A shoulder implant for reestablishing a coracoacromial arch in a subject, the shoulder implant comprising: a dorsal surface substantially shaped as a coracoacromial arch of a shoulder, the dorsal surface for engaging at least a posterior portion of the acromium of the subject when implanted in the subject; and an inferior surface substantially shaped as an acromiohumeral arch of a shoulder, the dorsal surface being opposite the inferior surface. The implant may have a spacer having a convex shape to simulate the anatomic contour of a acromiohumeral arch and the spacer coupled to a baseplate. In certain embodiments, the baseplate and the spacer have a convex surface that may extend the length of the inferior surface of the acromium and anteriorly to the coracoid process.