The Role of Acromioplasty in Partial Rotator Cuff Tears

Partial rotator cuff tears are a common pathology of the shoulder joint and often present with different clinical presentations. This condition can present with a range of symptoms, from no symptoms at all to pain and loss of function that may impact daily activities. Although the term “partial tear” is commonly used, it is important to note that there are three different types of tears: Bursal surface tears, articular surface tears, and intratendinous tears. In the surgical treatment of partial tears, it is important to determine the type of tear and plan the operation accordingly. Rotator cuff repair or debridement can be performed as surgical treatment, and acromioplasty can be performed in addition to these methods. There are differing opinions in the literature about the role of acromioplasty in treating all three types of tears. While some studies suggest that including acromioplasty in cuff repair or debridement could improve clinical outcomes and decrease re-rupture rates, other studies argue that acromioplasty does not provide any benefits for partial tears. This article reviews the role of acromioplasty in the treatment of partial rotator cuff tears.