Defining the Era of Shoulder Arthroscopy 2.0: A Perspective on Integrating Precision, Biology, and Smart Technology

Document Type : SHORT COMMUNICATION

Authors

1 Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 Zhongshan Avenue West, Guangzhou 510630, China

2 Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.

10.22038/abjs.2025.90032.4084

Abstract

Over the past four decades, shoulder arthroscopy has advanced from diagnostic exploration to sophisticated therapeutic procedures. However, current techniques remain limited in addressing complex pathologies. We propose the concept of the Era of Shoulder Arthroscopy 2.0 (ESA2.0)—defined by surgical precision, biological integration, and digital innovation. Technologies such as 3D imaging, augmented reality, and robotics are being explored to enhance accuracy and reproducibility. Concurrently, biological strategies, including platelet-rich plasma, stem cells, and scaffold-based techniques, may improve healing. Smart systems, including AI-assisted diagnosis and wearable rehabilitation tools, support more personalized treatment and optimize outcomes. This paradigm may define a future standard in arthroscopic care, offering solutions to challenges previously deemed intractable.

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Articles in Press, Accepted Manuscript
Available Online from 07 January 2026
  • Receive Date: 30 July 2025
  • Revise Date: 08 October 2025
  • Accept Date: 25 November 2025