Acromioplasty for impingement with an intact rotator cuff

Hawkins, Robert H.; Brock, RM; Js, Abrams; Hobeika, Paul

doi:10.1302/0301-620x.70b5.3192582

Cited by 104 publications

(39 citation statements)

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“…1. In terms of the types of operations performed, there were nine studies for acromioplasties or other shoulder arthroplasties [8,9,12,14,16,17,30,32,42], eight for rotator cuff repairs [6,18,20,25,28,35,39,41], seven for shoulder decompression [3,9,10,19,22,33,34], two for all types of shoulder operations [38,44], one each for treatment of scapula winging and os acromiale [1], and one for capsulolabral augmentation [2].…”

Section: Resultsmentioning

confidence: 99%

Difference in outcome of shoulder surgery between workers’ compensation and nonworkers’ compensation populations

Koljonen¹,

Chong²,

Yip³

2007

International Orthopaedics (SICOT)

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The purpose of this study was to review the association between compensation status and surgical outcome especially of the shoulder. Given the high prevalence of shoulder injuries in the workplace and the large proportion of workers compensation (WC) claims involving such injuries, it is worth examining the correlation between WC status and surgical outcome of the shoulder. All studies published in journals (MEDLINE and PubMed) from 1980 through 2007 on surgical interventions performed on the shoulder in which workers compensation status was documented and the postoperative functional outcome was compared according to that status were pooled for meta-analysis. This systematic review shows that compensation status of an individual receiving shoulder surgery is a consistent positive predictor of poor functional outcome. The majority of questions posed in the most commonly adopted shoulder-specific functional outcome measurement tools were subjective in nature and may account for part of the phenomenon.

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Section: Resultsmentioning

confidence: 99%

Difference in outcome of shoulder surgery between workers’ compensation and nonworkers’ compensation populations

Koljonen¹,

Chong²,

Yip³

2007

International Orthopaedics (SICOT)

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“…15,28 In their sample of 51 patients, 17 patients had no clear cause for their continuing shoulder discomfort. 28 Post and Cohen (56 injured workers out of 72 patients), 16 Lopez et al (12 injured workers out of 23 patients), 29 McKee and Yoo (23 injured workers out of 71 patients), 30 and Viola et al 31 (33 injured workers out of 57 patients with rotator cuff tears) also reported that injured workers had consistently lower scores based on pain and strength, 16 the University of California Los Angeles (UCLA) Shoulder Rating Scale, 29 or the SF-36 general health questionnaire. 30,31 Similarly, Misamore et al 32 examined 103 patients and reported a much lower incidence of good or excellent results (based on the UCLA score) among injured workers (54%) than in the non-compensation group (92%).…”

Section: Introductionmentioning

confidence: 94%

Factors Contributing to Failure of Rotator Cuff Surgery in Persons with Work-Related Injuries

Razmjou¹,

Lincoln²,

Axelrod³

et al. 2008

Physiotherapy Canada

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Purpose: Shoulder pain is a major musculoskeletal and economic concern in industrialized countries, with the rate of surgical failure reportedly higher in patients injured at work. The purposes of this study were (1) to examine the prevalence of identifiable causes of rotator cuff surgery failure and (2) to examine the relationship among the existence of these causes and outcome scores, patient expectations, and overall satisfaction. Methods: This was a cross-sectional study of patients who experienced continued impairments following surgical treatment for work-related injuries. The primary outcome was a disease-specific measure, the Western Ontario Rotator Cuff (WORC) index. Patients were categorized into two groups based on the existence of an identifiable reason for surgical failure vs. no reason for failure, as demonstrated by clinical and radiologic investigations and decided upon by a shoulder surgeon and a physical therapist. Analyses included a t-test for independent sample means, linear regression, non-parametric Wilcoxon test, and Fisher's exact test. Results: Thirty-eight consecutive patients were included in the study, and 24 causes of surgical failure were identified in 19 patients (50%). Overall, patients with findings of failure were more disabled according to the total WORC index and had higher levels of symptoms, emotional difficulties, and limitations in sports and recreational activities. Expectations and satisfaction levels were not significantly different between groups. Conclusion: Our results indicate that 50% of patients who reported failed surgery had at least one reason to explain their ongoing symptoms, emotional difficulties, and functional limitations. 125de symptô mes, de difficulté s é motionnelles et de limitations dans leurs activité s sportives et de loisirs. Les attentes et les niveaux de satisfaction n'é taient pas considé rablement diffé rents entre les groupes. Conclusion : Nos ré sultats indiquent que 50 % des patients ayant signalé un é chec chirurgical avaient au moins une raison pour expliquer leurs symptô mes continus, leurs difficulté s é motionnelles et leurs limitations fonctionnelles.

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“…Several authors [4,10,12] have reported successful results with this technique. In a study by Post and Cohen [8] open anterior acromioplasty was performed in 72 patients with stage II and early stage III lesions.…”

Section: Discussionmentioning

confidence: 98%

Modified and classic acromioplasty for impingement of the shoulder

Bölükbaşı

Guzel

Şimşek

et al. 2001

International Orthopaedics (SICOT)

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We compared the results of modified and classic anterior acromioplasty in order to identify the significance of the resected acromion. Fifty patients with shoulder impingement syndrome resistant to conservative therapy underwent surgical treatment. We treated 30 patients with classic Neer acromioplasty (group 1), and 20 patients with modified Neer acromioplasty (group 2). The patients were assessed according to pain and shoulder movement. Excellent or good results were achieved in 28/30 patients in group 1 and 19/20 patients in group 2. The results indicate that both surgical techniques are effective procedures in the treatment of shoulder impingement syndrome, and the type of bone resection does not influence the clinical outcome.Résumé Nous avons comparé l'acromioplastie classique et modifiée de Neer pour vérifier l'importance de la résection d'acromion. Nous avons traité 50 patients qui n'ont pas répondu aux traitements non chirurgicaux. Pour 30 cas nous avons exécuté l'acromioplastie classique de Neer (groupe 1). Pour 20 cas nous avons fait l'acromioplastie antérieure modifiée. Nous avons évalué les résultats selon la douleur et le mouvement. Pour le groupe I nous avons obtenu un résultat excellement ou bon dans 28 cas sur 30, pour le groupe II un résultat similaire pour 19 cas sur 20. La choix du type de la résec-tion osseuse n'influence pas les résultats cliniques.

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Acromioplasty for impingement with an intact rotator cuff

Cited by 104 publications

References 0 publications

Difference in outcome of shoulder surgery between workers’ compensation and nonworkers’ compensation populations

Difference in outcome of shoulder surgery between workers’ compensation and nonworkers’ compensation populations

Factors Contributing to Failure of Rotator Cuff Surgery in Persons with Work-Related Injuries

Modified and classic acromioplasty for impingement of the shoulder

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