Shoulder Impingement Surgery

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SHOULDER IMPINGEMENT SURGERY Overview SHOULDER BEFORE This outpatient procedure relieves pain by decompressing the tight space around the rotator PROCEDURE tendon of the shoulder joint. The surgeon removes the bursa and trims back the acromion bone to Impinging allow for normal pain-free motion. In most cases, acromion bone this procedure is performed arthroscopically. Incisions Made Swollen bursa The surgeon creates three small incisions in the shoulder to access the joint. Coracoacromial ligament Fluid Pumped into Joint A thin metal tube is inserted in one incision. Fluid is pumped through the tube and into the joint. This expands the joint, giving the surgeon a clear view and room to work. Arthroscope Inserted An arthroscope, which contains a light and a small video camera, is inserted into another incision. This gives the surgeon a clear view of the joint and the Fluid hooked acromion. Humerus Swollen Tissue Removed With the video images from the arthroscope as a guide, the surgeon inserts surgical instruments through the third incision. The swollen bursa tissue is removed. Fluid Ligament Cut Clavicle tube Another surgical tool is inserted to cut away the impinging coracoacromial ligament. Shaving instrument Bone Shaved Away The hooked portion of the acromion bone is shaved away, opening up the space above the supraspinatus tendon. Rotator tendon End of Procedure After the joint is drained and the instruments removed, the incisions are closed using stitches or tape. The shoulder is bandaged, and within a few days, physical therapy will begin to help restore the shoulder to its full function. Impinging acromion bone trimmed back Rotator tendon SHOULDER AFTER PROCEDURE www.viewmedica.com © 2006 Swarm Interactive. Unauthorized duplication is strictly forbidden..

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Body Mechanics As the Rotator Cuff Gether in a Cuff-Shape Across the Greater and Lesser Tubercles the on Head of the Humerus
EXPerT CONTENT Body Mechanics by Joseph E. Muscolino | Artwork Giovanni Rimasti | Photography Yanik Chauvin Rotator Cuff Injury www.amtamassage.org/mtj WORKING WITH CLieNTS AFFecTED BY THIS COmmON CONDITION ROTATOR CUFF GROUP as the rotator cuff group because their distal tendons blend and attach to- The four rotator cuff muscles are gether in a cuff-shape across the greater and lesser tubercles on the head of the supraspinatus, infraspinatus, the humerus. Although all four rotator cuff muscles have specific concen- teres minor, and subscapularis (Fig- tric mover actions at the glenohumeral (GH) joint, their primary functional ure 1). These muscles are described importance is to contract isometrically for GH joint stabilization. Because 17 Before practicing any new modality or technique, check with your state’s or province’s massage therapy regulatory authority to ensure that it is within the defined scope of practice for massage therapy. the rotator cuff group has both mover and stabilization roles, it is extremely functionally active and therefore often physically stressed and injured. In fact, after neck and low back conditions, the shoulder is the most com- Supraspinatus monly injured joint of the human body. ROTATOR CUFF PATHOLOGY The three most common types of rotator cuff pathology are tendinitis, tendinosus, and tearing. Excessive physi- cal stress placed on the rotator cuff tendon can cause ir- ritation and inflammation of the tendon, in other words, tendinitis. If the physical stress is chronic, the inflam- matory process often subsides and degeneration of the fascial tendinous tissue occurs; this is referred to as tendinosus. The degeneration of tendinosus results in weakness of the tendon’s structure, and with continued Teres minor physical stress, whether it is overuse microtrauma or a macrotrauma, a rotator cuff tendon tear might occur.
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www.ashevilleortho.com Distal Clavicle Resection Impingement syndrome and associated rotator cuff tears are commonly encountered shoulder problems. This condition is caused when the rotator cuff tendons rub the underside of the acromion bone. Chronic rubbing can lead to a weakening and even tearing of the rotator cuff. Symptoms include pain, weakness and loss of motion. Whether this procedure is done using a scope or through a small incision is dependent on the severity of the tear and the doctor’s preference. The method shown in these animations is with a scope. This content is for informational purposes only. It is not intended to represent actual surgical technique or results. The information is not intended to be a substitute for professional medical advice, diagnosis, treatment or care. Always seek the advice of a medical professional when you have a medical condition. Do not disregard professional medical advice or delay in seeking advice if you have read something in this printout. Copyright © 2013, Understand.com, LLC, All Rights Reserved. Asheville Orthopaedic Associates • (828) 252-7331 www.ashevilleortho.com Distal Clavicle Resection Introduction Impingement syndrome and associated rotator cuff tears are commonly encountered shoulder problems. This condition is caused when the rotator cuff tendons rub the underside of the acromion bone. Chronic rubbing can lead to a weakening and even tearing of the rotator cuff. Symptoms include pain, weakness and loss of motion. Whether this procedure is done using a scope or through a small incision is dependent on the severity of the tear and the doctor’s preference. The method shown in these animations is with a scope.
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