Arthroscopic Acromioplasty
Technique
Position
- beach chair / lateral
- water pump, adrenaline in bags
- block pre-op useful as easier to control BP
- often inject the SAD with combination of LA with A prior to scope
Posterior portal
- 2 cm inferior, 1 cm medial
- soft spot between IS and Tm
Enter subacromial space
- sweep to clear adhesion
- saline on pump at 30 - 40 - 50