Mini-Mumford Procedure- ASAD and Arthroscopic Excision Acromio-Clavicular Joint (ACJ)

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Aim:                       

Relieve pain originating from the ACJ and subacromial impingement

Pain at top/front of shoulder can take up to 4 months to settle

Can be painful reaching across body and high reach for this time

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Surgery type:        

Arthroscopic (keyhole)

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Anaesthetic:         

General (asleep) usually with a nerve block

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Objective:             

To arthroscopically remove approx.. 7-8mm of bone from the end of the clavicle

Opens up the ACJ and removes the source of pain- often arthritis

Commonly associated with arthroscopic subacromial decompression:

To remove a downward protruding bone spur from the acromion                                             

Radio frequency wand to remove and clear inflamed soft tissue

Bone burr (approx. 4mm) to remove bone spur

                               

Duration:               

30-45 mins         

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Scars:                     

3 (1 on the back of the shoulder, 1 on the side, 1 at the front- approx. 10mm each)

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Sling:                      

7-14 days as comfort dictates

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Sports:                   

Non-contact sports and free swimming at 3 months

                               

Contact and racquet sports at 4 months

 

Work:                     

Sedentary work- 4 weeks

Physical job- 8-10 weeks

Repetitive over shoulder height work- up to 12 weeks

 

Driving:                 

Short distances as pain allows from 3 weeks