Shoulder arthroscopy is a surgical procedure that involves the use of a small camera called an arthroscope to visualize and treat problems within or around the shoulder joint. The arthroscope is inserted into the shoulder joint through a small incision in the skin. It allows the surgeon to assess the condition of the shoulder structures, such as the cartilage, ligaments, tendons, and muscles, and perform necessary repairs or interventions.

During the procedure, the surgeon may make additional small incisions to insert specialized instruments to repair or remove damaged tissues, address any abnormalities, or perform other necessary surgical tasks. Shoulder arthroscopy is a less invasive alternative to traditional open surgery, as it typically results in smaller incisions, reduced pain, faster recovery time, and less scarring. However, not all shoulder conditions can be treated with arthroscopy, and the suitability of the procedure depends on the specific situation and the judgment of the healthcare professional.

The patient should exhaust all non-operative type options such as medications, anti-inflammatory medication, analgesic medication, physiotherapy to keep the joints supple, stretching to keep the joints supple.

1. Non-operative options: These include naturopathic remedies, as well as joint injections using steroids or synthetic viscous supplementation. These options are typically explored before considering surgery.

2. Surgical options: a. Arthroscopic cleanup/debridement: This procedure involves using an arthroscope to remove damaged tissue or debris from the joint, mainly in the early stages of the disease. b. Joint replacement: In more advanced stages of joint disease, joint replacement surgery may be necessary.

3. Partial joint replacement: In partial joint replacement, only the damaged part of the joint is replaced. For the shoulder, this would involve replacing the ball and socket with smooth metal and high molecular weight polyethylene materials.

4. Full joint replacement: In cases where the entire joint is affected, a full joint replacement is performed. This involves replacing both the ball and socket.

5. Long-term survival rates: The longevity of shoulder replacement implants has improved over the past few decades. Implants can now last between 10 to 15 years, with patient satisfaction rates ranging from 80 to 90 percent.

6. Goals of surgery: The primary objective of shoulder replacement surgery is to relieve the patient's pain. Improved function can also be a benefit, but complete restoration of shoulder motion may not be achievable.

It's important to note that this response provides general information about the topic and should not replace professional medical advice. Consulting with a healthcare provider is essential for an accurate diagnosis and appropriate treatment options for individual cases.