(SUB-ACROMIAL DECOMPRESSION – SAD +/- CA LIGAMENT RELEASE)
In this operation a telescope is inserted from the back of the shoulder by a small cut (keyhole) and a very narrow telescope is inserted into the joint. To open the shoulder joint a bit of traction is put on the arm and the patient is sitting up in a deck chair position.
The whole shoulder can be clearly seen, problems identified and corrected by instruments introduced by additional keyholes.
In impingement syndrome the rototor cuff tendons are caught under the acromion and the hook of bone (type 2/3 acromion) is smoothened with a tiny burr and tight CA ligament is released. This creates the space for the tendons to work properly and not get damaged. It is important to have the shoulder blade in the correct position to ensure the problem does not recur and hence physiotherapy may be necessary after surgery.