What is subacromial decompression?

What is subacromial decompression?

Shoulder subacromial decompression (also called acromioplasty) is a surgical procedure to treat shoulder impingement, a common condition that causes weakness in your shoulder and pain when you raise your arm above your head. It is performed using keyhole surgery.

How long does it take to recover from distal clavicle excision?

A regimen of physical therapy following surgery is prescribed and most patients experience full recovery in 8 to 10 weeks post-surgery.

How long does it take to recover from Mumford procedure?

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.

How long does distal clavicle osteolysis take to heal?

Recovery usually takes around three months, although some can return to activity faster with a structured course of physical therapy and rehabilitation.

How successful is subacromial decompression?

Arthroscopic subacromial decompression is an effective treatment for impingement syndrome, with published success rates between 77% and 90%. Failure of subacromial decompression is defined as persistent pain and disability after surgery despite adequate postoperative rehabilitation.

Why do a subacromial decompression?

Subacromial Decompression is an arthroscopic procedure designed to release the tight ligament of the coracoacromial arch and to shave away some of the under surface of the acromion. This raises the roof of the shoulder, allowing more room for the rotator cuff tendons to move underneath.

How do you sleep after distal clavicle excision?

You may remove the sling to bathe or exercise. Shoulder patients frequently sleep more comfortably in a recliner or propped up on several pillows in a semi-sitting position. This is commonly noted for 4 weeks following surgery. You may sleep flat on your back when you feel comfortable.

What can I expect after distal clavicle excision?

You may regain normal daily use of your arm in three weeks and return to sports and activities in about two months if you remain dedicated to physical therapy. The recovery time may be slightly faster after arthroscopic surgery. Maintaining strong and flexible shoulder muscles is the best way to prevent reinjury.

What is the CPT description of a Mumford procedure?

The operative report must indicate the distal clavicle excision size to separately report CPT® codes 23120 Claviculectomy; partial and 29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure).

Is distal clavicle osteolysis serious?

Distal clavicle osteolysis can be a debilitating injury to active patients performing repetitive activities. Conservative management including NSAIDS, activity modification and cortisone injections can alleviate the symptoms in the acromioclavicular joint.

How do you fix distal clavicle osteolysis?

Nonsurgical treatment options include:

  1. Rest, as much as 6 weeks for a distal clavicle osteolysis injury to heal.
  2. Activity modification by using different hand positions while lifting weights, using lighter weights and avoiding certain exercises.
  3. Anti-inflammatory medications.
  4. Steroid injections into the joint.

How long does a subacromial decompression last?

Recovery From Subacromial Decompression The length of recovery from a subacromial decompression procedure will usually be 1-2 months. However, the sling will be discontinued after a few days to reduce the risk of postoperative stiffness.

What is a distal clavicle resection procedure?

Shoulder surgeons perform a Distal Clavicle Resection procedure to relieve chronic shoulder pain. Surgeons also perform this procedure if there is loss of motion from shoulder arthritis or impingement . It is a minimally invasive procedure during which the surgeon removes some of the bone at the end of the clavicle to create more space.

What causes distal erosion of the right clavicle?

The distal erosion of the right clavicle (inside red circle). Various causes of bilateral distal clavicular erosions or resorption are described, perhaps the commonest being rheumatological conditions such as rhematoid arthritis and scleroderma.

When is surgery indicated in the treatment of clavicle fracture?

When such treatment fails to provide lasting relief, surgical treatment is warranted. Direct (superior) arthroscopic resection of the distal (lateral) end of the clavicle is a successful method of treating the condition, as well as other isolated conditions of the AC joint.

Where is the clavicle located?

The clavicle is also known as the collarbone. It is located between your sternum (rib cage) and scapula (shoulder blade). Your clavicle also connects your arms to your body. You can watch a general demonstration of the procedure below.