Acromioplastie

Acromioplastie, also known as acromioplasty, is a surgical procedure designed to relieve impingement of the rotator cuff tendons by modifying the shape of the acromion, the bony process on the scapula that forms the top of the shoulder. The operation removes a portion of the acromion, typically the undersurface, to increase the space between the bone and the rotator cuff tendons. This space enlargement helps reduce friction during arm abduction and can alleviate pain caused by subacromial impingement.

Indications for acromioplastie include chronic shoulder pain, limited range of motion, and rotator cuff tendinopathy or partial tears that cannot be managed effectively with conservative treatments such as physical therapy, anti‑inflammatory medication, or corticosteroid injections. Patients who continue to experience mechanical symptoms after a three‑month trial of non‑surgical therapy are often considered candidates for surgery.

The procedure is performed arthroscopically, using small incisions and a camera to visualize the joint, which allows for precise bone removal and minimal soft‑tissue trauma. In some cases, surgeons may also repair a torn rotator cuff tendon concurrently. Recovery typically involves a period of immobilization followed by gradual physiotherapy aimed at restoring strength and mobility. Most patients report significant pain relief and improved function within six weeks to three months.

Potential risks include infection, nerve injury, stiffness, and the possibility that symptoms persist or recur. Long‑term outcomes are generally favorable, but the success rate depends on patient factors such as age, tendon quality, and adherence to post‑operative rehabilitation.