Year: 1994
Type: article
Study design: Observational Study
Abstract: We retrospectively reviewed 68 patients (70 shoulders) who underwent either open or arthroscopic acromioplasty perfarmed by a single surgeon (JPI) for chronic impingement syndrome in the presence of an intact rotator cuff.Group 1 consisted of 24 shoulders that had open acromioplasty and group 2 consisted of 46 shoulders that had arthroscopic acrom ioplasty.The minimum follow-up was 12 months for both groups.There was no statistical difference in mean postoperative shoulder scores between the operative groups.However, there were more excellent results in the open group as compared with the arthroscopic group (54.2% vs 41.9%, respectively).In addition, there was a higher percentage of poor results in group 2 as compared with group 1 (27.9% vs 16.6%, respectively).Arthroscopic acromioplasty was associated with shorter hospital stays and faster achievement of maximal pain relief as compared with open acromioplasty.Examination of postoperative radiographs often revealed subacromial calcifications.These calcifications were more frequent after arthroscopic acromioplasty and were associated with a worse result.(J SHOULDER ELBOWSURG 1994;3: 1-11)In 1972 Neer '2 popularized the term "imp ingement syndrome" and described the pathologic anatomy associated with this condition .In addition, he discussed the treatment of subacromial impingement in 16 shoulders with intact rotator cuffs by anterior acromioplasty and coracoacromial ligament release.The listed indication for surgery in patients without a fullthickness cuff tear was pers istence of symptoms for more than 9 months despite appropriate nonoperative treatment.A characteristic radiographic finding of an anterior acromial spur and a favorable response to subacromial lidocaine injection were noted as useful guides for determining when surgery is indicated.
Authors: Mark D. Lazarus, Howard A. Chansky, Sanjay Misra, Gerald R. Williams, Joseph P. Iannotti
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,850
OpenAlex ID: W2156353445