Shoulder_Arthroscopy_Presentation
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SHOULDER ARTHROSCCOOPPY
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Minimally Invasive Surgery for Shoulder Instability & IHnjurRyT
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Dr. Shekhar Srivastav HI
M.S. (Ortho), AO Fellowship Austria  |  KneeE & SLhoulder SpecialistD
28 Years of Orthopedic Excellence   •   18,000+ Successful Surgeries
01 / 30
What We'll Cover
A complete guide to shoulder arthroscopy at Delhi Arthroscopy
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Your Surgeon The Shoulder Joint Y.CP The ProcedureO
Meet Dr. Shekhar Srivastav & his credentials Anatomy, instability & why dislocatioSns reCcur What arthroscopy is & the Bankart repair technique
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Technology DE Recovery Journey Practical Details
Robotic assistance & our surgical infrastructure Timeline, physiotherapy & long-term care Risks, cost & how to book a consultation
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 02 / 30
Meet Dr. Shekhar Srivastav
● One of the leading shoulder arthroscopy surgeons in Delhi, specializing in minimally invasive 
joint surgery.
● Widely recognized for Knee Joint Replacement, Shoulder Arthroscopy & Replacement, OM
Reverse Shoulder Replacement, and Arthroscopic ACL Reconstruction. Y.C
● Head of the Orthopedics Department at DITO — Sant Parmanand Hospital & ParmanandP 
Special Surgery Hospital. SCO
● Excels in Robotic Knee Replacement and joint replacement surgerHies oRf th
Oe Knee, Shoulder & 
Elbow. T
● Known equally for technical precision and empatheti
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cA, patiRent-first care.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 03 / 30
Credentials & Leadership Roles
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M.S. (Ortho) AO Fellowship OSR Dept. Head Hospital Leadership
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Sant Parmanand & Parmanand Special 
Master of Surgery in Orthopedics Specialized feIlloAwshiRp, Austria Head of Orthopedics, DITOH Surgery HospitalL
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Also a leading Sports Injury specialist, managing athletes across disciplines with a combined approach of precise arthroscopic repair, physiotherapy, and 
rehabilitation.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 04 / 30
Experience You Can Trust
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28+ 18,000+ Y
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7P0% 2–3
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Years in Orthopedic Surgery Successful Orthopedic SuTrgerHies Recurrence Risk Without Surgical Repair Weeks Typical Arm-Pouch Rest Period
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Numbers built over nearly three decades of dedicated orthopedic and arthroscopic practice in Delhi.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 05 / 30
Understanding the Shoulder Joint
● The shoulder is a ball-and-socket joint: the head of the humerus (arm bone) fits into the 
shallow glenoid socket of the scapula (shoulder blade).
● Its shallow socket allows tremendous range of motion — but also gives it a natural tendency OM
to be 'too loose'. Y.C
● Stability is provided by ligaments, a rim of cartilage called the labrum, and surrouCndiOng 
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muscles. S
● When any of these structures are damaged, the joint can becomeH unsRtabl
Oe and prone to 
dislocation.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 06 / 30
Why Shoulders Dislocate
● Most shoulders dislocate forwards and/or downwards, forcing the humeral head out of the glenoid socket.
● Sometimes the joint only partly comes out of place — a condition called subluxation. OM
● The first dislocation or subluxation typically damages the ligaments at the front of tPhe Ysho.u
Clder.
● Once these ligaments are stretched or torn, they can no longer reliably hoSldC theO joint in position.
● Over time, the shoulder can become progressively looser — evenR dislOocating spontaneously during sleep.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 07 / 30
Dislocation vs. Subluxation
Full Dislocation SuMbluxation
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● Humeral head completely leaves the glenoid socket ● Humeral PheaYd o.nly partially slips out of the socket
● Usually very painful and visibly deformed ●SMCayO self-correct, sometimes without obvious deformity
● Requires prompt reduction by a medical professional RO● Can still damage stabilizing ligaments over repeated episodes
● Often causes significant ligament & labral damage TH ●R Often under-recognized, delaying appropriate treatmentIA
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 08 / 30
Signs & Symptoms of Instability
● A sensation of the shoulder feeling loose, slipping, or 'giving way'.
● Pain and apprehension when lifting the arm upwards and outwards. M
● Recurrent episodes of partial or full dislocation. Y.C
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● Weakness or reduced confidence using the arm overhead. OP
● In advanced cases, dislocation occurring spontaneously — even during sleOep.SC
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 09 / 30
The Recurrence Challenge
● 70% of people who experience a shoulder disloMcation go on to have persistent symptoms of instability. O
● This happens because the stretchedY or. tCorn ligaments no longer reliably hold the 70% joint in position. OP
● Instability is mostO notiSceaCble when the arm is lifted upwards and outwards.
of patients ● Without dHefinRitive treatment, the shoulder can progressively loosen and dislocate agRain Tand again.IA
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 10 / 30
Immediate Care After a Dislocation
● If the shoulder is dislocated, it must first be reduced (put back in place) by a trained 
professional.
● Pain medication is prescribed and an arm pouch is provided to rest the shoulder. OMC
● Once acute pain subsides and motion begins to return, guided exercise is introduced. PY.
● This early phase focuses on comfort and protection — definitive repair is planSnedC seOparately if instability persists.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 11 / 30
When Surgery Becomes Necessary
● Conservative treatment (rest, arm pouch, physiotherapy) can succeed after a first-time dislocation in some patients.
● When instability recurs, or ligament damage is significant, the definitive treatment is surgicOal reMpair.
● CIn surgery, the torn part of the labrum is sutured back onto the glenoid socket toP resYto.re stability.
● OThis procedure — known as a Bankart repair — is most commonly perfSormCed using arthroscopic (keyhole) technique.O
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 12 / 30
What Is Shoulder Arthroscopy?
● A precise keyhole procedure using small incisions and a miniature camera (arthroscope) to 
view inside the joint.
● The surgeon repairs torn structures through these small portals rather than a large open OM
incision. Y.C
● Arthroscopy has revolutionized shoulder surgery — previously, open procedures often lePd to 
stiffness. SCO
● The technique offers excellent success rates without significant stiHffneRss o
Or restriction of 
movement.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 13 / 30
The Arthroscopic Bankart Repair
● Named after the torn labral lesion it treats — the 'Bankart lesion' at the front of the glenoid.
● Small keyhole cuts are made over the shoulder jointM through which the torn capsule and labrum are repaired. CO
● Sutures and anchors re-attach the laPbruYm t.o the bone, restoring the joint's natural stability.
● The most commonly perfoSrmCedO surgical solution for recurrent shoulder instability.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 14 / 30
Arthroscopic vs. Open Surgery
Open Surgery (Traditional) ArthroscopMic Surgery (Modern)
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● Large incision required ● Sma YOll kePyhole incisions only
● Longer hospital stay ●OSSCame-day / next-day discharge
● Higher chance of post-op stiffness HR ● Excellent success rate, minimal stiffness
● TLonger, more painful recovery IAR
● Faster return to normal movement
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 15 / 30
Key Advantages of Arthroscopy
✓ Smaller Incisions ✓ Faster Recovery O✓M
Less Scarring
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Keyhole cuts instead of large open wounds Return to normal activity in weeks, notC moOnths Minimal, cosmetically favorable scars
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✓ Lower Infection Risk HI✓A Minimal Stiffness ✓ Outpatient-FriendlyL
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Reduced exposure compared to open surgery Full range of motion preserved in most cases Many patients discharged the same or next day
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 16 / 30
Inside the Operating Room
● Every procedure is performed in a fully-equipped, sterile operating theatre with real-time 
monitoring.
● The arthroscope transmits a magnified, high-definition view of the joint to a screen for the OM
surgical team. Y.C
● A dedicated team of surgeons, anaesthetists, and nurses supports every step of the P
operation. SCO
● Advanced imaging techniques help minimize risk to surrounding nHerveRs an
Od blood vessels.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 17 / 30
Precision Instrumentation & Technique
● Fine-gauge arthroscopic instruments allow torn tissue to be repaired through portals just 
millimeters wide.
● Sutures, anchors, and shavers are guided enCtireOly by
M camera view — no large incision is 
needed. Y.
● This level of precision allowsC theO sur
Pgeon to address damage with minimal disruption to 
healthy tissue. S
● The result: a HtechRnica
Olly exact repair with a much gentler impact on the body.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 18 / 30
Robotic-Assisted Orthopedic Surgery
● Dr. Shekhar Srivastav brings excellence in Robotic Knee Replacement to joint surgery in Delhi.
● Robotic assistance enables sub-millimeter precision in bone preparation and implant alignment. M
● This translates to more consistent outcomes, less soft-tissue disruption, and faster rehabilitaYtio.nC.
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● Our state-of-the-art operating suites are equipped with advanced robotic surgical syOstemPs.SC
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 19 / 30
Other Shoulder Conditions We Treat
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Rotator Cuff Tears SLAP Lesions CPY. Shoulder ImpingementO
Arthroscopic repair of torn cuff tendons Repair of superior labrum injuries (frSont tCo back) Subacromial decompression for pinched tendons
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Recurrent Instability DE Frozen Shoulder Arthritis / Cuff Arthropathy
Arthroscopic stabilization to prevent re-injury Arthroscopic capsular release for stiff shoulders Shoulder replacement when joint damage is severe
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 20 / 30
Frozen Shoulder Explained
● A condition marked by progressive stiffness and pain that severely limits shoulder movement.
● Often develops gradually, passing through 'freezing', 'frozen', and 'thawing' phases. M
● Mild cases respond to physiotherapy, stretching, and anti-inflammatory treatment. .CO
● YPersistent or severe cases may benefit from arthroscopic capsular release to restore motiPon.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 21 / 30
Common Causes: Sports & Lifestyle Injuries
● Shoulder injuries are frequently seen in athletes, regular gym-goers, and manual labourers.
● Contact sports and overhead activities (throwing, swimming, racquet sports) raise dislocation 
risk. CO
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● Falls, road traffic accidents, and suddPen Yhe.avy lifting are common non-sporting causes.
● Repetitive overhead workS caCn grOadually wear down stabilizing structures over time.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 22 / 30
Who Should Consider Surgery?
● Patients with recurrent shoulder dislocation or persistent instability despite physiotherapy.
● Athletes and active individuals wanting a reliable, lasting return to full function. M
● Anyone with significant labral, rotator cuff, or cartilage damage confirmed on imaging. O
● Y.COlder patients with advanced arthritis or cuff arthropathy causing chronic pain and dOisabPility.
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 23 / 30
Day of Surgery — What to Expect
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Admission Arthroscopy IA Recovery Room Arm Pouch Fitted Discharge
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Pre-op checks & consent KeyhoDle surgery via camera Monitored anaesthesia recovery Shoulder protected & immobilized Home the same or next day
Exact protocol varies according to the extent of repair and each patient's individual health profile.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 24 / 30
Recovery Timeline
Day 1 Gentle pendulum exercises begin; arm remains in the supporting pouch.
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Weeks 2–3 Sutures are removed; arm pouch rest continues to protect the CrepaOir.
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Weeks 3–6 Supervised physiotherapy progresses rangTe ofH motion under close guidance.R
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Months 2–4 Strengthening exeErciseLs continue at home, with periodic OPD follow-up.D
Months 4–6 Most patients return to full activity, including sport, as advised.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 25 / 30
Physiotherapy & Rehabilitation
● Physiotherapy begins under the direct supervision of our dedicated team of physiotherapists.
● Guided sessions restore range of motion while protecting the healing repair. M
● Patients gradually transition to a supervised home exercise program. .CO
● YProgress is followed up at regular intervals on an OPD basis to ensure steady recoverOy. P
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 26 / 30
Post-Op Exercise & Long-Term Care
● A structured exercise plan gradually rebuilds strength around the repaired joint.
● Patients are guided through pendulum, stretching, aMnd resistance exercises in stages.
● Long-term care includes periodic reviewY to. cConfi
Orm the shoulder remains stable.
● Following the rehabilitation planO cloPsely is key to a lasting, durable outcome.SC
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Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 27 / 30
Risks, Safety & How We Minimize Them
Infection Stiffness NerMve / Vessel Injury
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Sterile technique & minimally invasive portals lower Y
Early, guided physiotherapy protects range Oof moPtion Advanced imaging guides instruments with precisionrisk
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Anaesthesia Risk ReIcuArrent Instability Delayed Healing
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Thorough pre-op assessment by the anaesthesDia 
Meticulous surgical technique reduces re-injury risk Structured follow-up catches issues early
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With an experienced surgeon and modern safety protocols, these complications are significantly less likely.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 28 / 30
Cost of Shoulder Arthroscopy in Delhi
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₹30,000 – ₹1,00,0Y0.COP 0C
Approximate range for a basicR shoOulde
Sr arthroscopy procedure
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● Cost varies with hospital or facilityL, suHrgeo
In's fees, procedure complexity, and insurance coverage.
● This is a rough estimate —D actuEal cost depends on the specific circumstances of each case.
● We recommend a personal consultation for an accurate, up-to-date estimate for your situation.
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 29 / 30
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Ready to Move FreCeOly
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Definitely worth it — when perfRormOed by an experienced surgeon.
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IARH Dr. Shekhar SrivastavEML.S. (Ortho), AO Fellowship Austria  |  Knee & Shoulder SpecialistD delhiarthroscopy.com
Dr. Shekhar Srivastav  |  Shoulder Arthroscopy Surgeon, Delhi 30 / 30