Tips and Technical Pearls for Performing an Arthroscopic Acromioplasty in a Reproducible and Accurate Manner

The role of acromioplasty for treatment of shoulder pathology remains controversial. Recent level I data have questioned the efficacy of performing an acromioplasty either in isolation for the treatment of shoulder impingement or in conjunction with repair of a full-thickness rotator cuff tear. Currently, an acromioplasty is perhaps best indicated for an encroaching acromial morphology with clear arthroscopic evidence of associated bursal-sided rotator cuff injury. Arthroscopic acromioplasty can be technically optimized through an understanding of arthroscopic anatomy. Poor surgical technique resulting in uneven resection, inadequate lateral resection, or iatrogenic acromial fracture can be avoided by adherence to a stepwise surgical technique described here.
Source: Techniques in Shoulder and Elbow Surgery - Category: Orthopaedics Tags: Techniques Source Type: research