Shoulder surgery for os acromiale

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I am a powerlifter and MMA fighter who developed right shoulder pain 6 months ago during the fall of my barbell on my right shoulder during shoulder presses.

A MRI showed an os acromiale. It means that there is an unfused part of my acromion that is pulled down by my deltoid muscle when I do certain exercises. This causes impingment of my shoulder bursa and the rotator cuff. It can also cause pain at the non-union site of the bones due to bone rubbing.

One surgeon told me he could do a subacromial decompression so the space is bigger and impingment stops. However, it isn't sure that this is a longterm fix since my os acromiale is unstable and could go further down, impinging again.

The other surgeon said he could fixate it with screws, making the unstable fragment fuse to the rest of the acromion. This is also a risky surgery for my age (21), since it could lead to infection, hardware pain or unsuccessful non-union. The recovery would also take very long.

Now, I have read on the internet that there is the possibility of arthroscopic resection of the unstable fragment. I haven't find a doctor yet who does this. One of my surgeons told me the fragment would be too large for an "open" resection and could lead to deltoid dysfunction and weakness, but on the internet there are many cases where a large fragment like mine is successfully removed with arthroscopic surgery.

I have some MRI pics and I am wondering if any specialist could give me an advice, what I shall do in terms of surgery. Conservative treatments failed. I can train painfree sometimes but if I do a wrong movement of my shoulder, like a punch, it gets sore again and stops me from training MMA. Also sleeping on the affected site sometimes produces soreness the next morning.

I hope someone can help me, I am desperated.

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6 Replies

  • Posted

    Destrudo, did you ever have a surgery done?

    I am having the same problem. Doing shoulder press with dumbbells is what triggered mine. 

    I am scheduled to have surgery with screws put in to have the bone grow together on April 13th. My doctor seems to think since I am so young (25yrs) I shouldn't have any problem healing. 

    Just wondering if you ever had anything done about yours?

    • Posted

      Hey Mitch I had this surgery done in July of 2015 at age 18 I'm a baseball pitcher which could be some of the cause of this injury. I had 2 screws and a cadaver bone put in to fuse it together. In December I had my screws removed because I could feel them while tossing a baseball. My arm still feels weak in some areas but pain went away for the most part.
  • Posted

    Hey Mitch027 and Brad.s15,

    I finaly found someone who has an os acromiale and doing fitness.

    I triggerd my os acromiale with shoulder press aswell.

    It was about 3yrs ago and and 1,5 year ago i finaly found out that the pain i have is an os acromiale. 

    The only thing is that i went to two different shoulder specialists in the hospital and they both think the surgery is too risky with the chance to get an infection and that it would get even worse with my shoulder. 

    They also say that they think i am to young for surgery, that is what they both told me. I live in the Netherlands by the way. 

    When i train any musclepart upperbody my shoulder gets fatigue really fast. I also lose strength in my hands. Did you guys ever experienced anything like that?

    And did you guys find out anything to have less pain in the shoulder area? Any tricks or medication?

  • Posted

    I had this surgery done Jan 17 2014 on my left side and am 100% healed and feeling better, and more effecient than I can ever remember. We did an ORIF. Had a mumford done on my right shoulder May 10 2013 and am probably going to have the right taken care of properly soon. The right surgeon is imparitive 
    • Posted

      Thanks for your reply man! But now its 100% healed you can put pressure on it without pain or anything? And are there things you cant do?
  • Posted

    Sorry for the late reply mate. Horrible in the best way with this technology, especially since after success of these surgeries. Focusin on the gift of the present.

    Ahh Alas. Actually had a right shoulder clean up around time you responded..

    I'm playing lots of sports, getting hit hard and no burden ensues... Don't care to bench much anymore cause my position doesn't require it but hit 355 about 15 months out, no problems. 

    if you had it already hopefully it went well. Mindfulness and body awareness always help keep that balance... especially if you are dominant in one hand over the other.


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