Is Bursectomy included in rotator cuff repair?


What is shoulder bursectomy?

Shoulder bursectomy is arthroscopic surgery that is performed to remove an inflamed bursa. The human body has over 150 bursae that rest between the bone and soft tissues found in many large joints, including the shoulder.

Does subacromial decompression include bursectomy?

Arthroscopic subacromial bursectomy is a common component in other operations such as a subacromial decompression or rotator cuff repair, but it can occasionally be undertaken as the primary procedure in the management of a bursitis that has not responded to non-operative treatments.

Is debridement included in rotator cuff repair?

Debridement may be done in arthroscopic surgery (through two or three tiny incisions) or in open surgery (usually one larger incision). It is often part of rotator cuff repair surgery.

What is a complete bursectomy?

1. Bursectomy. The inflamed bursa is removed in a procedure called a bursectomy. This may be done with a single open incision or arthroscopically (which requires 2 or 3 small incisions). After a bursa is removed, a new bursa may form in its place.

What is the recovery time for a bursectomy?

In most cases of a simple bursectomy, patients return to all of their activities by about six weeks. In cases where a repair of the tendon is performed, the return to all activities is delayed until at least three months following the procedure, when you may be allowed to begin higher impact activities.

What happens when the bursa is removed?

If the bursa is severely damaged, the surgeon may remove the entire inflamed sac. The incision is closed with stitches. Removal of a bursa does not affect the way the muscles or joints work and can permanently relieve the pain and swelling caused by bursitis.

Does bursa grow back after bursectomy?

In most cases, a new bursa will grow back within a couple weeks after a bursectomy. The new bursa will most likely be healthy and will not have the pain and inflammation that may have been experienced with the removed bursa.

Is bursectomy a debridement?

Group A was treated by debridement of the subacromial bursa (‘bursectomy alone’), and group B by debridement of the subacromial bursa, followed by an arthroscopic acromioplasty.

Characteristic Bursectomy Acromioplasty
Type of acromion*
I 11 5
II 13 19
III 2 6

Is 29826 an add on code?

Orthopedic physicians and support staff likely know that CPT code 29826 (arthroscopy, shoulder surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament release, when performed) became an add-on code on January 1, 2012.

What is included in a subacromial decompression?

Subacromial Decompression is an arthroscopic procedure designed to release the tight ligament of the coracoacromial arch and to shave away some of the under surface of the acromion. This raises the roof of the shoulder, allowing more room for the rotator cuff tendons to move underneath.

What is the word part for bursectomy?

[bursa + G. ektomē, excision]

Is bursitis common after rotator cuff surgery?

In one study of 14 asymptomatic patients with rotator cuff repair and a mean follow-up period of 40 months (range, 24–49 months), the prevalence of bursitis-like abnormalities was 100%.

What is a partial bursectomy?

Scapulothoracic bursectomy/partial scapulectomy is a minimally invasive procedure to treat cases of snapping scapula syndrome that fail to respond to conservative measures. In this technique, the surgeon makes several small incisions and inserts a tiny camera (called an arthroscope) into the scapulothoracic joint.

What is Scapulothoracic syndrome?

Scapulothoracic bursitis, or snapping scapula syndrome, is caused by weakening of the muscles underneath the scapula, leading to the scapula sitting in close proximity to the ribcage. The shoulder condition causes a grinding, grating, and snapping sensation of the scapula on the back area of the ribcage.

What is a bursectomy of the elbow?

Bursectomy. The bursa is drained and then removed, a procedure called bursectomy or bursa resection. Several months following a bursectomy, a new bursa will usually grow back in place of the one that was removed, so protecting the elbow will continue to be necessary.

Why do a distal clavicle excision?

Distal clavicle excision is recommended if these interventions fail to relieve your symptoms. Removing this portion of the bone will decompress the joint and will help ease the pain and loss of motion caused by shoulder impingement or shoulder arthritis.

How long should you take off work after shoulder surgery?

You may be able to do easier daily activities in 2 to 3 weeks. Most people who work at desk jobs can go back to work at this time. If you lift, push, or pull at work, you will probably need 3 to 4 months off. Most people can start activities with low risk of shoulder injury in about 3 months.

How long does it take to recover from rotator cuff surgery?

How long does it take to recover from rotator cuff surgery? It takes six to eight weeks for the tendon to heal to the bone. Complete recovery time varies by size of the tear. For a small tears, full recovery time is about four months, for large tears, six months.