Abstract
We report 2 cases of acromion reconstruction with a bone graft as a salvage procedure
after total arthroscopic acromionectomy. Complete removal of the acromion had produced
severe shoulder abnormality with pain and joint stiffness. We present the operative
technique of acromion reconstruction using a corticocancellous bone graft from the
iliac crest. Recreation of the acromion as a fulcrum of the shoulder joint as well
as an important physiological insertion area for the deltoid muscle markedly improved
pain and range of motion in these patients. In conclusion, based on these cases, we
believe that total acromionectomy is an inadequate procedure for treatment of shoulder
impingement syndrome. Acromion reconstruction with a bone graft is an alternative
that may lead to improvement of clinical symptoms.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 17, No 5 (May-June),
2001: E18
Keywords
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Article info
Footnotes
*Address correspondence and reprint requests to Andreas B. Imhoff, M.D., Department of Orthopaedic Sports Medicine, University of Munich (TUM), 32 Connolly Str., D- 80809 Munich, Germany. Email: [email protected]
Identification
Copyright
© 2001 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.