Island Orthopaedic Consultants
Sports Medicine & Surgery
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-Knee -Ankle -Shoulder -Elbow -Hip -Wrist Anterior Cruciate Ligament Reconstruction Posterior Cruciate Ligament Reconstruction Arthroscopic Stabilisation Of The Unstable Shoulder Acromio-Clavicular Joint Arthritis Arthroscopic Rotator Cuff Repair |
Subacromial
Impingement and Arthroscopic Subacromial Decompression The subacromial area lies between the top of the humerus and acromion. A muscle and bursa lies between the humerus and the acromion. With certain positions these structures can become pinched and inflamed. The pain that you have been experiencing is caused by this pinching and is typically felt on movements such as reaching and putting your arm into a jacket sleeve. The golfer experiences pain when the trailing shoulder is at the end of the backswing. A shorter and flatter swing can help moderate the pain. If medication and physiotherapy fail to eliminate the pain, surgical decompression is necessary. The operation is done by ‘key hole surgery’; usually through two 5mm puncture wounds. It involves shaving away part of the acromion bone. This increases the size of the subacromial area and reduces the pressure on the muscle and bursa allowing them to heal. Arthroscopic Acromioplasty
X-ray showing hooked acomion
Position during surgery
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