acromioplasty

Arthroscopic Acromioplasty

Technique

 

Position

- beach chair / lateral

- water pump, adrenaline in bags

- block pre-op useful as easier to control BP

- often inject the SAD with combination of LA with A prior to scope

 

Posterior portal

- 2 cm inferior, 1 cm medial

- soft spot between IS and Tm

 

Enter subacromial space

- sweep to clear adhesion

- saline on pump at 30 - 40 - 50

Open Acromioplasty

Described by Neer / modified by Rockwood

 

Two Step Acromioplasty

 

1.  Anterior acromioplasty

- resect anterior acromion back to ACJ

- prevent impingement in flexion

 

2.  Resect anteroinferior acromion 

 

Technique

 

Position

- beach chair 

- mark anatomy

- limb draped free