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Submitted by: Bart - SII

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Hi Martin - I think you must have meant the biceps tendon (biceps longhead) which does run through the shoulder joint between the humerus and the acromion - the nerves of the brachial plexus and upper extremity all run anterior or inferior of the humerus and course through the axilla on their way to the arm. You are right, there isn't as much padding to prevent impingement of the soft tissues of the shoulder on the acromion - however, there is more space in the subacromial space, so you should have less impingement. The key to this surgery working is re-establishing good muscle control to keep the humeral head centered on the glenoid and avoid excessive riding up onto the acromion. After surgery you should be focusing on improving your shoulder strength, but also the strength of the muscles in your upper back. The most commonly seen problems after a subacromial decompression surgery are Loss of range of motion or inability to fully regain all shoulder motion, decreased strength, continued pain, pain at night, increased pain with weather changes. Most of these problems are alleviated with proper rehabilitation following surgery. hope this helps - comment back with other questions

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