Arthroscopic Shoulder Subacromial Decompression Surgery – An Overview
An arthroscopic shoulder subacromial decompression surgery is useful in treating a shoulder (subacromial) impingement syndrome. This medical disorder causes inflammation, bursitis as well as tearing of the rotator cuff along with formation of bone spurs in the shoulder joint, which causes the affected shoulder joint to become painful and restricts the range of motion of the shoulder.
Causes of Shoulder (Subacromial) Impingement Syndrome
A subacromial (shoulder) impingement syndrome is caused when the rotator cuff tendon is squeezed between the humeral (upper arm bone) head and the lower surface of the acromion (shoulder blade component).
This condition can be caused due to various factors and the type of treatment often depends mainly on the degree of severity of the symptoms.
Signs and Symptoms of Shoulder (Subacromial) Impingement Syndrome
The most visible and commonly seen signs and symptoms of a shoulder (subacromial) impingement syndrome are:
- Acute pain
- Constant discomfort
- Painful arm movement
- Restriction of the range of motion of the shoulder joint
Treatment for Shoulder (Subacromial) Impingement Syndrome
There are mainly two forms of treatment used to treat a case of shoulder (subacromial) impingement syndrome:
Non-surgical treatment methods for treating a case of mild shoulder (subacromial) impingement syndrome include:
- Modification in daily activities in order to allow maximum rest to the affected shoulder joint
- Physical therapy involving exercises meant to restore normal range of movement in the affected shoulder
- Anti-inflammatory medicine helps to reduce the swelling and allows restoration of movement
- Cortisone injection are required to improve the strength of the affected shoulder joint
In case these non-surgical treatment methods are unsuccessful in relieving the symptoms being caused by the impinged rotator cuff tendon, then the doctor will advise a surgical approach in treating the shoulder joint.
The doctor will suggest a surgical option in case the other alternate non-surgical treatment methods are unsuccessful in treating the symptoms of a shoulder (subacromial) impingement syndrome.
This surgery is nowadays performed using advanced minimally invasive surgical techniques, known as arthroscopy. In this the surgeon does not need to make large incisions. An arthroscope is basically a thin and flexible hollow surgical tube system with various tubes attached with a light source + video camera as well as special miniaturized surgical instruments.
The surgeon will require administering general anesthesia in order to avoid discomfort and pain to the patient during the surgical procedure. The surgeon will then use small (keyhole) incisions around the affected shoulder to insert the arthroscope with the video camera attached to it inside the shoulder. This helps the surgeon to get a detailed and magnified real-time view of the shoulder and determine the best method of approach for treatment.
After the surgeon has determined the number and position of bone spurs that might be causing the impingement of the rotator cuff tendon, they will insert another arthroscope with an attached grinding device in order to smooth the bone spurs and create sufficient space for the pinched rotator cuff tendon. This allows the rotator cuff tendon to move freely and results in decrease in pain and swelling and increase in the range of motion of the treated shoulder joint.
Possible Risks associated with Arthroscopic Shoulder (Subacromial) Decompression Surgery
As is seen in any type of major surgery, the arthroscopic shoulder (subacromial) decompression surgery also involves certain risks, such as those that are related to the surgical procedure.
- Anesthetic allergy
- Nerve damage
- Soft-tissue damage
- Delayed healing of incision wounds
- Vascular (blood vessel) damage
- Shoulder joint bone damage
- ‘Frozen Shoulder’ syndrome
The doctor/surgeon will take every possible precaution in order to avoid causing the above-mentioned risks.
Recovery following Arthroscopic Shoulder (Subacromial) Decompression Surgery
The recovery period after a successful arthroscopic shoulder (subacromial) decompression surgery is considerably shorter than compared to a traditional (open-type) shoulder decompression surgery.
The arthroscopic technique used to perform the surgery is advantageous over the tradition surgical technique as the less number, and size, of the incisions required means less time required for the incision wounds to heal.
Using this surgical method most patient are able to resume normal daily activities within a week and are able to use the shoulder to do strenuous work after around 3 months post-surgery.
The doctor will likely advise you a course of physical therapy a few weeks after the surgery in order to make the strength recovery in the shoulder faster.
Efficient Arthroscopic Shoulder (Subacromial) Decompression Surgery in India with Travcure Medical Tourism
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