|
Patients undergo a complete history and physical, along with, specific diagnostic imaging studies to determine the severity and stage of subacromial impingement syndrome.
Determination if the cause of the impingement is from the undersurface of the acromion, the acromioclavicular joint, or both.
|
|
Surgical treatment of shoulder impingement with rotator cuff tear repair as needed should allow the patient to regain near full range of motion of the shoulder with minimal or no pain.
The success of surgery is highly dependent on a progressive but aggressive physical therapy program designed to regain shoulder motion and to strengthen the muscles of the rotator cuff and deltoid muscles.
Most patients are able to return to sports or an avocation requiring repetitive overhead activities.
|
|
Immediately after surgery, as anesthesia wears off, patients will usually feel tired and slightly disoriented, though the after-effects of anesthesia can vary greatly from patient to patient.
Post-operative pain will be present and may require over-the-counter or prescription medication to control the pain.
Surgery is performed as an ambulatory proceedure, with patients going home the same day.
A sling is worn for several days for comfort.
Physical therapy is usually begun the first or second week for range of motion and strengthening.
Most discomfort is gone by six weeks to three months, at which time sports may be resumed. Some minor discomfort, however, may persist for six months to one year.
|
|
|
|
|
|
|  |
|
|
|
|
|
|
Occasionally, bone spurs may recur.
Excessive scar tissue may occasionally occur.
Failure to regain full motion of the shoulder after the surgical procedure.
Re-injury or further injury to the rotator cuff.
Risks during and after surgery include problems that may develop in relation to bleeding, infection, damage to nearby nerves and blood vessels and a reaction to anesthesia.
|
|
|
|
|
|
