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Arthroscopic Fixation of Symptomatic Meso-Type Os Acromiale: Technical Note
Quen Oak Tang1, Sherif Elnikety1,2
1Department of Trauma and Orthopaedics, Watford General Hospital, Watford, UK.
Case Reports in Orthopedics
|August 4, 2022
Summary
Symptomatic Os acromiale, a condition causing shoulder pain and limited movement, can be effectively treated with arthroscopic fixation. This modified technique offers a reproducible and excellent surgical option for patients experiencing shoulder dysfunction.
Area of Science:
- Orthopaedic surgery
- Shoulder arthroscopy
- Sports medicine
Background:
- Symptomatic Os acromiale can lead to shoulder pain, impingement, and restricted range of motion.
- Syndesmosis disruption, often post-trauma, causes significant pain and functional impairment.
- Current treatments include excision or open fixation; arthroscopic methods are emerging.
Observation:
- This technical note details a modified all-arthroscopic technique for Os acromiale fixation.
- Fixation screws are inserted in an anteroposterior direction using advanced orthopaedic devices.
- The technique addresses challenges associated with arthroscopic fixation, such as implant availability and learning curve.
Findings:
- The described arthroscopic technique for Os acromiale fixation is reproducible.
- Excellent clinical results were achieved using this modified approach.
- This method potentially expands the adoption of arthroscopic fixation for symptomatic Os acromiale.
Implications:
- This modified arthroscopic technique offers a viable alternative to open surgery for Os acromiale fixation.
- Improved surgical options can lead to better functional outcomes for patients with shoulder pain.
- Further adoption of this technique may enhance the accessibility and efficacy of arthroscopic shoulder surgery.
