Arthroscopic subacromial decompression: Results and factors affecting outcome

Patel, Vipul; Singh, Deepak Kumar; Calvert, P; Bayley, J.I.L.

doi:10.1016/s1058-2746(99)90134-9

Cited by 98 publications

(67 citation statements)

References 19 publications

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“…Although we found the Constant scoring system to be of great help in assessing shoulder function, we agree with Patel et al [11] that measurement of the abduction strength is difficult. Assessment of muscle strength prior to manipulation is almost impossible, as most of the patients cannot abduct their shoulder to 90 .…”

Section: Discussionsupporting

confidence: 89%

Manipulation under anaesthesia for frozen shoulder

Othman

Taylor

2002

International Orthopaedics

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Following manipulation of frozen shoulders under general anaesthesia, we reviewed 74 shoulders at an average of 3 weeks and again at an average of 33 months following the manipulation. We used an adjusted Constant score by excluding the abduction strength measurement. The maximum score was therefore 75 points. The average pre-manipulation score was 24.7 points. At 3 weeks after manipulation this score improved to 54.9 points. At the last follow-up (average 33 months) the score was 72.4 points. We have shown that manipulation under general anaesthesia speeds up recovery of frozen shoulders, and the range of movement improves rapidly.Résumé Nous avons manipulé des épaules gelées sous anesthésie générale. Nous avons examiné 74 épaules à une moyenne de trois semaines et une moyenne de 33 mois qui suivent la manipulation. Nous avons utilisé le score de Constant ajusté en excluant la mesure de la force d'abduction avec, en conséquence, un score maximal de 75 points. Le score moyen avant manipulation était 24.7 points. Trois semaines après la manipulation il était amélioré à 54.9 points. Au dernier examen (moyenne 33 mois) il était de 72.4 points. Nous avons montré que la manipulation sous anesthésie générale accélère la récupération et l'amplitude des mouvements s'améliore rapidement.

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Section: Discussionsupporting

confidence: 89%

Manipulation under anaesthesia for frozen shoulder

Othman

Taylor

2002

International Orthopaedics

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“…In relation to rotator cuff repair surgery and subacromial decompression, the finding of significant improvement in pain relief and some residual pain at the final assessment is consistent with other studies. 5,17,31,36 Henkus et al 21 used a visual analogue scale to measure initial, final, and change in pain on a group of 30 patients undergoing acromioplasty. 21 The observed pain ratings in the acromioplasty group were slightly higher than the findings in our study, and their duration of follow-up was much longer (2.5 years).…”

Section: Patient Outcomes Related To Painmentioning

confidence: 99%

“…discussion n umerous investigators have demonstrated the benefits of shoulder surgeries for shoulder instabilities, 11 rotator cuff tear, 3,14,30 and subacromial impingement. 17,21,31 Treatment in outpatient physical therapy clinics is common for these conditions. The patients in this study comprised 4 common surgical categories: repair of unidirectional instabilities, rotator cuff repair, rotator cuff repair with a subacromial decompression, and subacromial decompression.…”

Section: Patient Outcomes Related To Disabilitymentioning

confidence: 99%

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Brennan

Parent²,

Cleland³

2010

J Orthop Sports Phys Ther

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provides homogenous categories of patients whose characteristics can be reported.The preponderance of literature that describes outcomes of surgical management for shoulder disorders relates to rotator cuff repair, 12,18 subacromial decomt he incidence of shoulder pain has been estimated at 11.2 per 1000 persons per year and ranks as the third most frequent musculoskeletal complaint of patients visiting a primary care provider. 35 The prevalence of shoulder pain in the general population ranges between 6.9% and 34%. 15The etiology and pathology of shoulder pain can be unclear, which often results in a lack of consensus regarding the appropriate classification of shoulder disorders. 15,35 However, once a patient undergoes a surgical procedure for shoulder pain, the categorization of the patient's shoulder problem is typically described on the basis of the surgical procedure itself. Grouping patients postoperatively on the basis of surgical intervention t studY dEsiGn: Retrospective cohort study. t MEthods: This study included 856 patients (43.7% female; mean  SD age, 51.8  14.2 years) who received outpatient physical therapy following shoulder surgery. Standardized methods for classification of patients to type of shoulder surgery and collection of outcome variables were used. Data were gathered from 57 therapists working in 12 clinics. Patients included had been classified into 1 of 4 surgical categories: repair of a unidirectional instability, rotator cuff repair, rotator cuff repair with a subacromial decompression, or subacromial decompression alone. Descriptive statistics were calculated for baseline characteristics of patients in each surgical category. For all patients, scores on the Disability of the Arm Shoulder and Hand (DASH) questionnaire and a numeric pain rating scale (NPRS) were obtained at the initial and final physical therapy visits, and the change between visits was calculated. Data on number of physical therapy sessions and length of stay (LOS) were collected. For each surgical category, independent-samples t tests were used to determine differences between genders for each initial and final clinical outcome of pain and disability, change scores, utilization of visits, and LOS. The percentage of patients who achieved a minimal clinically important difference (MCID) on the DASH was also determined for each surgical group. For each gender in each surgical category, paired t tests were used to determine if patients achieved significant change in pain and disability.t rEsults: Means for each clinical outcome for the initial and final pain and disability scores, change scores, and the percentage of patients that achieved an MCID are provided. Significant differences were observed between genders for clinical outcomes. In the group treated with unilateral instability repair, women reported significantly greater initial disability than men, and their DASH change scores were significantly greater. In the group that had rotator cuff repairs, women reported significantly greater disability initially a...

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“…Bu ne den le Pa tell ve ark. 13 ağır lık kom po nen ti ni çı-kar ta rak Cons tant Sko ru nu mo di fi ye et miş tir. Bu kom po nent çı kar tıl dık tan son ra ya pı lan öl çüm le rin ha yat stan dar dı öl çüm le ri ile da ha iyi uyum lu luk gös ter di ği ni sap ta mış lar dır.…”

Section: Ge Reç Ve Yön Tem Lerunclassified

“…Bu kom po nent çı kar tıl dık tan son ra ya pı lan öl çüm le rin ha yat stan dar dı öl çüm le ri ile da ha iyi uyum lu luk gös ter di ği ni sap ta mış lar dır. Bu na bağ lı ola rak Pa tel ve ark.nın 13 ta rif et ti ği Cons tant sko ru nun ağır lık bö lü mü çı kar tı la rak oluş tu ru lan ağır lık sız Cons tant Sko ru ile, has ta lar ay rı ca de ğer len di ril miş tir. WORC in dek si altı bö lüm ve 21 adet so ru dan oluşan ve ya şam ka li te si ni öl çen bir de ğer len dir me sis te mi dir.…”

Section: Ge Reç Ve Yön Tem Lerunclassified

Evaluation of Arthroscopic Capsular Release Together with Manipulation Under Anesthesia for Treatment of Frozen Shoulder

Özkan¹,

Dilek²,

Koçyiğit³

et al. 2011

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu ça lış ma da, anes te zi al tın da ma ni pü las yon (AAM) ile be ra ber ar tros ko pik kap sü ler gevşet me ya pı lan has ta lar da uzun dö nem so nuç la rı de ğer len di ril miş tir. Ay nı za man da ek pa to lo ji si olan hasta lar la ol ma yan lar ara sın da, fonk si yo nel açı dan ve ya şam ka li te si yö nün den her han gi bir far kın olup ol ma dı ğı da araş tı rıl mış tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : 2003-2008 ta rih le ri ara sın da AAM ile bir lik te ar tros kopik kap sü ler gev şet me ya pı lan 20 has ta de ğer len dir me ye alın dı. Has ta la rın 16 ta ne si ka dın, dört ta ne si erkek, or ta la ma yaş 55.75 (44-77) ve or ta la ma iz lem sü re si 41.60 (12-72) ay ola rak be lir len miş tir. Has ta la rın ame li yat ön ce si kli nik de ğer len dir me le ri Cons tant sko ru, ağır lık sız Cons tant sko ru, Wes tern on ta ri o rota tor man şet in dek si (WORC), ek lem ha re ket ge niş lik le ri, izo met rik kas gü cü öl çüm le ri ile ya pıl mış tır. B Bu ul l g gu u l la ar r: : Has ta la rın öne flek si yon ve ab dük si yon açı sı sı ra sıy la or ta la ma 50.50-50 de re ce den 162.25-165.75 de re ce ye çık mış tır (p< 0.001). Doksan de re ce ab dük si yon da eks ter nal ro tas yon ve 0 de re ce ab dük si yon da eks ter nal ro tas yon de re ce le ri ne bak tı ğı mız da sağ lam ta ra fa gö re sı ra sıy la %97'lik ve %89'luk bir ka za nım el de edil miş tir. Ope ras yon ön ce si or ta la ma 14.75 olan Cons tant skor la ma sı, pos to pe ra tif iz lem de or ta la ma 74.89 ola rak sap tan mış tır (p< 0.001). Ağır lık sız Cons tant skor la ma sı ope ras yon ön ce si or ta la ma 14.75 puan dan ope ras yon son ra sı or ta la ma 68.25 pu a na çık mış tır (p< 0.001). Sağ lam ta ra fı ya ka la ma yüz de si ne gö -re, ab dük si yon kas gü cün de %107, eks ter nal ro tas yon kas gü cün de %86 ora nın da bir ka za nım el de edil miş tir. WORC in dek si ope ras yon ön ce si or ta la ma sı 1758 pu an dan, ope ras yon son ra sı or ta la ma sı 248 pu a na in miş tir (p< 0.001). Ek has ta lı ğı olan grup ile ol ma yan grup ara sın da, fonk si yo nel açı dan ve ya şam ka li te si yö nün den bir fark sap tan ma mış tır (p> 0.05). S So o n nu uç ç: : Kon ser va tif te da vi nin ba şa rı sız ol du ğu durum lar da, te da vi sü re si ni kı salt mak için AAM ile bir lik te ar tros ko pik kap sü ler gev şet me, uzun dö nem de omuz fonk si yo nu nu ve ya şam ka li te si ni art tı ran bir yön tem dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Omuz ek le mi; ar tros ko pi A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : In this study, long term out co mes of pa ti ents tre a ted with art hros co pic cap su lar rele a se to get her with ma ni pu la ti on un der anest he si a (MU A) we re eva lu a ted. In addition, dif fe ren ces in terms of func ti on and qu a lity of li fe bet we en pa ti ents with and wit ho ut ad di ti o nal pat ho lo gi es we re inves ti ga ted. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : A to tal of 20 pa ti en...

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Arthroscopic subacromial decompression: Results and factors affecting outcome

Cited by 98 publications

References 19 publications

Manipulation under anaesthesia for frozen shoulder

Manipulation under anaesthesia for frozen shoulder

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery

Evaluation of Arthroscopic Capsular Release Together with Manipulation Under Anesthesia for Treatment of Frozen Shoulder

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