Outpatient SurgeryPreoperative Diagnosis: Probable rotator cuff(traumatic)Postoperative Diagnosis:Partialrotator cuff tear, right shoulderwith SLAP lesion.Chronic bursitisof shoulderOperation: Arthroscopy with rotator cuff repair, SLAP lesion repair, partial acromioplasty,

Outpatient SurgeryPreoperative Diagnosis: Probable rotator cuff(traumatic)Postoperative Diagnosis:Partialrotator cuff tear, right shoulderwith SLAP lesion.Chronic bursitisof shoulderOperation: Arthroscopy with rotator cuff repair, SLAP lesion repair, partial acromioplasty, coracoacromial release, limited debridement, and distal claviculectomy.Thepatient was taken to surgery. After adequate induction of general anesthesia, the patient was placed in the left lateral decubitus position and prepped and draped in standard orthopedic fashion. The arthroscope was introduced through a standard posterior portal. On visualizing the glenohumeral joint, the glenoid and humeral head appeared to be normal. The instruments were then transferred to the subacromial bursa. Here was evidence of chronic bursitis, which was resected away. There was also a large corresponding lesion on the superior surface of the rotator cuff, which appeared to be a traumatic injury with a partial rotator cuff tear. The area wasdebrided and anterior acromioplastywas performed with the shaver. The coracoacromial ligament was excised down to the coracoid, and the AC joint was carefully examined. The rotator cuff was at that time repaired and the SLAP lesion was repaired.At that time, it was felt that the distal clavicle was moderately arthritic (degenerative), and resection of the distal clavicle was accomplished as well. Once this had been completed, the instruments were withdrawn from the shoulder, and Marcainewas injected into the portals and intraarticularly. Sterile dressing was applied, and the patient was sent to recovery in stable condition.