The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
Aim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively....
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2011-12-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_4638/The-Role-Of-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement-Syndrome-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement |
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| Summary: | Aim: The results of open acromioplasty procedures were
investigated for shoulder impingement syndrome in patients
who did not respond to conservative treatment.
Methods: Twenty cases of shoulder impingement syndrome
who did not respond to conservative treatment were
investigated prospectively. The shoulder abduction and flexion
range of motion and muscle power were measured
preoperatively and postoperatively. Anteroposterior, neutral,
axillary and impingement radiographs were taken. Shoulder
magnetic resonance imaging (MRI) was performed. Clinical
assessment was performed by the Constant shoulder score.
Results: Results of MRI revealed that 20 cases had type 1, 2 and
3 acromion in 3, 9 and 8 patients, respectively. The mean followup
time was 16 months. Compared to preoperative conditions,
the results in 80% of cases were rated as perfect (p<0.000),
since all cases had gained both significantly more range of
motion (p<0.000) and muscle power (p<0.000), in addition to
decreased pain in all cases (p<0.000). Four cases who had been
rated as good had common features as advance age, traumatic
etiology and inadequate rehabilitation.
Conclusion: Open acromioplasty surgery reduces pain, increases
range of motion and is an effective treatment option in cases of
shoulder impingement syndrome not responding to conservative
treatment. (The Me di cal Bul le tin of Ha se ki 2011; 49: 141-4) |
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| ISSN: | 1302-0072 2147-2688 |