2408 Whitney Avenue Generally, it implies removal of a small piece of the surface of the bone that is in contact with a tendon causing, by friction, damage to the tendon. Would this be considered normal or should I contact the doctor now rather than wait until my next appointment in a week? Both the open surgery and the arthroscopic surgery can be done on an outpatient basis, although in some cases, the patient may be required to stay overnight. She needs to rest as much as she can. Quiz: Rotator Cuff Repair. Infection in the joint is also possible. The Mumford procedure is a relatively common and simple surgery, and has a high success rate. This is followed by x-rays and magnetic resonance imaging (MRI) so that the health care provider can look for clear signs of bone spurs or other problems in the joint, and to help rule out alternate causes of pain. Patients with more than two risk factors or prior history of clots should ask their primary physician if a blood thinner is required. The choice of procedure depends on the problem you have and in some cases, both are needed to relieve the persistent symptoms of shoulder pain. E.B. So, even though I can't entirely predict how it will be for your aunt, I can tell you from experience that the first week after surgery can be a little challenging. Day 1: The Day of Surgery: You will start moving your arm and simple exercises in the recovery room. The physical therapist will guide you in your shoulder rehabilitation program. of patients Repair with anchors 51 Biceps tenotomy 11 Biceps tenodesis 23 Acromioplasty 16 Side-to-side sutures 16 Co-planing 2 Mini-Mumford 1 Pasta Repair. I finally decided to have surgery after several rounds of cortisone shots and PT. The choice of procedure depends on the problem you have and in some cases, both are needed to relieve the persistent symptoms of shoulder pain. Mark the spot and try to go higher next time. Still had some pain so took pain pills for two to three days ans then just had soreness and discomfort. I hope she gets well soon! In the indirect approach, the surgeon performs the procedure from below the joint rather than above. These risks are very low and only 1 in 1000 patients will have any problem. This is the same pain that was associated with my torn rotator cuff surgery a year ago. Move your fingers and wrist often. C. Open or arthroscopic Mumford procedure ( distal claviculectomy), with or without rotator cuff repair or acromioplasty, is considered medically necessary when ALL of the following are met: 1. If the Rotator Cuff tendons are torn they will be repaired. Similarly, in subgroups where rotator cuff repairs were performed exclusively (i.e. Biceps Curls: Curl the arm up and down 12 times; rest for one minute and repeat for a total of 3 sets of 12. You will begin simple exercises the day of surgery. Heavy laborers or those with frequent repetitive or overhead work (as in manufacturing or construction) will need a minimum of 3-4 months and then a work conditioning program prior to returning to work. You should move the arm freely in the shower. The patient will need to rest the shoulder and manage any pain and swelling with ice and medication for the first few days after the Mumford procedure. Surgical procedures performed for 51 patients during arthroscopy Procedure No. Depending on what type of surgery you had and you own recovery rate, physical therapy will start 3-4 days after surgery. Shoulder Procedures The Mumford procedure, also known as distal clavical resection, is a surgical procedure that aims to relieve shoulder pain by removing a small part of the clavicle, or collar bone. The patient is advised to proceed with therapy slowly and report any pain to his or her physician. 5. Extensive Debridement Shoulder is a procedure used to remove debris and damaged tissue in the shoulder joint. This is referred to as “impingement syndrome.”. Hamden, CT 06518, Call 1.203.407.3500 Acromioplasty, also known as subacromial decompression, is an arthroscopic surgical procedure of the acromion, top of the shoulder blade or the part of the shoulder blade extending over the shoulder joint. This is known as a “Mumford procedure” (resection of the distal clavicle). Acromioplasty and Mumford Procedures. - Isometric scapular stabilization. When performing subacromial decompression, your surgeon may remove the bursa alone or some of the undersurfaces of the acromion. A Mumford procedure is the removal of the farthest outer portion of the clavicle (or collarbone) which creates a more normal amount of space for shoulder movements. Swing the arm back and forth like a pendulum. Many of the same steps are performed in this approach, although the bursa — a small fluid-filled sac that cushions the joint — is typically removed. Arthroscopic subacromial decompression (ASAD) is a surgical procedure with the goal of relieving shoulder pain. Normal vs. Abnormal in the Shoulder: Does It ... Arthroscopic Mumford Procedure and Subacromial Decompression. The surgery can be performed using an open or arthroscopic procedure, and typically requires eight to ten weeks recovery time. Quiz: Rotator Cuff Augmentation. Disclosures. The surgery itself typically takes one to two hours, the patient may require another two hours for the anesthesia to wear off. Isometric exercises are pain free, but reaching forward or out to the side can be very painful. Instability. Acromioplasty/Mumford Recovery Plan (Post Op Tips for a better recovery) Diet: You may resume a regular diet when you return home This rubbing you belly motion will decrease pain and prevent elbow stiffness. In the shower; begin to flex and extend your elbow. One of the surgical modalities of treatment of this disorder is the Mumford Procedure. Add Biceps curls and increase the circle size when doing the Pendulum exercises. - Elbow and wrist AROM 3 times a day. Paul D. Lesko, MD. Most patients start with tea or broth adding crackers or toast, then a non-spicy sandwich. A biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical course more distally along the humerus. Phase I (Post-op Days 1-7) If painful decrease or eliminate the weight. If your stomach feels acidy, try Tums, Zantac or Pepcid AC to settle it and drink some clear liquids. Make sure you do a lot of icing. Patients should be up and walking as soon as comfortable. In the shower; support the affected arm with the opposite hand. For procedure, start typing and let it complete, or use the government pricing system. Do at least 10 repetitions, 3 times per day. As with open surgery, arthroscopic procedures can be performed using both direct and indirect approaches. What Is Acromioplasty? The operation is done under a general anaesthetic which means you are fully asleep during the procedure. I started PT on day 11. Maintain sling use for comfort. Just had this surgery three weeks ago. Use ice 20 mins, 3-5 times/day for first 5-7 days. Acromioplasty is an arthroscopic surgical procedure of the acromion. If an acromioplasty surgery is unsuccessful, a surgeon and patient may consider a second acromioplasty. I had the open mumford procedure back in 2003. Loss of use of the arm, pain with activity, loss of sleep or waking from sleep are common concerns with this condition and often the pain with activities of daily living (taking milk out of the refrigerator, washing your hair or putting a coat on) cause patients to seek care. Take care to avoid ice for too long or directly to the skin. However, in the last three days I can no longer reach into my back pocket and am getting massive pain in front of my shoulder down the tricep. Wrist Range of Motion: Roll your wrist in circles for 30 seconds after each round of grip exercises. Athletes and laborers who participate in sports or work that have overhead movements as at risk for this shoulder problem. Rotator Cuff Augmentation. References Prolonged ice to the skin can cause frostbite. The incision in the skin and fascia and the release of the muscles in the open surgery will take longer to heal than the smaller incisions made during the arthroscopic procedure. Do not let the hand drop down from the wall- walk your fingers down as well as up. Action: Code 23420 should be used when the procedure is performed open. Continue gripping exercises, and be sure to move your wrist and fingers frequently. Mumford Procedure This procedure may be approached arthroscopically or with an open incision. Advertisement. The Mumford procedure, also known as distal clavicle excision or distal clavicle resection, is an orthopedic procedure performed to ameliorate shoulder pain and discomfort by excising the distal (lateral) end of the clavicle. The majority of cases are performed arthroscopically at Cleveland Clinic. Shoulder decompression surgery, otherwise known as an acromioplasty, involves removing part the acromioclavicular (AC) joint structures and ligaments from the shoulder and is usually done in conjunction with a rotator cuff repair. Clin Orthop Relat Res 1989;(247):117-123. After your shower, dry the shoulder well and place Band-aids over incisions. If the color of your arm or hand changes, or sensation changes, please notify the physician. Had a nerve blocker and a pain pump which lasted two days. Too much soap may dry out the skin and cause a rash. Acromioplasty is a surgical option for a torn rotator cuff or shoulder impingement. I did have some help during the first week, but still could do most things by myself. They will still have restrictions on lifting (usually 5 lbs), repetitive and overhead use. 4, … excision (Mumford procedure) •Indirect arthroscopic •Direct arthroscopic Tulane Orthopaedic Surgery. **If the Mumford is an OPEN procedure, restrict overhead activities and heavy lifting for 3 weeks. Arthroscopic subacromial decompression requires at least two 5mm incisions. Also, she should take time off from work because it will be too difficult and painful. The Mumford procedure, also known as distal clavical resection, is a surgical procedure that aims to relieve shoulder pain by removing a small part of the clavicle, or collar bone. However, the outcomes for second procedures are varied. After a few days, light or passive arm movement may be recommended, and the patient can stop wearing the sling if doing so does not cause pain. - Pendulum exercises 3 times a day. Thank God! This is known as a “Mumford procedure” (resection of the distal clavicle). This was more comfortable than my bed and was recommended by a friend. It is a key part of your post op care. This procedure improves function in about 85 percent of patients. After the first week, the patient may begin light physical therapy and range of motion exercises; even while wearing a sling, moving the fingers and hand can help with circulation. As well as up needed for drainage through dressing round of grip exercises anterior to posterior ( SLAP Lesion. 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