In-Office Nano-Arthroscopy of the Shoulder with Acromioplasty.

Owusu-Sarpong, Stephane; Fariyike, Babatunde; Colasanti, Christopher A; Bi, Andrew S; Kirschner, Noah; Neal, William H E; Azam, Mohammad T; Stone, James W et al. · Arthrosc Tech · 2023

expert_opinion · Level V

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Abstract

Subacromial decompression with acromioplasty is among the most commonly performed shoulder procedures. The advantages of in-office nano-arthroscopy include the capability of diagnosing and treating subacromial impingement, swifter patient recovery, improved cost-effectiveness, and superior patient satisfaction. The purpose of this technical report is to describe our technique for performing in-office nano-arthroscopy for subacromial decompression (subacromial bursectomy and acromioplasty), with a particular focus on appropriate indications, providing sufficient local anesthesia, optimizing visualization, and discussing the advantages of the in-office setting compared to the operating room.

Anatomy