Acromioplasty

Principles

Resection of coracoacromial ligament
Removal of anterior lip of acromion
Removal of part of acromion anterior to anterior border of clavicle
Removal of distal 1 to 1.5cm of clavicle if significant degenerative changes found

Indications

Treatment of impingement syndrome

Failure of nonoperative treatment for 6 to 12 months
Recurrent symptoms

Associated with rotator cuff surgery

Preop planning & consent

Adequate imaging (x-ray, us ± mri)
- to confirm diagnosis
- diagnose associated cuff pathology
- exclude other pathology (eg. Cervical spine)
Have available

Appropriate equipment for cuff repair

Methods