The shoulder is made up of three bones; the humerus (ball), the glenoid and shoulder blade (scapula), and the clavicle. The rotator cuff tendons sit on top of the ball and attach from the ball to the shoulder blade.
Above the rotator cuff, there is a lubricating sac called a bursa that sits between the cuff tendons and the bone above called the acromion. This sac allows the tendons to glide freely when you move your shoulder.
Shoulder impingement occurs when you raise your arm above your head. This decreases the space between the bursa/tendons and the acromion and causes them to rub against each other. This can cause irritation and pain.
It can be caused by bone spurs, inflamed bursa, and inflamed rotator cuff tendons.
First-line treatment for shoulder impingement includes oral medication, physical therapy, and corticosteroid injections
If pain continues, a shoulder arthroscopy with subacromial decompression and acromioplasty may be indicated.
This is a surgical procedure where we utilize small keyhole incisions and a camera to look inside the shoulder joint. Additionally, we use special instruments through the keyhole incisions to help with the surgical procedure.
This is an outpatient procedure.
Patients generally receive regional anesthesia with either sedation or general anesthesia.