Arthroscopic Acromioplasty

What you should know

Arthroscopic acromioplasty is a procedure used to smooth out a part of your scapula (shoulder blade) called the acromion. Caregivers will insert a scope to see inside your shoulder. A scope is a small, bendable tube with a camera on the end.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

Your surgeon may need to make a larger incision during the procedure. You may bleed more than expected, bruise, or develop an infection. You may have stiffness or trouble moving your arm and shoulder. You may have numbness and tingling in your arm. After the procedure, you may still have weakness and pain. Your tendon may tear again, and you may need another procedure. Without this procedure, your pain may increase. You may not be able to lift your arm over your head or do other daily activities. Your shoulder may swell and change shape.

Getting Ready

The week before your procedure:

  • Write down the correct date, time, and location of your procedure.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may be given a dye to help caregivers see your shoulder more clearly. Tell the caregiver if you have ever had an allergic reaction to contrast dye.

  • You may need an x-ray, ultrasound, CT scan, or MRI before your procedure. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your procedure:

Ask caregivers about directions for eating and drinking.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

A small incision will be made in your shoulder. Your surgeon will insert a scope through the incision. He may make more small incisions to insert other surgical tools. Your surgeon will shave down the parts of your bone that are pressing on your tendons. He may remove swollen or damaged tissue in your shoulder. He may need to fix a tear in your rotator cuff. Your incisions will be closed with stitches or medical glue.

After your procedure:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your procedure.

Seek Care Immediately if

  • Your symptoms get worse.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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