Subacromial decompression for shoulder impingement syndrome.

Abstract

OBJECTIVE:

To evaluate the results in a consecutive series of patients who underwent subacromial decompression for shoulder impingement syndrome.

DESIGN:

Interventional quasi experimental study.

PLACE AND DURATION OF STUDY:

Orthopaedic Department at St Mary s Hospital, Isle of Wight Healthcare England from May 1999 to August 2001.

PATIENTS AND METHODS:

Twenty-five consecutive shoulders from 22 patients who underwent subacromial decompression for shoulder impingement syndrome were studied. Nineteen out of 25 shoulders were in stage I or II and 6 had stage III disease, having rotator cuff tear. All patients had a median 10 months course of conservative treatment before surgery. Patients were followed-up for 6 to 24 months postoperatively and assessed by clinical examination and the University of California at Los Angeles (UCLA) shoulder rating scale. Results were analysed by Wilcoxon s non-parametric test for internal comparison.

RESULTS:

The differences in pre- and postoperative scores for pain, function, active forward flexion, strength of forward flexion and overall patient satisfaction were improved with p-values < 0.01 in for each. This was an overall improvement in 88% cases.

CONCLUSION:

Subacromial decompression is an effective treatment for shoulder impingement syndrome. Accurate diagnosis, careful patient selection and appropriate surgical intervention results in a successful outcome and return to normal activities in majority of patients.

• Authors: Sajid Ejaz Rao, Sohail Muzammil, Nigel John Hobbs
• Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 16 Issue 3 Pg. 208-11 (Mar 2006) ISSN: 1022-386X [Print] Pakistan
• PMID: 16542602 (Publication Type: Comparative Study, Evaluation Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Data Interpretation, Statistical
• Decompression, Surgical
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Patient Satisfaction
• Patient Selection
• Recovery of Function
• Rotator Cuff Injuries
• Shoulder Impingement Syndrome (classification, diagnosis, physiopathology, surgery, therapy)
• Time Factors
• Treatment Outcome