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Surgery may be done arthroscopically or as open surgery. The impinging structures may be removed in surgery, and the subacromial space may be widened by resection of the distal clavicle and excision of osteophytes on the under-surface of the acromioclavicular joint. [4] Damaged rotator cuff muscles can be surgically repaired.
Acromioplasty is an arthroscopic surgical procedure involving the acromion, a bony process of the shoulder blade.. Generally, it implies removal of a small piece of the surface of the acromion that is in contact with a tendon of the rotator cuff causing, by friction, damage to the tendon.
The most common indications include subacromial decompression, bankarts lesion repair and rotator cuff repair. All these procedures were done by opening the joint through big incisions before the advent of arthroscopy. Arthroscopic shoulder surgeries have gained momentum in the past decade.
Surgical approaches include acromioplasty (a part of the bone is removed to decrease pressure placed on the rotator cuff tendons), removal of a bursa that is inflamed or swollen, and subacromial decompression (the removal of tissue or bone that is damaged in order to allow more space for the tendons).
The results of decompression alone tend to degrade with time, but the combination of repair and decompression appears to be more enduring. [72] Subacromial decompression may not improve pain, function, or quality of life. [73] Repair of a complete, full-thickness tear involves tissue suture. The method currently in favor is to place an anchor ...
The surgery can be performed through an open or arthroscopic procedure. A regimen of physical therapy following surgery is prescribed and most patients experience full recovery within 8 to 10 weeks post-surgery. [1] The procedure was created by, and named for, orthopedic surgeon Eugene Bishop Mumford in 1941. [2] [3]
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