Often asked: What is a claviculectomy?

If you are experiencing pain caused by arthritis and some of the clavicle has degenerated because of arthritis of the shoulder joint, you may need to undergo a distal claviculectomy. This procedure involves removing part of the collarbone to alleviate discomfort and restore range of motion in the joint.

What does Claviculectomy mean?

: surgical removal of all or part of a clavicle.

How long does it take to recover from distal clavicle excision?

A regimen of physical therapy following surgery is prescribed and most patients experience full recovery in 8 to 10 weeks post-surgery.

How painful is a distal clavicle excision?

When you awaken in the recovery room following distal clavicle excision, your shoulder usually is wrapped in gauze, immobilized in a sling, and covered with an ice pack. You may feel a moderate amount of pain, and you will receive pain medication through an IV (intravenous) line.

What is the CPT description of a Mumford procedure?

The operative report must indicate the distal clavicle excision size to separately report CPT® codes 23120 Claviculectomy, partial and 29824 Arthroscopy, shoulder, surgical, distal claviculectomy including distal articular surface (Mumford procedure).

How long does Acromioplasty surgery take?

The surgery lasts approximately one hour, and you will likely go home after the procedure. Most patients recover from minimally invasive arthroscopic shoulder surgery within six weeks after the procedure.

What is shoulder distal Claviculectomy?

If you are experiencing pain caused by arthritis and some of the clavicle has degenerated because of arthritis of the shoulder joint, you may need to undergo a distal claviculectomy. This procedure involves removing part of the collarbone to alleviate discomfort and restore range of motion in the joint.

How do you sleep after distal clavicle excision?

Shoulder patients frequently sleep more comfortably in a recliner or propped up on several pillows in a semi-sitting position. This is commonly noted for 4 weeks following surgery. You may sleep flat on your back when you feel comfortable.

When can you drive after clavicle surgery?

There are no hard and fast rules as to when you should or should not drive, but generally it takes at least two to three weeks after this surgery before patients can drive well.

What is shoulder arthroscopic subacromial decompression?

Subacromial Decompression is an arthroscopic procedure designed to release the tight ligament of the coracoacromial arch and to shave away some of the under surface of the acromion. This raises the roof of the shoulder, allowing more room for the rotator cuff tendons to move underneath.

What is open distal clavicle resection?

Distal clavicle excision is a procedure which involves removal of the outer end of the clavicle (collarbone) to treat shoulder pain and disability due to arthritis or impingement.

What causes distal clavicle osteolysis?

Distal clavicle osteolysis is a rare condition that often affects young male weightlifters. The common theory is that repetitive overloading of the clavicle from exercises such as bench presses, push ups and chest flies causes micro-trauma to the end of the clavicle resulting in pain and inflammation in the bone.

What happens during arthroscopic shoulder surgery?

The term literally means “to look within the joint.” During shoulder arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a video monitor, and your surgeon uses these images to guide miniature surgical instruments.

What is rotator cuff debridement?

Debridement involves removing loose fragments of tendon, thickened bursa, and other debris from around the shoulder joint. By clearing damaged tissue from the region of the shoulder joint, it helps the doctor to see the extent of the injury and determine whether you need more surgery.

What is decompression of subacromial space with partial acromioplasty?

THE SUBACROMIAL DECOMPRESSION PROCEDURE (ACROMIOPLASTY)

This surgery involves the removal of some of the affected tissue and part of the bursa, which is the small sac that has become inflamed due to the impingement. In some cases, the front edge of the shoulder blade must be removed as well.

How long does pain last after acromioplasty?

It can take 2–4 months to achieve complete relief of pain after acromioplasty. When a person also undergoes a rotator cuff repair, it can take 6–9 months to make a full recovery. A medical professional can offer advice on when it is safe to return to work.

Is acromioplasty necessary?

The incidence of arthroscopic acromioplasty (popularized by Ellman) for shoulder impingement is increasing significantly according to the American Board of Orthopaedic Surgery database. AAOS reports moderate evidence to support that performing an acromioplasty is not required.

What acromioplasty means?

Acromioplasty, also known as shoulder decompression surgery is a common treatment for shoulder impingement syndrome, especially if non-surgical treatment options don’t work for you. In this surgery, your doctor removes bone tissue to make more room for your muscles to relax.

Is distal clavicle resection worth it?

Outcome Scores. Some studies have found that distal clavicle resection can help manage refractory symptomatic acromioclavicular joint arthritis in patients without rotator cuff tears [25, 27] and that it can be performed arthroscopically [6, 29].

What is a clavicle osteotomy?

A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component.

How much does a synovectomy cost?

How Much Does a Shoulder Arthroscopy with Partial Synovectomy Cost? On MDsave, the cost of a Shoulder Arthroscopy with Partial Synovectomy ranges from $8,230 to $12,705.

How long do I need to sleep in a recliner after shoulder surgery?

If you can, sleep in a recliner, or reclined position up to a couple weeks after your surgery. If you don’t have a recliner, you can use pillows on the couch or in bed. You can even purchase a 45 degree wedge online or at your nearest medical supply store.

How do you go to the bathroom after shoulder surgery?

A detachable showerhead helps keep water away from your shoulder, and pump soap makes bathing easier when you can use only one arm. Place non-slip bath mats in the shower and on the floor outside your bathtub or shower. A shower chair is also great for safety because you may tire easily during your recovery.

Can I take my sling off to sleep?

Living With a Sling: Tips for Sleeping and Sitting Comfortably

How do you sleep with a broken clavicle?

Try sleeping with pillows propped under your arm for comfort. After a few days, put your fingers, wrist, and elbow through their full range of motion several times a day. This will keep them from getting stiff. You may get instructions on rehabilitation exercises you can do when your shoulder starts to heal.

How do you shower after collarbone surgery?

Washing &amp, Bathing:

Beginning on the third day after surgery it is OK to shower directly over your Steri- Strips (they won’t come off). It is also OK to use soap on your shoulder and over the Steri- Strips. This shower should be quick. I would prefer that you do not take a bath until one week after surgery.

How long after shoulder surgery can I shower?

When can I shower or bathe? You can take a shower 3 days after your surgery. Before you take a shower, wrap your shoulder in plastic (your shoulder should be wrapped in plastic until your stitches or the strips have been taken out). DO NOT take baths until your surgeon says it is safe to do so.

How successful is subacromial decompression?

Arthroscopic subacromial decompression is an effective treatment for impingement syndrome, with published success rates between 77% and 90%. Failure of subacromial decompression is defined as persistent pain and disability after surgery despite adequate postoperative rehabilitation.

How painful is subacromial decompression?

Subacromial decompression is usually performed as an ambulatory procedure but can be associated with a moderate amount of pain, especially when combined with a rotator cuff repair. This necessitates the aggressive management of pain.

Does impingement syndrome ever go away?

Symptoms may slowly go away over a period of weeks. It may take several months to fully recover. Drugs that reduce swelling, such as aspirin or ibuprofen. Avoiding any activities that cause pain, such as stretching or reaching past your comfort zone.

What is the distal clavicle called?

Distal clavicular osteolysis. Osteolysis of the shoulder (distal clavicle), sometimes also called AC joint osteolysis or “weight lifter’s shoulder” affects the acromioclavicular joint (AC joint), at the top of the shoulder.

What is the distal end of clavicle called?

Extremities. The orientation of the clavicle can be distinguished by its ends: a broad, flat acromial end (referred to as the lateral third), and a round pyramidal-like sternal end (referred to as the medial two-thirds).

What is the acromial end of clavicle?

The clavicle is divided into the sternal or medial end, the shaft or body and the acromial or lateral end. The acromial end presents a small, flattened, oval surface directed obliquely downward, which articulates with the acromion of the scapula.

How do you fix distal clavicle osteolysis?

Nonsurgical treatment options include:

  1. Rest, as much as 6 weeks for a distal clavicle osteolysis injury to heal.
  2. Activity modification by using different hand positions while lifting weights, using lighter weights and avoiding certain exercises.
  3. Anti-inflammatory medications.
  4. Steroid injections into the joint.

How do you treat distal clavicle osteolysis?

Distal clavicle osteolysis is initially treated conservatively with rest, restriction of movement, and ice application over the AC joint. 1 Any activity associated with the injury should be stopped. If there is severe pain, the shoulder may need to be held in a fixed position with an orthopedic sling.

Is osteolysis serious?

This may require a revision surgery (replacement of the prosthesis). Although osteolysis itself is clinically asymptomatic, it can lead to implant loosening or bone breakage, which in turn causes serious medical problems.

Is arthroscopic shoulder surgery a major surgery?

Shoulder arthroscopy is a minimally invasive surgery to treat shoulder problems, including shoulder impingement and rotator cuff tears. The procedure usually takes less than an hour. Many people can go back to work or school in a few days.

How long is the recovery from arthroscopic shoulder surgery?

Recovery can take 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer.

What can you not do after shoulder arthroscopy?

You should not do any reaching, lifting, pushing, or pulling with your shoulder during the first six weeks after surgery. You should not reach behind your back with the operative arm. You may remove your arm from the sling to bend and straighten your elbow and to move your fingers several times a day.

How painful is shoulder debridement?

When you awaken in the recovery room following arthroscopic debridement, your shoulder usually is wrapped in gauze, immobilized in a sling, and covered with an ice pack. You may feel a moderate amount of pain, depending on the severity of the rotator cuff tear.

How long does it take to recover from rotator cuff debridement?

Debridement or decompression (i.e. cleanup or “rotor-rooter’) type surgeries of the shoulder can take roughly 8-12 weeks to return to full age appropriate activities.

What happens after shoulder debridement?

After Extensive Debridement Shoulder Surgery, some pain, tenderness, and stiffness are normal. You should be alert for certain signs and symptoms that may suggest the development of complications. You should move your fingers and hands in the sling as much as possible to help circulate blood.

How long is surgery for subacromial decompression?

Subacromial decompression is almost exclusively performed arthroscopically, with surgical instruments inserted into your shoulder through tiny incisions, and takes one to two hours to complete. You usually are able to go home the same day after your surgery.

Why do I need a subacromial decompression?

Shoulder subacromial decompression (also called acromioplasty) is a surgical procedure to treat shoulder impingement, a common condition that causes weakness in your shoulder and pain when you raise your arm above your head. It is performed using keyhole surgery.

Should I have subacromial decompression?

Why do I need subacromial decompression? Subacromial decompression used to be a popular surgery for shoulder impingement. It’s no longer recommended for most people with shoulder pain, as rest and physiotherapy usually ease the symptoms instead.

What is anterior acromioplasty?

Summit Orthopaedics and Sports Medicine. Arthroscopic Anterior Acromioplasty or Subacromial Decompression is a procedure done through a “scope” to remove a bone spur that is impinging on the rotator cuff and causing pain in the shoulder.

What is an open acromioplasty?

What is Open Acromioplasty? During open acromioplasty, impingement of the acromion of the shoulder is relieved and tears in the rotator cuff are repaired. Also Known As: Shoulder blade surgery. Shoulder surgery.

How long do you wear a sling after subacromial decompression?

Most patients use their sling for about 2 weeks. If your case is atypical your doctor may have custom guidelines for you regarding use of the sling. You may sleep with a pillow propped under your arm to keep it slightly away from the body if you need to.