Subacromial Impingement and Acromioplasty

Acromioplasty is a surgical procedure that is used to treat shoulder impingement syndrome. This condition occurs when the tendons of the rotator cuff rub against the acromion, a bone that forms the roof of the shoulder joint. The rubbing can cause pain, inflammation, and weakness in the shoulder.

In an acromioplasty, the surgeon removes a small piece of the acromion to create more space for the rotator cuff tendons. This can help to relieve the pain and improve the function of the shoulder.

Who Needs Acromioplasty?

Acromioplasty is typically recommended for people who have shoulder impingement syndrome that does not respond to non-surgical treatment, such as rest, physical therapy, and medication.

Some of the symptoms of shoulder impingement syndrome that may indicate the need for acromioplasty include:

• Pain in the front of the shoulder, especially when lifting the arm overhead

• Weakness in the shoulder

• Stiffness in the shoulder

• A clicking or popping sensation in the shoulder

How Is Acromioplasty Performed?

Acromioplasty is typically performed arthroscopically (minimally invasive). It is performed through small incisions to limit scarring and complications.

Recovery After Acromioplasty

Recovery after acromioplasty typically takes 2-3 months. During the first few weeks after surgery, you will need to wear a sling to immobilize your shoulder. You will also need to avoid lifting heavy objects and participating in strenuous activities.

As you recover, you will gradually begin to regain range of motion and strength in your shoulder. Most people are able to return to their normal activities within 6 months of surgery.

Complications of Acromioplasty

As with any surgery, there are some potential complications associated with acromioplasty. These complications include:

• Infection

• Bleeding

• Nerve damage

• Recurrent impingement

Fortunately, these complications are very rare when the surgery is performed in a minimally invasive manner.

Conclusion

Acromioplasty is a surgical procedure that can be used to treat shoulder impingement syndrome. The procedure is typically effective in relieving pain and improving function in the shoulder. However, there are some potential complications associated with acromioplasty.

If you are considering acromioplasty, it is important to talk to your doctor about the risks and benefits of the procedure.