Side 2
You are going to have a keyhole operation due to � Pain in your shoulder due to impingement (impingement syndrome) � Wear of the collar bone joint (arthrosis in the acromioclavicular joint) � Tendon damage or tendon wear (rotator-cuff rupture) � Biceps tendon damage or wear Pain the she shoulder is a frequent ailment, which may be caused by many things. The most frequent is irritation in the bursa, which is situated right above the shoulderjoint. During irritation there will be a swelling in the bursa, and it will be trapped between the shoulder-joint and the shoulder-blade overhang, when the arm is raised. The pain may also be due to • Wear or damage to the tendons around the shoulder (the rotatorcuff) • Calcification in the tendons • Arthrosis in the collar-bone joint or in the shoulder-joint • Damage to the cartilage in the shoulder-joint • Wear of the biceps tendon • Damage to the biceps tendon or the jointlip. Corticosteroid injections in the bursa/ collarbone-joint using adrenocortical hormone may often break the vicious circle by making the swelling and the irritation go away. Furthermore, it is important that you train the function of the shoulder and correct your posture. In case of persistent discomfort you will be offered a keyhole operation in the shoulder. 2
Side 3
The operation You will arrive fasting in accordance with the agreements you have made during the conversation with the nurse. At the arrival please report to the reception at the Surgical Outpatient Centre, Ortopædkirurgisk Dagafsnit A510. Here you will speak to the surgeon on the day of the operation. You will be in full anaesthetic during the whole operation, unless something else has been agreed. In order to reduce your pain after the operation, the surgeon will give you a local anaesthetic (scalene corticosteroid injections) in your shoulder while you are sleeping. Hereafter the arm will feel numb and not really fully controllable for several hours after the end of the operation. You will be able to discuss this further with the anaesthetist. It is possible to have the operation done with local anaesthetic (scalene corticosteroid injections), where you are awake during the whole operation. This can be arranged with the surgeon and the anaesthetist. Especially in the case of ailments to the heart and lungs, this form of sedation is gentler. It is possible to supplement with calming medicine, if you do not like to be fully awake during the operation. Please note that it is very important the skin on the shoulder must be intact on the day of the operation. If there are any cuts or scratches, insect bites, wounds or pimples the operation will be cancelled due to increased risk of inflammation. In connection with the keyhole operation, two to three small holes (approx. 1 cm) will be made in the shoulder as a standard. The surgeon uses these holes for the instruments and camera and when the shoulderblade and roof of the shoulder is examined. 3
