Shoulder Acromioplasty
Specialized management by Dr. Stéphane Vasseur
Indications
- Persistent subacromial impingement despite conservative treatment
- Pain with elevation and positive impingement signs
- Associated calcification or indicated bursectomy
Related pathology: Sub‑acromial impingement
Operative principle
Arthroscopic resection and smoothing of the aggressive part of the acromion, associated with bursectomy. May be combined with treatment of the rotator cuff.
Postoperative course and rehabilitation
- Comfort sling for a few days
- Early mobilization, range-of-motion recovery in 2–6 weeks
- Progressive strengthening from 6 weeks
Risks
- Stiffness, transient residual pain
- Hematoma, infection (rare)
In practice
- Hospitalization: Outpatient (ambulatory)
- Anesthesia: General ± regional
- Immobilization: Sling for comfort a few days
- Physiotherapy: Progressive over 6–8 weeks