 Hello all! Welcome to this brief video session on recent advances in shoulder surgery. I am Dr. Pranashal Vishnoy, consultant orthopedics at Manipal Hospital, Palambiar, Gurugram. I specialize in knee and shoulder surgeries and today I am going to tell you very briefly about what is the recent advance which we do regularly in shoulder arthroscopic surgeries. I would like to show you a model of right shoulder joint. This is the arm bone. This is the shoulder blade and this is the collar bone. They all form a complex shoulder joint. Our shoulder joint consists mainly of bones and it is stabilized based upon the various ligaments. Shoulder pain is very debilitating because shoulder pain remains constant. Night time pain affects all our daily activities including personal care. So it is very important to diagnose shoulder pain in time and provide a good treatment so that absolute pain relief is there. There are various tendons. These are the rotator cuff tendons. The subscapularis supraspinitis, infraspinitis and T-rease minor. These are the four cuff tendons and the most commonly affected due to wear and tear, due to fall, due to injury is the supraspinitis tendon. So in recent advances what we are doing is that we are doing an arthroscopic surgery which is a keyhole surgery doing all procedures through two small keyholes which consist of two stitches in the whole surgery and we are repairing this tendon with anchor suture to the bone. These anchor suture are bio-absorbable. They are inside the bone. They are not visible outside. They don't cause any problem. They are not detected on any X-rays also. And we do a suture bridge technique which is a recent advance which provides a maximum support, traction support, maximum area of recovery. The recovery in any rotator cuff injury takes a maximum of around two to two and a half months but the recovery is complete with very good functional benefit and all the functions are recovered well. Specifically people have a problem in a dominant hand so when we are doing this surgery they feel much relief and they are able to carry out their normal activities. The best technique is arthroscopic because a mini-open technique is painful and it is not done in most cases. So we are doing arthroscopic repair and we are doing a balancing of the joint and we are doing joint stabilization surgeries also all through an arthroscopic keyhole procedure. So in case you have any such problem or if any known to you has such a problem kindly get it diagnosed in time and if you want our services we are available at Manipal Hospital. Palam V. R. Gurugram. Thank you for watching.