Mr Simon Lambert BSc FRCS FRCSEdOrth

Consultant Orthopaedic Shoulder & Elbow Surgeon

Arthroscopy, washout and hyaluronic acid injection

If the shoulder or elbow has early arthritis, that is, damaged articular surfaces but without deformity, then removal of inflamed synovial membrane, release of tight capsule and ligaments, washout of the viscid joint fluid (which is full of enzymes from the damaged cartilage), and the instillation of a substitute synthetic analogue of the synovial fluid can be very effective at relieving symptoms of pain and stiffness.

This treatment can be repeated. Removal of loose bodies, and trimming of excess bone is also possible using arthroscopic techniques.