The Painful Shoulder: Shoulder Impingement Syndrome

Khan, Yahya; Nagy, Mathias Thomas; Malal, Joby Jacob George; Waseem, Mohammad

doi:10.2174/1874325001307010347

Cited by 46 publications

(40 citation statements)

References 32 publications

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“…Both were later uneventful. Of the 26 (63.4 %) patient that could return to their previous work (Table 2), 16 were not PD. This return was later in the ''PD group'' with a Chi-square of 6.682 (p \ 0.05).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Review of 41 Neer’s mini-open operations with up to nine-year follow-up and a study of the influence of occupational disease

Schwartz

Atemkeng

Messaoudi

2014

Eur J Orthop Surg Traumatol

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Neer's mini-open acromioplasty is still an excellent pain killer operation and should not be abandoned. Very good results on the SIS pain after a mean follow-up of 4 years were observed. Its results are very good in the "without PD" group with 76.19 % of return to previous work after a mean period of 8 months. Earlier return to a new work or to the same work with accommodations is possible. We found no anatomical explanation for the differences between the two groups.

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Section: Resultsmentioning

confidence: 99%

“…Improved long-term results and decreased reoperation rates were reported in the mini-open group. Persall [15] and Khan [16] found no difference between mini-open and arthroscopic procedures.…”

Section: /Is It Reasonable To Do a Mini-open Neer Operation In 2014?mentioning

confidence: 93%

Review of 41 Neer’s mini-open operations with up to nine-year follow-up and a study of the influence of occupational disease

Schwartz

Atemkeng

Messaoudi

2014

Eur J Orthop Surg Traumatol

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“…There is strong evidence that increasing age is associated with the onset of SIS. Multiple authors concur that those aged 40 and above are more predisposed to developing SIS with those aged between 45 and 64 at more risk [4,[50][51][52]. Neer [53], introduced shoulder impingement as a condition into the literature and described 3 discrete stages affecting under 25 year olds, [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] year olds and over 40 year olds.…”

Section: Agementioning

confidence: 99%

Does A Group Supervised Shoulder Impingement Class Improve Shoulder Pain, Disability and Generic Health Outcomes? A Summative Service Evaluation

Abramson¹

2018

J Nov Physiother Phys Rehabil

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Background: Patients with shoulder impingement syndrome (SIS) suffer pain and disability and present enormous health and fi nancial challenges to the NHS. There is limited evidence for many of the commonly used physiotherapy treatment interventions. Research suggests deprivation, age, gender and attendance are possible predictors of poor treatment outcome in common MSK conditions. The present author set up and ran a physiotherapy led group based SIS class to improve generic health outcomes and reduce shoulder pain and disability.Method: 236 SIS patients were referred over a 22 month period. 154 completed the once weekly six week course. 82 failed to complete the class. Generic health outcomes were measured with the Euroqol EQ-5D-5L with condition specifi c outcome measured using the Shoulder Pain and Disability Index (SPADI). Covariates possibly predictive of poor treatment outcome were analysed using linear regression and included Townsend Deprivation Score (TDS), age and gender. Class completers and non-completers were compared to determine any association with TDS, age and gender.Results: Statistically signifi cant improvements in generic health (t -7.77, df 153, p < 0.001) and shoulder pain and disability (t -9.36, df 153, p < 0.001) were found post intervention. No association for the predictive utility of TDS, age and gender on EQ-5D-5L and SPADI outcome was found. Statistically signifi cant differences between class completers and non-completers for TDS t (181.17)=-3.62, p < 0.001) and age (t (134.72)=2.41, p = 0.017) were found. Younger patients and those from more deprived areas attended fewer classes. No association was found between gender and non-attendance. TDS, age and gender have no association with class non-completion type be it never attended or attended then did not attend (DNA). Conclusion:Physiotherapists play a key role in managing the third most common MSK pathology. This evaluation suggests positive outcomes for those completing a group based SIS class on both health and shoulder pain and disability. SIS patients meeting inclusion criteria should be routinely fed into group based classes. Younger patients and those from more deprived areas may benefi t from a more individualised management approach.

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“…Shoulder pain is described as the second most common musculoskeletal system disorder following lower back pain. Rotator cuff pathology and subacromial impingement are accepted as the leading causes of shoulder pain [1]. Rotator cuff pathologies include partial or full thickness rotator cuff tears, subacromial bursitis, or rotator cuff tendinitis.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Acromioplasty or Bursectomy on the Results of Arthroscopic Repair of Full Thickness Rotator Cuff Tears: Does the Acromion Type Affect These Results?

Karakuş

Sarı²

2020

Preprint

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Introduction: The aim of this study was to investigate the effect of subacromial decompression on the results of full thickness rotator cuff repair applied arthroscopically. Examination was also made of the effect of acromion type on the subacromial decompression procedure in patients applied with arthroscopic rotator cuff repair. Materials and Methods: The study included a total of 150 patients, comprising 102 (68%) females and 48 (32%) males with a full thickness rotator cuff tear repaired arthroscopically. The patients were separated into 3 groups of 50. Group A comprised those with acromioplasty and bursectomy applied additional to the repair. In Group B, only bursectomy was performed additional to the repair and in Group C, only rotator cuff repair was applied. Evaluation was made of the postoperative long-term pain and functional results. Results: The mean age of the cases was 65.63±9.22 years (range, 46-86 years). The affected side was right side in 95 (63.3%) cases and left side in 55 (36.7%). No statistically significant difference was determined between the groups according to the postoperative Constant Murley and ASES scores (p>0.05). In the paired comparisons, the postoperative VAS scores of Group C were higher than those of Groups A and B (p=0.018, p=0.029, p<0.05). No statistically significant difference was determined between Group A and Group B in respect of the postoperative VAS scores (p>0.05). Conclusions: In the arthroscopic repair of full thickness rotator cuff tears, neither acromioplasty, coraco-acromial ligament loosening nor bursectomy were determined to have any positive effect on the results. Whatever the acromion type, there is no need for an additional subacromial decompression procedure after rotator cuff repair, in respect of pain and functional outcomes. Only acromial spurs should be gently removed paying attention to the coraco-acromial ligament.

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The Painful Shoulder: Shoulder Impingement Syndrome

Cited by 46 publications

References 32 publications

Review of 41 Neer’s mini-open operations with up to nine-year follow-up and a study of the influence of occupational disease

Review of 41 Neer’s mini-open operations with up to nine-year follow-up and a study of the influence of occupational disease

Does A Group Supervised Shoulder Impingement Class Improve Shoulder Pain, Disability and Generic Health Outcomes? A Summative Service Evaluation

The Effect of Acromioplasty or Bursectomy on the Results of Arthroscopic Repair of Full Thickness Rotator Cuff Tears: Does the Acromion Type Affect These Results?

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