Subacromial decompression

Subacromial Decompression is a surgical procedure used to treat shoulder impingement syndrome, a common cause of shoulder pain. The procedure is also known as acromioplasty.

Overview

Subacromial decompression is a type of arthroscopic surgery that involves removing a small portion of the bone and soft tissue in the subacromial space to relieve pressure and reduce pain. The subacromial space is the area beneath the highest part of the shoulder, the acromion.

Indications

Subacromial decompression is typically recommended for patients who have persistent shoulder pain due to impingement syndrome that has not responded to conservative treatment methods such as physical therapy, medication, and corticosteroid injections.

Procedure

During subacromial decompression, the surgeon inserts a small camera, known as an arthroscope, into the shoulder joint. The arthroscope allows the surgeon to view the subacromial space and guide the surgical instruments. The surgeon then removes the inflamed or irritated tissue and a small part of the acromion, creating more space for the rotator cuff tendons.

Recovery

Following the procedure, patients typically undergo a period of physical rehabilitation to restore strength and mobility to the shoulder. The recovery time can vary depending on the individual's overall health and the severity of their condition.

Risks and Complications

As with any surgical procedure, subacromial decompression carries potential risks and complications. These may include infection, bleeding, damage to surrounding structures, and persistent pain or stiffness.

Effectiveness

The effectiveness of subacromial decompression is a topic of ongoing research. Some studies suggest that it can provide significant relief from shoulder impingement symptoms, while others indicate that it may not be more effective than non-surgical treatments in the long term.