night, can be very severe.

Arthritic changes of the shoulder are a common cause of pain. Although the shoulder joint is not as stressed as the ankles, over time, the cartilage and other structures deteriorate. Accelerated occurrence of these changes is present after a shoulder injury, whether it is a bone fracture, major injuries to muscles, ligaments and the like.

Fractures in the shoulder joint are the result of more severe trauma and often require surgical intervention as early as possible.

At the Ribnjak Polyclinic, an experienced specialist team of orthopedists, after an examination and ultrasound diagnostics, makes a diagnosis and suggests the optimal solution to your problem.


Initially, conservative treatment is almost always undertaken. Today there are several forms of such treatment. Classical physical therapy is well known and consists of the application of a therapeutic program, such as electrotherapy, ultrasound, laser and magnetotherapy, exercise, kinesiotaping, massage, etc.

Certain indications are ideal for therapy with platelet rich plasma, ie therapy with own centrifuged blood.


Arthroscopic shoulder surgery is a minimally invasive procedure that restores function to your shoulder and as such is the standard in surgical treatment.

It is performed on an outpatient basis, while in some cases it is necessary to spend the night in the Polyclinic. More frequent shoulder surgeries include arthroscopic tendon reconstructions, the so-called rotator cuffs, as well as arthroscopic surgery due to shoulder instability.

These operations require a rich experience of surgeons, which, with the use of special medical equipment and the highest quality surgical material, is necessary to achieve a successful final result. Our professional associates with their rich experience and knowledge will provide you with the highest level of quality of the procedure.

Through two to three small skin incisions, up to 2 cm in size, it is possible to access the shoulder joint with an endoscope (camera). The joint is visualized, and the surgical team monitors the progress of the operation on the screen. This removes mucous sacs, bone growths and excess soft tissue, and with the help of special instruments, it is possible to repair an injured tendon. In that way, the surrounding tissue remains intact, which enables faster recovery of shoulder function. Also, the aesthetic result is much more acceptable. Likewise, the course of recovery is significantly reduced, allowing the patient to return to daily activities more quickly.

In rare cases, it is necessary to translate the arthroscopic method of surgery into the so-called open method, which involves a larger operative incision to perform the procedure as planned.


Prior to the procedure, it is necessary to do laboratory processing with special emphasis on the parameters of blood clotting. This is followed by an examination by a specialist anesthesiologist, and the day before the procedure, taking an anticoagulant, the so-called thromboprophylaxis Arthroscopic shoulder surgeries are performed under general anesthesia. During this type of anesthesia, the patient is not awake, and the anesthesiology team monitors all vital functions before, during, and after surgery.

Polyclinic Ribnjak is registered to perform surgical procedures under general anesthesia.


After the anesthesia is relieved, pain occurs within a few days, which can be reduced by the use of analgesics. Immediately after the procedure, to protect the operated area, the shoulder is immobilized in the form of an orthosis, the application of which depends on the type of procedure. Sometimes postoperative bleeding in the joint area can occur, which is associated with by treating the local condition. Muscle weakness is a common occurrence. Very quickly, the patient is referred to dosed physical therapy under the supervision of a surgeon. The therapy itself should be approached with care, in order to avoid possible damage to the operated tissue and speed up recovery.

In short

Polyclinic Ribnjak is a unique institution in the Republic of Croatia. It unites different branches of medicine, all in order to stay true to its slogan “Health and Beauty. Together”. Orthopedics, advanced sports diagnostics, functional and kinesiological rehabilitation, cosmetic surgery and treatments are the services we provide on a daily basis, professionally and in accordance with the latest professional standards.


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