Shoulder Impingement – Subacromial Decompression (SAD)

It is a narrowed pathway of the supraspinatus tendon of the shoulder. Usually its because inflamation of the tissue (bursa) in the subacromial space with or without osteoarthritis of the AC joint (above the shoulder joint)

 

Indications:

This is done for patients with impingement that didn’t respond to local injections, medications and physiotherapy sessions

Description:

Remove the inflamed tissues that comprise the tendon. Remove any bony protrusions from the undersurface of the acromion. Sometimes we remove the distal part of the clavicle bone. We aim at giving more space for free tendon mobility and give the tendon the time to heal from its inflammation.

Expected time of surgery:

1 hour

 

Implants used:

No implants used

 

Types of anaesthesia:

General/Regional Interscalene block

 

Hospital stay:

Discharge on the same day of surgery

 

Post operative plan:

The patient is advised to use a broad arm sling and is allowed to do pendulus excersises out of the sling in the first 2 weeks.