The shoulder impingement syndrome: The results of surgical decompression

Nielsen, Karoline Kragelund; Wester, J U; Lorentsen, Anders

doi:10.1016/s1058-2746(09)80002-5

Cited by 16 publications

(2 citation statements)

References 11 publications

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“…According to Paavolainen et al, 13 when the angulation is less than 120°, there is a reduction of the range of shoulder movement and pain. 12 The pain is related to a decrease in the subacromial space and is caused by the proximity of the greater tuberosity to the coracoacromial arch (Figure 4). However, we believe that the limitation of movement is also caused by 2 other important factors: (1) the proximity between the origin and the insertion of the supraspinatus muscle, which reduces its lever arm ( Figure 5), and (2) reduction of the sliding surface between the humeral head and the glenoid ( Figure 6).…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of varus malunion of the proximal humerus with valgus osteotomy

Benegas

Filho

et al. 2007

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of varus malunion of the proximal humerus with valgus osteotomy

Benegas

Filho

et al. 2007

Journal of Shoulder and Elbow Surgery

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“…[1] It results in significant pain,[1] reduction in function and quality of life for patients including being unable to lift weight and work in their usual employment. [2] The use of arthroscopy as an alternate technique for subacromial decompression was first published by Ellman[3] with short-term follow-up demonstrating 89% satisfaction at 2 to 5 years,[4] though proponents of open acromioplasty in the last decade found no essential difference in results between the two procedures except for cosmesis and personal preference.…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of arthroscopic subacromial decompression in patients with or without partial thickness rotator cuff tears

Eid¹,

Dwyer²,

Chambler³

2012

Int J Shoulder Surg

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Aim:To evaluate mid-term outcome in patients who underwent arthroscopic subacromial decompression (ASD) for shoulder impingement syndrome with intact and partially torn rotator cuffs.Materials and Methods:A total of 80 consecutive patients (83 shoulders) who underwent ASD for impingement syndrome between 2003 and 2006 were analyzed. Mean age was 57.1 years. Patients’ self-reported Oxford Shoulder Score (OSS) for pain was collected prospectively and was used as an instrument to measure surgical outcome.Results:The mean initial and final OSS for patients with an intact rotator cuff was 26.1 and 40.3, respectively, at a mean follow up of 71.9 months (nearly 7 years). The mean initial and final OSS for patients with a partially torn articular sided tear was 22.6 and 41.9, respectively, at mean follow up of 70.7 months. Both groups showed significant sustained improvement (P < 0.0001). The mean improvement of OSS following ASD was statistically greater (P < 0.03) for partially torn rotator cuff group (19.3 points) as compared to those with normal rotator cuff (14.2 points).Conclusion:Patients with dual pathology (partial rotator cuff tear and impingement) appreciated a significantly greater improvement following ASD compared to those with impingement alone. Both groups of patients had a similar final outcome at a mid-term follow up.Level of Evidence:IV, retrospective study on consecutive series of patients.

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