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Rehabilitation Protocol: Arthroscopic Subacromial Decompression/Distal Clavicle Excision ...
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How to fill out shoulder arthroscopic subacromial decompression

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How to fill out shoulder arthroscopic subacromial decompression:

01
Prepare the patient: Ensure that the patient is properly prepared for the procedure by obtaining informed consent, reviewing their medical history, and explaining the process and potential risks involved.
02
Position the patient: The patient is typically positioned in a lateral decubitus position, with the affected arm supported on a padded armrest. The surgeon may also use traction or a beach chair position depending on their preference and the patient's specific needs.
03
Administer anesthesia: Anesthesia is administered to ensure the patient's comfort during the procedure. This may include general anesthesia, regional anesthesia, or a combination of both.
04
Make the incisions: The surgeon will make several small incisions around the shoulder joint to allow access for the arthroscopic instruments. These incisions are usually around 5mm in size.
05
Insert the arthroscope: A small fiber-optic camera, known as an arthroscope, is inserted through one of the incisions to provide a clear view of the inside of the shoulder joint.
06
Evaluate the shoulder joint: The surgeon will carefully examine the structures within the shoulder joint, including the acromion, rotator cuff tendons, and the subacromial bursa, to assess for any abnormalities, such as impingement or inflammation.
07
Perform the decompression: If necessary, the surgeon will use specialized arthroscopic instruments to remove or reshape the acromion, creating more space for the rotator cuff tendons. This helps alleviate any impingement or compression on the tendons, reducing pain and improving joint function.
08
Complete the procedure: Once the decompression is performed, the surgeon will thoroughly inspect the joint to ensure that all structures are in a proper position. Any additional repairs or procedures can be performed at this time, if needed.
09
Close the incisions: The incisions are typically closed with sutures or adhesive strips. Some surgeons may opt for dissolvable sutures, while others may use regular non-absorbable sutures that will need to be removed at a later visit.

Who needs shoulder arthroscopic subacromial decompression:

01
Individuals with shoulder impingement syndrome: Shoulder arthroscopic subacromial decompression is commonly performed for individuals experiencing symptoms of shoulder impingement syndrome. This condition occurs when the rotator cuff tendons become compressed and irritated as they pass beneath the acromion, causing pain, weakness, and limited range of motion.
02
Patients who have not responded to conservative treatment: Non-surgical treatments such as physical therapy, medication, and activity modifications are typically the first line of treatment for shoulder impingement syndrome. However, if these measures fail to provide adequate relief, surgery may be recommended.
03
Active individuals with persistent pain: Shoulder arthroscopic subacromial decompression is often beneficial for individuals who participate in activities that involve repetitive overhead motions, such as athletes and manual laborers. These individuals may often experience persistent pain and functional limitations despite conservative management.
It is important to note that the need for shoulder arthroscopic subacromial decompression is determined on a case-by-case basis. A thorough evaluation by a healthcare professional, such as an orthopedic surgeon, is necessary to determine if this procedure is appropriate and will provide benefit for the individual's specific condition.
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Shoulder arthroscopic subacromial decompression is a surgical procedure used to treat shoulder impingement by removing bone and tissue to create more space for the rotator cuff tendons.
The surgeon performing the procedure is responsible for documenting and filing the details of shoulder arthroscopic subacromial decompression.
The surgeon must provide detailed information about the procedure, including pre-operative diagnosis, technique used, findings, and any complications.
The purpose of shoulder arthroscopic subacromial decompression is to relieve pain and improve movement in the shoulder joint by removing impingements that may be causing discomfort.
The information that must be reported includes patient demographics, pre-operative diagnosis, procedure details, findings, post-operative care, and any complications.
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