Subacromial Decompression

Subacromial decompression is a surgical procedure performed to relieve pain caused by impingement in the shoulder. Impingement occurs when the rotator cuff tendons become compressed or irritated as they pass through the subacromial space, the area between the acromion (part of the shoulder blade) and the humeral head (top of the arm bone). The surgery aims to increase this space.

Subacromial decompression may be recommended when:

Shoulder Impingement Syndrome: When conservative treatments like physical therapy, pain medication, and injections have failed to provide adequate relief from persistent shoulder pain.
Rotator Cuff Tendinopathy: When rotator cuff tendons are irritated or inflamed due to compression.
Bone Spurs: When bone spurs on the acromion are contributing to impingement.

Arthroscopic Subacromial Decompression: This is the most common method, performed with small incisions and an arthroscope.
Open Subacromial Decompression: This involves a larger incision and is typically reserved for complex cases.

Anesthesia: General or regional anesthesia is used.
Incisions: Small incisions for arthroscopic surgery, or a larger incision for open surgery.
Visualization: An arthroscope is used for arthroscopic surgery to visualize the subacromial space.
Acromioplasty: The surgeon removes a small portion of the acromion to create more space for the rotator cuff tendons.
Bursa Removal: Inflamed bursa tissue (a fluid-filled sac) may also be removed.
Closure: The incisions are closed with stitches or adhesive strips.

Outpatient Procedure: Typically, patients go home the same day.
Sling: A sling is often used for a short period.
Physical Therapy: Rehabilitation is essential for restoring shoulder strength and range of motion.
Pain Management: Pain medication is prescribed as needed.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.