The Difficulties in Assessment of Results of Anterior Acromioplasty

The Measurement of Subacromial Contact Pressure in Patients With Impingement Syndrome

“…[22][23][24] Statistical analysis of the data was performed based on the mean of the three pressure Preacromioplasty subacromial pressure was lowest at 0°in all cases (Fig 4). The mean pressure at 0°was 11.73 mm Hg (range, 0 to 90 mm Hg).…”

Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study

“…Conclusions of effectiveness of an intervention may be influenced by the choice of scoring system for rating patients. 29 30 We cannot rule out the possibility that the Western Ontario rotator cuff index is a more sensitive outcome measure than the shoulder pain and disability index. Clinimetric studies investigating the responsiveness of the shoulder pain and disability index and the Western Ontario rotator cuff index with other shoulder questionnaires indicate that both outcome measures are responsive.…”

“…inclusion criteria (n=173) Other diagnosis (n=140): muscular pain(35), adhesive capsulitis (31), GH arthritis(8), instability/labrum/SLAP injury(19), other shoulder diagnosis(29), cervical syndrome(7), other diagnosis(11). Previous treatment (n=11) SPADI<30 (n=8) Duration of illness less than 3 months (n=3) Not able to fill in questionnaires (n=11) Refused to participate (-up at 2 weeks (n=52) Unavailable at follow-up (n=1) One patient withdrew from the study after the 2 week follow-up and received a corticosteroid injection in the shoulder Attended follow-up at 6 weeks (n=53) Attended follow-up at 6 weeks (n=51) Unavailable at 6 week follow-up (n=1) Medical problem (n=1)…”

Chirurgie factuelle ou la chirurgie fondée sur les faits

“…Les appréciations « objectives » utilisées dans la deuxième moitié du XX e siècle ont montré leurs limites [54,55]. Des limites techniques d'abord, le caractère objectif de la mesure (force, mobilité) étant contre-balancé par une reproductibilité souvent insuffisante [56,57] ; des limites fonctionnelles ensuite, l'appréciation objective d'une mobilité ou d'un mouvement n'étant pas corrélé avec l'utilisation du membre dans la vie quotidienne et professionnelle. Il existe des discordances parfois majeures entre une mesure qui « objective » un bon résultat (la mobilité par exemple) et un patient déçu qui a perdu son travail ou n'a pas pu reprendre le sport au niveau souhaité (par manque de force ou de rapidité).…”