Open surgical techniques for subacromial impingement syndrome

Various surgical techniques have been used for the treatment of subacromial impingement syndrome, ranging from com plete acromionectomy to arthroscopic subacromial decompression. Following the recognition of the importance of the a c romial arch in maintaining superior stability of the gleno - humeral joint, attempts have been directed to minimize the amount of acromial excision. In this article, open surgicalsubac romial decompression techniques and the importance of the amount of acromial excision are discussed.