Shoulder pain can significantly impact daily life, and in many cases, surgical intervention may be necessary to restore mobility and reduce discomfort. Procedures like subacromial decompression and distal clavicle resection are commonly performed to relieve pain associated with impingement, arthritis, or rotator cuff injuries.
In a recent demo video, Dr. Roy Majors walks through the step-by-step process of performing these procedures using minimally invasive arthroscopic techniques.
What is Subacromial Decompression?
Subacromial decompression involves removing bone spurs or thickened tissue from the subacromial space; the area between the acromion (part of the shoulder blade) and the rotator cuff tendons. By increasing space in this region, the procedure reduces friction, allowing the rotator cuff to move more freely and alleviating pain caused by impingement.
During the procedure, the surgeon carefully navigates the shoulder joint with an arthroscopic cannula, using a shaver and cautery as needed to remove tissue while preserving the rotator cuff. Minimizing instrument changes during the procedure not only streamlines surgery but also reduces operating time and fatigue for the surgical team.
What is Distal Clavicle Resection?
Distal clavicle resection, often performed alongside subacromial decompression, targets the acromioclavicular (AC) joint. By removing a small portion of the clavicle, this procedure relieves pain caused by arthritis or inflammation in the AC joint.
The surgeon carefully resects the clavicle while protecting surrounding tissues and ligaments, particularly the coracoacromial (Cork Romeo) ligament, which serves as an important anatomical landmark. Combining decompression with distal clavicle resection allows for comprehensive relief in patients experiencing both subacromial impingement and AC joint discomfort.
Benefits of Arthroscopic Approach
- Minimally invasive: Small incisions reduce recovery time and scarring.
- Preserves healthy tissue: Surgeons limit cautery and avoid unnecessary disruption to the rotator cuff.
- Efficient and precise: Using specialized devices reduces the need to change instruments frequently, saving time and minimizing surgical fatigue.
- Comprehensive visualization: Arthroscopy allows the surgeon to inspect the entire joint and address any additional issues detected during the procedure.
Recovery and Follow-Up
After surgery, patients typically follow a guided rehabilitation program to restore shoulder mobility, strength, and function. Follow-ups allow the surgical team to monitor progress and adjust treatment as needed, ensuring a safe and effective recovery.
Restore Shoulder Function with Expert Care
Subacromial decompression and distal clavicle resection are effective surgical options for relieving shoulder pain caused by impingement, AC joint arthritis, or rotator cuff injuries. Minimally invasive arthroscopic techniques allow surgeons to precisely address the problem while preserving healthy tissue, leading to faster recovery and improved function.
If you’re experiencing persistent shoulder pain or limited mobility, schedule a consultation with an OrthoCarolina specialist to discuss whether these procedures are right for you.
Frequently Asked Questions
Who is a candidate for subacromial decompression or distal clavicle resection?
Patients with persistent shoulder pain from impingement, AC joint arthritis, or rotator cuff injuries that haven’t improved with conservative treatments like physical therapy or medication may be candidates for these procedures.
What is the recovery time after these shoulder procedures?
Recovery varies depending on the procedure and individual health, but most patients can expect several weeks of rehabilitation. Full return to normal activities typically occurs within 2–3 months, guided by a structured physical therapy program.
Are these procedures minimally invasive?
Yes. Arthroscopic techniques use small incisions and specialized instruments to minimize tissue disruption, reduce scarring, and promote faster recovery compared to traditional open surgery.
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