StacyAnnSC
Contributor
Indications for surgery: This is a chronic degenerative shoulder
The preprocedural timeout was successfully completed.
After regional anesthesia had been induced the patient was placed in the table in a beachchair position. The shoulder was prepped and draped in a sterile fashion. Examination under anesthesia revealed a full range of motion
Standard anterior, posterior and lateral portals were established. Diagnostic and operative arthroscopy then ensued. Intra-articular assessment revealed chronic degenerative tearing of the posterior superior and anterior labrum that I debrided. Rotator cuff tendon look fine. Biceps tendon look fine.
A thorough arthroscopic subacromial decompression was performed with suction ablator, bur, and shaver. Patient had a large acromial spur. I then redirected the instruments into anterior portal. Arthroscopic distal clavicle excision measuring 8 mm was then done. Patient had significant AC joint arthritis. I then returned the shaver to the lateral portal and completed my subacromial debridement of very significant fibrosis and debris. He had broad-based extensive 10 to 20% degenerative partial-thickness tearing of the supraspinatus tendon that I debrided. I removed the arthroscopic instruments from the joint and closed the portals with 3-0 nylon. I applied a sterile dressing.
The preprocedural timeout was successfully completed.
After regional anesthesia had been induced the patient was placed in the table in a beachchair position. The shoulder was prepped and draped in a sterile fashion. Examination under anesthesia revealed a full range of motion
Standard anterior, posterior and lateral portals were established. Diagnostic and operative arthroscopy then ensued. Intra-articular assessment revealed chronic degenerative tearing of the posterior superior and anterior labrum that I debrided. Rotator cuff tendon look fine. Biceps tendon look fine.
A thorough arthroscopic subacromial decompression was performed with suction ablator, bur, and shaver. Patient had a large acromial spur. I then redirected the instruments into anterior portal. Arthroscopic distal clavicle excision measuring 8 mm was then done. Patient had significant AC joint arthritis. I then returned the shaver to the lateral portal and completed my subacromial debridement of very significant fibrosis and debris. He had broad-based extensive 10 to 20% degenerative partial-thickness tearing of the supraspinatus tendon that I debrided. I removed the arthroscopic instruments from the joint and closed the portals with 3-0 nylon. I applied a sterile dressing.