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Arthroscopic Acromioclavicular joint (ACJ) Debridement:

Arthroscopic ACJ debridement is a minimally invasive surgical procedure performed to alleviate pain and improve shoulder function in individuals with ACJ arthritis or related conditions. This procedure involves using a small camera, called an arthroscope, and specialized surgical instruments inserted through tiny incisions around the shoulder joint.

 

During arthroscopic ACJ debridement, the surgeon visualizes the inside of the shoulder joint to assess the extent of joint damage, including cartilage wear, bone spurs, and inflamed soft tissues. The surgeon then removes or debrides the damaged tissue, smoothing out rough surfaces and removing any loose fragments that may be causing pain or impeding joint movement. Sometimes a portion of the distal clavicle (the outer end of the collarbone) may be resected to alleviate pain and improve joint function.

 

Benefits of arthroscopic ACJ debridement include:

1. Minimally Invasive: Arthroscopic surgery involves smaller incisions compared to traditional open surgery, resulting in less tissue trauma, reduced scarring, and faster recovery times.

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2. Precise Treatment: The arthroscope provides the surgeon with a clear view of the interior of the shoulder joint, allowing for precise removal of damaged tissue while preserving healthy structures. Arthroscopic ACJ resection preserves most of the native anatomy of the shoulder joint while addressing the underlying pathology.

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3. Faster Recovery: With minimal tissue disruption and reduced postoperative pain, patients can often resume gentle shoulder exercises and rehabilitation sooner after arthroscopic ACJ debridement, facilitating a faster return to function.

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4. Improved Shoulder Function: By eliminating bone-on-bone contact and reducing impingement within the ACJ, arthroscopic ACJ debridement and resection can significantly improve shoulder function, range of motion, and overall joint stability.

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5. Minimal Tissue Disruption: Arthroscopic surgery minimizes tissue trauma and disruption, resulting in potentially faster recovery times, reduced postoperative pain, and improved cosmetic outcomes compared to open surgical techniques.

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6. Outpatient Procedure: Arthroscopic ACJ resection is typically performed on an outpatient basis, allowing patients to return home the same day of surgery and begin rehabilitation shortly thereafter.

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