Subacromial Decompression (Arthroscopic)

Question 1

What is the purpose of this surgery?

Answer 1

To decompress the impingement of the rotator cuff

Question 2

How many points of incision are there and what are they for?

Answer 2

1. Posterior: Arthroscope
2. Lateral: Arthroscopic Burr
3. Anterior: For GHJ assessment and as an outflow

Question 3

Describe the procedure

Answer 3

Removal of the inferior aspect of the acromion and the acromial attachment of the coraco-acromial ligament

Question 4

What are the complications?

Answer 4

1. Axillary nerve injury

2. Failure to completely decompress

Question 5

Are there any precautions/limitations for rehab?

Answer 5

No

Question 6

Physio: Pre-op

Answer 6

Teach scapula setting

Question 7

Physio: 0-2 weeks

Answer 7

1. Sling in situ for 48 hours
2. Teach active assisted exercises for GHJ
3. Lateral rotation exercises with a stick
4. Isometric rot cuff exercises
5. Elbow, wrist and hand exercises
6. Scapula setting exercises

Question 8

Physio: 2-6 weeks

Answer 8

1. Progress rotator cuff exercises and scapula stabilization exercises

Question 9

Physio: 6 weeks - DC

Answer 9

1. If full function is returned then DC

2. If sports person - progress to sports specific exercises

Question 10

Milestones

Answer 10

Week 2:
AROM and PROM back too 75% or above

Week 6:
AROM and PROM back to preoperative range