In the prospective trial, ASD was associated with a 10% better combined pain and function score than open acromioplasty
at 12 years.
There were no differences in outcomes at one-year post-intervention, suggesting no added benefits from performing acromioplasty
or rotator cuff repair.
If needed, an acromioplasty
and distal clavicle excision is preformed.
Modified and classic acromioplasty
for impingement of the shoulder.
No differences in reported functional outcomes were found in studies comparing open and mini-open repairs, mini-open and arthroscopic repairs, arthroscopic repairs with or without acromioplasty
, and single- or double-row fixation.
Functional outcome data are mixed concerning surgical procedures with patients with SCI such as anterior acromioplasty
(to decompress the subacromial space and relieve impingement) and repairs of ruptured tendons or rotator cuff tears.
Management of patients with massive rotator cuff defects by acromioplasty
and rotator cuff debridement.
Surgical treatment is generally limited to tear debridement with or without acromioplasty
or tear repair with or without acromioplasty
3) Similarly, use of a hemiarthroplasty in this scenario is at risk for developing anterosuperior subluxation in patients with previous acromioplasty
and incompetent coracoacromial arch.
1,3) Consider bursectomy, arthroscopic acromioplasty
, capsulotomy and/or debridement for recalcitrant cases.
5% mepivacaine for arthroscopic acromioplasty
for chronic impingement syndrome of shoulder.