What is arthroscopic subacromial decompression icd-9

Complications after arthroscopic subacromial decompression (ASD)

Summary

Objective: Arthroscopic subacromial decompression is a standard procedure. The procedure is considered to have few complications and is often carried out under outpatient conditions. The aim of the investigation was to record the complications that occurred in one's own patient population in the sense of a case report. METHOD: Between October 1994 and July 1998 173 arthroscopic subacromial decompressions were performed for a grade II impingement syndrome. The interventions were carried out exclusively in a beach chair position. All patients were examined postoperatively after 6 weeks, 3 and 6 months on an outpatient basis as part of the shoulder consultation hour. Results: The overall complication rate was 4% (n = 7). Specifically, there were 3 secondary frozen shoulders (1.7%), 1 infection (bacterial detection) (0.6%), 1 unclear seroma formation without bacterial detection (0.6%), 1 incomplete, partially reversible arm plexus lesion (0.6%) ) and 1 acromion fracture (0.6%). Conclusions: ASD is a procedure with few complications. A secondary frozen shoulder appears to be a relevant complication. Careful positioning with appropriate aids is required when operating in the beach chair position. In the worst case, a risk to the arm plexus is conceivable.

Abstract

Objective: In general, arthroscopic subacromial decompression is a safe procedure. The objective of this study was to assess the incidence of surgery-related complications. Methods: Between October 1994 and July 1998, 173 patients with grade II impingement underwent arthroscopic subacromial decompression (ASD). Surgery was done in the beach-chair position. All patients were available for follow-up 6 weeks, and 3 and 6 months after surgery. Results: The incidence of surgery-related complications was 4% (n = 7). We found three frozen shoulders (1.7%), one infection (positive cultures; 0.6%), one seroma (negative cultures; 0.6%), one incomplete lesion of the plexus which resolved partly after 1 year (0.6%), and one stress fracture of the acromion (0.6%). Conclusions: ASD has a low incidence of surgery-related complications; secondary frozen shoulder seems to be relevant. The beach-chair position should be carefully monitored because plexus injury is a possible complication.

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Author information

Affiliations

  1. Orthopedic Clinic, Saarland University Clinics, Homburg / Saar, DE

    Stefan Rupp, Romain Seil, Bernd Müller & Dieter Kohn

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Cite this article

Rupp, S., Seil, R., Müller, B. et al. Complications after arthroscopic subacromial decompression (ASD). Arthroscopy13, 246-248 (2000). https://doi.org/10.1007/s001420050168

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  • Keywords arthroscopy
  • Subacromial decompression
  • complication
  • Acromion fracture
  • Keywords arthroscopy
  • Subacromial decompression
  • Complication
  • Acromial fracture