Systematic review of the surgical treatment for symptomatic os acromiale

作者：Harris Joshua D; Griesser Michael J; Jones Grant L^*

来源：International Journal of Shoulder Surgery, 2011, 5(1): 9-16.

DOI：10.4103/0973-6042.80461

• Acromionectomy
• acromioplasty
• excision
• internal fixation
• os acromiale

The optimal surgical treatment for symptomatic os acromiale that has failed nonoperative management is unclear in the literature. We conducted a systematic review of multiple medical databases for level I-IV evidence. Both radiographic and clinical outcomes were analyzed. Nine studies met the inclusion criteria (118 subjects, 125 shoulders). One hundred and fifteen subjects were treated surgically (122 shoulders). The mean age of the subjects was 4911 years. The mean preoperative duration of symptoms was 128.6 months. Mesoacromiale was the most common type treated (94). Internal fixation was the most common surgical technique used (60), followed by excision (27) and acromioplasty (13). Rotator cuff repair was the most common concurrent surgical technique (performed in 59 of the surgically treated shoulders), followed by distal clavicle excision (25). All surgical techniques resulted in improvement in clinical outcomes. Surgical management of symptomatic os acromiale that has failed nonoperative measures may predictably lead to improved outcomes.

• 出版日期2011-3