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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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