Shoulder Arthroscopy, Subacromial Decompression, AC Joint Resection and Biceps Tenodesis
Overview
Shoulder arthroscopy is a keyhole procedure used to assess and treat several common causes of shoulder pain. Depending on the problem, it may include subacromial decompression, AC joint resection, biceps tenodesis or treatment of inflamed tissue inside the shoulder.
These procedures are often considered when pain persists despite physiotherapy, injections, activity modification and time, and when imaging and examination suggest a surgically treatable source.
Who may benefit from shoulder arthroscopy?
Patients may benefit when symptoms are driven by subacromial bursitis or impingement, painful AC joint arthritis, long head of biceps tendon pain, mechanical symptoms or a combination of problems. Surgery is individualised and should match the clinical diagnosis rather than imaging findings alone.
What does the procedure involve?
Subacromial decompression removes inflamed bursal tissue and creates space around irritated tendons when appropriate. AC joint resection removes a small amount of bone from the end of the collarbone to treat painful AC joint arthritis. Biceps tenodesis releases the painful long head of biceps tendon from inside the shoulder and secures it to the upper arm bone.
The shoulder is inspected arthroscopically so associated pathology can be assessed at the same time.
Recovery after shoulder arthroscopy
Recovery is usually quicker than tendon repair because there is often no major tendon-to-bone healing requirement. Pain, stiffness and strength still improve gradually, and return to heavy activity depends on the procedures performed.
Rehabilitation protocol
You will receive a rehabilitation protocol matched to the procedure combination. Biceps tenodesis usually requires early lifting restrictions to protect the fixation.
FAQs
Are these procedures always done together?
No. They are combined only when more than one pain source is present and clinically relevant.
What is biceps tenodesis?
It is a procedure that moves the painful long head of biceps tendon from its irritated origin and secures it in a more stable position.
What is AC joint resection?
It removes a small amount of bone from the arthritic end of the collarbone to stop painful bone-on-bone contact.
How long is recovery?
Many patients regain daily function within weeks, but strength and comfort can continue improving for several months.
Will I need physiotherapy?
Physiotherapy is usually recommended to restore movement, strength and shoulder mechanics.
Book or Refer Today
For persistent shoulder pain from biceps, AC joint or subacromial causes, book a consultation to review whether arthroscopy is suitable.
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.