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Subacromial decompression

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https://www.readbyqxmd.com/read/27583006/medium-to-long-term-results-of-a-randomized-controlled-trial-to-assess-the-efficacy-of-arthoscopic-subacromial-decompression-versus-mini-open-repair-for-the-treatment-of-medium-sized-rotator-cuff-tears
#1
Amit Sharad Chandra Bidwai, Ann Birch, David Temperley, Saurabh Odak, Michael J Walton, John F Haines, Ian Trail
BACKGROUND: We report on the medium- to long-term results of a randomized controlled trial (RCT) aiming to determine whether rotator cuff repair confers any advantage over arthroscopic sub-acromial decompression (ASAD) alone in the management of medium-sized rotator cuff tears. METHODS: Ethical approval was sought to follow-up patients previously enrolled in a completed and previously published RCT comparing the outcome of ASAD with mini-open cuff repair for the treatment of rotator cuff tear...
April 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27548366/the-ability-of-preoperative-factors-to-predict-patient-reported-disability-following-surgery-for-rotator-cuff-pathology
#2
Jason D Woollard, James E Bost, Sara R Piva, G Kelley Fitzgerald, Mark W Rodosky, James J Irrgang
PURPOSE: Minimal research has examined the prognostic ability of shoulder examination data or psychosocial factors in predicting patient-reported disability following surgery for rotator cuff pathology. The purpose of this study was to examine these factors for prognostic value in order to help clinicians and patients understand preoperative factors that impact disability following surgery. METHODS: Sixty-two patients scheduled for subacromial decompression with or without supraspinatus repair were recruited...
August 22, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27540732/effect-of-arthroscopic-techniques-on-joint-volume-in-shoulder-instability-bankart-repair-versus-capsular-shift
#3
Przemysław Lubiatowski, Jan Długosz, Marta Ślęzak, Piotr Ogrodowicz, Jakub Stefaniak, Joanna Walecka, Leszek Romanowski
PURPOSE: The evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift). METHODS: Material was based on 133 patients: anterior shoulder instability without laxity (group I, n = 49), with laxity (group II, n = 22) and subacromial impingement (control group, n = 62) operated in 2010-2011...
August 19, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27496907/survivorship-and-patient-reported-outcomes-after-comprehensive-arthroscopic-management-of-glenohumeral-osteoarthritis-minimum-5-year-follow-up
#4
Justin J Mitchell, Marilee P Horan, Joshua A Greenspoon, Travis J Menge, Dimitri S Tahal, Peter J Millett
BACKGROUND: There are little data on midterm outcomes after the arthroscopic management of glenohumeral osteoarthritis (GHOA) in young active patients. PURPOSE: To report outcomes and survivorship for the comprehensive arthroscopic management (CAM) procedure for the treatment of GHOA at a minimum of 5 years postoperatively. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The CAM procedure was performed on a consecutive series of 46 patients (49 shoulders) with advanced GHOA who met criteria for shoulder arthroplasty but instead opted for a joint-preserving, arthroscopic surgical option...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27490156/rising-trends-in-surgery-for-rotator-cuff-disease-in-western-australia
#5
Alison Thorpe, Mark Hurworth, Peter O'Sullivan, Tim Mitchell, Anne Smith
BACKGROUND: Increasing rates of surgery for rotator cuff disease have been reported in the past decade in a number of countries worldwide. Rising surgery rates do not correspond with equivalent increases in shoulder pain prevalence. The aims of the study were: to investigate trends in population-adjusted surgical rates for rotator cuff disease in Western Australia (WA) from 2001 to 2013; to compare population-adjusted arthroscopic surgical trends between (i) private versus public hospital setting; (ii) sex and (iii) different age groups; and to evaluate rising health care costs associated with arthroscopic surgical rates for rotator cuff disease...
October 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27474106/outcomes-of-arthroscopic-decompression-of-spinoglenoid-cysts-through-a-subacromial-approach
#6
Sung-Jae Kim, Yun-Rak Choi, Min Jung, Jun-Young Park, Yong-Min Chun
PURPOSE: To describe a spinoglenoid cyst decompression technique through a subacromial approach and its clinical outcomes after 2 years of follow-up. METHODS: From March 2008 to October 2013, 26 patients underwent arthroscopic decompression of a spinoglenoid ganglion cyst with and/or without superior labral anterior to posterior repair, and patients who were available for minimum of 2 years of follow-up were included. For functional assessments, the visual analog scale (VAS) pain score, subjective shoulder value (SSV), University of California at Los Angeles (UCLA) shoulder score, American Shoulder and Elbow Surgeon (ASES) score, and shoulder active range of motion were used to compare preoperative and postoperative follow-up values...
July 27, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27331028/evidence-of-healing-of-partial-thickness-rotator-cuff-tears-following-arthroscopic-augmentation-with-a-collagen-implant-a-2-year-mri-follow-up
#7
Desmond John Bokor, David Sonnabend, Luke Deady, Ben Cass, Allan Young, Craig Van Kampen, Steven Arnoczky
BACKGROUND: partial-thickness rotator cuff tears frequently enlarge due to increased local strain and often progress to full-thickness tears. Studies suggest the addition of new tendinous tissue to injured cuff tendons would significantly decrease peak strain, possibly protecting against tear progression. The aim of this study was to assess the ability of a highly-porous collagen implant to induce new tissue formation and limit tear progression when placed on the bursal surface of partial-thickness cuff tears...
January 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27283590/manual-therapy-and-exercise-for-rotator-cuff-disease
#8
REVIEW
Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle, Marshall A Mrocki, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease often includes manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of people with rotator cuff disease...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27259482/-arthroscopic-subacromial-decompression
#9
S Lerch, S Elki, M Jaeger, T Berndt
OBJECTIVE: Coracoacromial ligament release to widen the subacromial space, resection of the anterior undersurface of the acromion and, if needed, caudal exophytes at the acromioclavicular joint. INDICATIONS: All types of outlet impingement after 3 months of conservative treatment. CONTRAINDICATIONS: Impingement syndrome with instability/muscular imbalance, massive rotator cuff tear, unstable os acromionale, posterior-superior impingement, joint infection, freezing phase of a secondary frozen shoulder...
October 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27146817/duration-of-sick-leave-after-shoulder-arthroscopy-in-germany-analysis-of-health-care-data
#10
Marius von Knoch, Dirk Enders, Natasha I Schlothauer, Hans Michael Klinger, Iris Pigeot
INTRODUCTION: The expected duration of incapacity after arthroscopic shoulder surgery is an important factor for therapy planning. The aim of this study was to analyze the duration of sick leave after arthroscopic shoulder surgery in Germany and to identify factors associated with a longer duration of sick leave. We hypothesized that certain patient-related factors may be associated with a longer duration of sick leave. METHODS: Routine health care data of all patients insured by one German health insurance company who underwent inpatient arthroscopic shoulder surgery between 2010 and 2012 were included in the analysis of the duration of sick leave in this retrospective cohort study (level III evidence)...
June 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27117824/profile-of-current-opinion-on-arthroscopic-acromioplasty-a-video-survey-study
#11
Danielle Y Ponzio, Corinne VanBeek, Justin C Wong, Eric M Padegimas, Okechukwu A Anakwenze, Charles L Getz, Joseph A Abboud
PURPOSE: To provide a baseline profile of current opinion on use of arthroscopic acromioplasty and evaluate the consistency of surgical decision making on whether or not to perform acromioplasty across different surgeon practices. METHODS: Twenty-two fellowship-trained orthopaedic shoulder surgeons from the Association of Clinical Elbow and Shoulder Surgeons completed an Internet-based survey on practices associated with acromioplasty, including questions related to 15 arthroscopic videos...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27083535/subsequent-shoulder-surgery-after-isolated-arthroscopic-slap-repair
#12
Brent Mollon, Siddharth A Mahure, Kelsey L Ensor, Joseph D Zuckerman, Young W Kwon, Andrew S Rokito
PURPOSE: To quantify the incidence of and identify the risk factors for subsequent shoulder procedures after isolated SLAP repair. METHODS: New York's Statewide Planning and Research Cooperative System database was searched between 2003 and 2014 to identify individuals with the sole diagnosis of a SLAP lesion who underwent isolated arthroscopic SLAP repair. Patients were longitudinally followed up for a minimum of 3 years to analyze for subsequent ipsilateral shoulder procedures...
April 12, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27068379/anxiety-and-depression-predict-poor-outcomes-in-arthroscopic-subacromial-decompression
#13
Andrew P Dekker, Omer Salar, S Vail Karuppiah, Edward Bayley, Jomy Kurian
BACKGROUND: Subacromial impingement is common and frequently treated with arthroscopic subacromial decompression (ASD); however, its efficacy has recently been questioned. Poor surgical outcomes have been associated with anxiety and depression within other orthopedic subspecialties but not within this group of patients. We hypothesized that anxiety and depression are associated with worse outcomes after ASD. METHODS: A retrospective review of prospectively collected data was carried out of patients undergoing ASD...
June 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27043344/implementation-of-conservative-treatment-prior-to-arthroscopic-subacromial-decompression-of-the-shoulder
#14
Ingrid Husdal Dørum, Stig Heir, Eirik Solheim, Liv Heide Magnussen
PURPOSE: The aim of the study was to investigate to what extent patients undergo evidence-based conservative treatment prior to arthroscopic subacromial decompression of the shoulder. METHODS: One hundred and twenty patients (65 women, 55 men, median age 53.5 years (range 28-70), referred to arthroscopic subacromial decompression at two hospitals in Norway, were consecutively included in the study. The patients completed a self-administered questionnaire including questions concerning the quantity and nature of preoperative treatment as well as the QuickDASH score...
April 4, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27026886/arthroscopic-treatment-of-non-homogeneous-calcifying-tendinitis-of-the-rotator-cuff
#15
George El Rassi, Jihad Matta, Georges Haidamous, Patrik Brogard, Philipe Clavert, Jean-Francois Kempf, Jihad Irani
The purpose of this study is to investigate the clinical outcome of arthroscopic treatment for patients with non-homogeneous infiltrated calcifying tendinitis of the rotator cuff (type III), and to assess the optimal method for this arthroscopic treatment. We retrospectively reviewed the charts of 81 patients who underwent arthroscopic treatment for non-homogeneous infiltrated calcifying tendinitis of the rotator cuff (type III). Patients were divided into two groups: Group A (n = 31) consisted of patients who underwent excision of calcification, and Group B comprised patients who underwent acromioplasty alone (n = 50)...
2016: SpringerPlus
https://www.readbyqxmd.com/read/26916927/effectiveness-of-standardized-physical-therapy-exercises-for-patients-with-difficulty-returning-to-usual-activities-after-decompression-surgery-for-subacromial-impingement-syndrome-randomized-controlled-trial
#16
David Høyrup Christiansen, Poul Frost, Deborah Falla, Jens Peder Haahr, Lars Henrik Frich, Linda Christie Andrea, Susanne Wulff Svendsen
BACKGROUND: Little is known about the effectiveness of exercise programs after decompression surgery for subacromial impingement syndrome. For patients with difficulty returning to usual activities, special efforts may be needed to improve shoulder function. OBJECTIVE: The purpose of this study was to evaluate the effectiveness at 3 and 12 months of a standardized physical therapy exercise intervention compared with usual care in patients with difficulty returning to usual activities after subacromial decompression surgery...
June 2016: Physical Therapy
https://www.readbyqxmd.com/read/26911157/effect-of-arthroscopic-rotator-cuff-surgery-in-patients-with-preoperative-restricted-range-of-motion
#17
Helen Razmjou, Patrick Henry, Giuseppe Costa, Tim Dwyer, Richard Holtby
BACKGROUND: The purpose of this study was to examine the impact of rotator cuff (RC) decompression and/or repair on post-operative ROM in patients with pre-operative restricted passive motion who had undergone arthroscopic subacromial debridement and/or rotator cuff repair. Potential predictors of ROM recovery such as age, sex, mechanism of injury, type of surgery, presence of an endocrine illness and having an active Worker Compensation claim related to the shoulder were explored. METHODS: A retrospective analysis of prospectively collected data was performed...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26775745/the-effect-of-coracoacromial-ligament-excision-and-acromioplasty-on-the-amount-of-rotator-cuff-force-production-necessary-to-restore-intact-glenohumeral-biomechanics
#18
Jeffrey E Budoff, Cheng-Li Lin, Chih-Kai Hong, Florence L Chiang, Wei-Ren Su
HYPOTHESIS AND BACKGROUND: Coracoacromial ligament (CAL) excision and acromioplasty increase superior and anterosuperior glenohumeral translation. It is unknown how much of an increase in rotator cuff force production is required to re-establish intact glenohumeral biomechanics after these surgical procedures. We hypothesized that, after CAL excision and acromioplasty, an increase in rotator cuff force production would not be necessary to reproduce the anterosuperior and superior translations of the intact specimens...
June 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/26658563/subclinical-hypothyroidism-and-diabetes-as-risk-factors-for-postoperative-stiff-shoulder
#19
Davide Blonna, Francesca Fissore, Enrico Bellato, Marco La Malfa, Michel Calò, Davide Edoardo Bonasia, Roberto Rossi, Filippo Castoldi
PURPOSE: Postoperative stiffness can be a disabling condition after arthroscopic shoulder surgery. The purpose of this study was to analyse the potential contribution of subclinical forms of hypothyroidism and diabetes in the development of postoperative shoulder stiffness. METHODS: A prospective study was conducted on 65 consecutive patients scheduled for arthroscopic subacromial decompression or rotator cuff tear repair. Patients with preoperative stiffness were excluded...
December 12, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26637238/pain-depression-and-the-postoperative-stiff-shoulder
#20
Nathaniel Hiscock, Simon Bell, Jennifer Coghlan
BACKGROUND: The surgical repair of shoulder pathologies, including rotator cuff disease and acromio-clavicular joint arthritis, have undergone many technical advances. However the debilitating postoperative stiff shoulder remains a common and significant complication of these surgeries, occurring in 4.9 to 23.2 % of patients undergoing rotator cuff repairs. The pathology of the pathological postoperative stiff shoulder and its associated condition "frozen shoulder" are poorly understood and both lack formal objective clinical diagnostic criteria...
December 4, 2015: BMC Musculoskeletal Disorders
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