Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation

Arthroscopic sub acromial debridement surgery with acromioplasty is one of the shoulder surgeries performed to treat chronic shoulder pain. This surgical procedure is usually indicated in sub acromial impingement syndrome of shoulder, degenerative rotator cuff tears, severe functional limitation of...

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Main Authors: Leonard JH, Siti Salmiah MD, Das S, Vikram M, Ayiesah HR
Format: Article
Language:en
Published: Department of Surgery, UKM Medical Centre 2011
Online Access:http://journalarticle.ukm.my/935/1/Sub_Acromial_Debridement_Surgery.pdf
http://journalarticle.ukm.my/935/
http://jsurgacad.com/
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_version_ 1831353098737549312
author Leonard JH,
Siti Salmiah MD,
Das S,
Vikram M,
Ayiesah HR,
author_facet Leonard JH,
Siti Salmiah MD,
Das S,
Vikram M,
Ayiesah HR,
author_sort Leonard JH,
building Tun Sri Lanang Library
collection Institutional Repository
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
continent Asia
country Malaysia
description Arthroscopic sub acromial debridement surgery with acromioplasty is one of the shoulder surgeries performed to treat chronic shoulder pain. This surgical procedure is usually indicated in sub acromial impingement syndrome of shoulder, degenerative rotator cuff tears, severe functional limitation of shoulder joint and often surgery was performed in cases where all the conservative management had failed in the treatment of chronic shoulder pain. Even though the patient would be referred for early rehabilitation, post operative management of this surgical condition is highly challenging. Movement of the shoulder joint is often related with scapulo-thoracic joint, acromio-clavicular joint and sternoclavicular joint and the shoulder movements are governed by various different muscular forces from these joints. Failure to understand this biomechanical complexity of shoulder joint during post operative rehabilitation results in failure of the surgical outcome and might cause severe functional limitation with recurrent shoulder pain. Often in clinical practice, greater emphasis is given to achieve and regain movements in shoulder joint at the expense of the joint stability. However, inadequate scapular stability might further predispose the shoulder joint to excessive loading and results in repetitive injuries leading to chronic shoulder pain. This might affect the surgical and clinical outcome of the acromioplasty and result in surgical failure. Hence, surgeons and clinicians need to understand the biomechanical contributions in the post operative rehabilitation of the shoulder joint. The present case report emphasises the biomechanical model of post operative rehabilitation of a patient who had arthroscopic sub acromial debridement with acromioplasty.
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institution Universiti Kebangsaan Malaysia
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publisher Department of Surgery, UKM Medical Centre
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spelling my-ukm.journal-9352016-12-14T06:28:21Z http://journalarticle.ukm.my/935/ Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation Leonard JH, Siti Salmiah MD, Das S, Vikram M, Ayiesah HR, Arthroscopic sub acromial debridement surgery with acromioplasty is one of the shoulder surgeries performed to treat chronic shoulder pain. This surgical procedure is usually indicated in sub acromial impingement syndrome of shoulder, degenerative rotator cuff tears, severe functional limitation of shoulder joint and often surgery was performed in cases where all the conservative management had failed in the treatment of chronic shoulder pain. Even though the patient would be referred for early rehabilitation, post operative management of this surgical condition is highly challenging. Movement of the shoulder joint is often related with scapulo-thoracic joint, acromio-clavicular joint and sternoclavicular joint and the shoulder movements are governed by various different muscular forces from these joints. Failure to understand this biomechanical complexity of shoulder joint during post operative rehabilitation results in failure of the surgical outcome and might cause severe functional limitation with recurrent shoulder pain. Often in clinical practice, greater emphasis is given to achieve and regain movements in shoulder joint at the expense of the joint stability. However, inadequate scapular stability might further predispose the shoulder joint to excessive loading and results in repetitive injuries leading to chronic shoulder pain. This might affect the surgical and clinical outcome of the acromioplasty and result in surgical failure. Hence, surgeons and clinicians need to understand the biomechanical contributions in the post operative rehabilitation of the shoulder joint. The present case report emphasises the biomechanical model of post operative rehabilitation of a patient who had arthroscopic sub acromial debridement with acromioplasty. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/935/1/Sub_Acromial_Debridement_Surgery.pdf Leonard JH, and Siti Salmiah MD, and Das S, and Vikram M, and Ayiesah HR, (2011) Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation. Journal of Surgical Academia, 1 (1). pp. 82-86. ISSN 2231-7481 http://jsurgacad.com/
spellingShingle Leonard JH,
Siti Salmiah MD,
Das S,
Vikram M,
Ayiesah HR,
Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title_full Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title_fullStr Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title_full_unstemmed Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title_short Sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
title_sort sub acromial debridement surgery with acromioplasty for chronic shoulder pain - biomechanical challenges in physical rehabilitation
url http://journalarticle.ukm.my/935/1/Sub_Acromial_Debridement_Surgery.pdf
http://journalarticle.ukm.my/935/
http://jsurgacad.com/
url_provider http://journalarticle.ukm.my/