The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

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

Document Type : SHORT COMMUNICATION

Authors
Kang Qin
Can Liu
Geng Peng
Yucheng Song
Liang Zhao
Yijun Wang
Department of Shoulder and Elbow Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China - Shoulder Research Institute, Academy of Orthopedics·Guangdong Province, 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 three-dimensional (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.
        Level of evidence: N/A
Keywords
Biological augmentation
Precision surgery
Shoulder arthroscopy
Smart technologies
Subjects
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The Archives of Bone and Joint Surgery
Volume 14, Issue 4
April 2026
Pages 329-331

  • Receive Date 30 July 2025
  • Revise Date 08 October 2025
  • Accept Date 25 November 2025