Shoulder Arthroscopic Acromioplasty

Shoulder X-rayHow is it done?

First of all, the shoulder is inspected with the arthroscope.  This is a telescope 5 mm in diameter put through a 6 – 7 mm long cut at the back of the shoulder.  The arthroscope is then moved to the space between the supraspinatus tendon and the bony arch (acromion) via another 6 –7 mm incision.  Instruments are inserted through the first cut to remove bone from the bony arch. 

What does it achieve?

By opening up the space available for the supraspinatus tendon, it stops the tendon rubbing on the bony arch as the arm is elevated.

Recovery

Patients usually stay in hospital overnight.  Fairly sore for two weeks.  Most people are looking at getting back to work by 6 – 8 weeks.  It takes a year to get back to doing everything and not noticing the shoulder.

Complications

Infection less than 1%.  Insufficient removal of bone from acromion (5%).


Shoulder Arthroscopic Acromioplasty and Rotator cuff repair

How is it done?

Arthroscopic acromioplasty performed.  An incision 3 – 4 cm long is made at the front corner of the shoulder.  The tenodn is then pulled back into contact with the bone and stitched in place.

What does it achieve?

Opening up the space available for the supraspinatus tendon, stops this rubbing on the bony arch. The ruptured tendon is repaired.

Complications

Infection 1%.  Stiffness.  Failure of tendon repair and some tendons irreparable. 

Recovery

In hospital overnight.  Protect tendon repair with sling or foam block under arm for six weeks.  Begin physio programme at six weeks post-op.  Return to lighter work at 12 weeks post-op.  Full recovery one year.



Shoulder Arthroscopic Stabilisation

How is it done?

Three small (5 – 12 mm) incisions are made around the shoulder.  The arthroscope is inserted.  The labrum is stitched back on to the bone with special anchors.

What does it achieve?

The glenoid labrum is fixed back into the correct position.  This makes the shoulder stable again.

Complications

Infection less than 1%. 

Recovery

Hospital overnight.  Sling for six weeks.  Full recovery 3 – 12 months.