Shoulder Surgery: PASTA Lesion (Partial Articular Sided Tendon Avulsion) Repair

Indications for operation

PASTA Lesion (Partial Articular Sided Tendon Avulsion)

Anaesthetic

General Anaesthetic with an interscalene block. (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief).

Operation type

Arthroscopic

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Incisions

Figure 1
Incisions

Three or four 5mm incisions will be made in the shoulder, one to the back, one at the side and one at the front of the shoulder.

Procedure

The gleno-humeral (shoulder) joint will be inspected first followed by the subacromial bursa and the rotator cuff. A soft tissue shaving device will be used to clear any scar tissue away and prepare the insertion site. A small anchors (screw) is passed through the tendon and into the bone. The sutures are passed through the tendon and tied down in the subacromial bursa, securing the tendon.

Figure 2
Shoulder anatomy - front view
Figure 3
Shoulder muscles (rotator cuff) - side view
Figure 4
PASTA Lesion, before operation.
Figure 5
PASTA Lesion during operation.
Figure 6
PASTA Lesion, during operation.
Figure 7
PASTA Lesion after operation.

Wound Closure

Small butterfly paper stitches will be used to close the wounds.

Dressings

Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare

An adhesive dressing will be placed over the wound and the arm will be placed in a sling to rest the arm for 2 weeks. You can go home when you feel comfortable and will be given instructions on what to do next.