ASD/ACJ

Arthroscopic Subacromial Decompression (ASD) & Arthroscopic ACJ Excision (ACJ)

Description:

The anterior spur on the Acromion is shaved away with an arthroscopic burr through two small 5mm incisions (posterior & lateral). The ACJ is excised by putting the burr through an additional anterior 5mm incision. No sutures are used for closure and a sling is applied for comfort only. Movement commences as soon as the patient is comfortable (2 days post-op).

Benefits:

Pain relief

Complications:

Complications are rare.

Must warn patients that full recovery can be slow. They should expect 80% benefit at 3 months after surgery and full recovery after 9 months.

Complications <1%:

Incomplete excision
Stiffness
Infection
Bleeding
Recurrence
Complications related to the Interscalene Block

Alternative Treatments:

Physiotherapy and injections – however most patients will have failed non-operative management before coming to surgery.