The Clinical Results of Coracoplasty for patients with Subcoracoid Impingement Syndrom e

Abstract

We wish to report the results whose present ten shoulders of nine patients: seven were men and two were women, whose average age was 59.3 years (range 28 to 79 years); with subcoracoid impingement syndrome who had undergone a coracoplasty.
The average follow-up was 12.6 months. All the patients had anterior shoulder pain, a positive horizontal adduction test and positive subcoracoid block. Eight patients had undergone surgical procedures, including an anterior acromioplasty in seven patients and osteosynthesis of the coracoid process in one. Coracoplasty was performed after a deltopectoral approach without a complete dissection of the conjoined tendon.
The horizontal adduction test was negative in all the shoulders after the surgery. Eight shoulders had a complete resolution of preoperative symptoms and two shoulders had mild residual discomfort. One of the two shoulders needed a reoperation due to subacromial impingement syndrome.
We concluded that coracoplasty for subcoracoid impingement syndrome is a useful procedure.