Arthroscopic Subacromial Decompression is performed for subacromial impingement or as part of rotator cuff repair surgery. The operation is performed through 3  small puncture holes. The arthroscope is inserted into the shoulder from the back and the joint is evaluated for any other problems which may be causing symptoms. The arthroscope is then placed under the bony arch (acromion) and bony spur is identified. A second incision is made on the outside and a radiofrequency electrode is used to remove soft tissue from spur which is then removed using a high speed burr. The puncture holes are then closed with 1 stitch each and the arm placed in a sling. Patients are discharged home the same day or the next morning.  Shoulder exercises are started immediately. Sling is just for comfort and you are advised to stop using it as soon as possible. Stitches are removed at 2 weeks post surgery and shoulder strengthening is continued. It takes about 3 months for the shoulder to return to normal post surgery.
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