Selami KARADENİZ, Ahmet PİŞKİN, Murat ERDOĞAN, Fatih YANIK, Ali Birol GÜLMAN, Eyüp Çağatay ZENGİN

The effectiveness of acromioplasty in the treatment of subacromial impingement syndrome of the shoulder

The aim of this study is to evaluate the effectiveness of anterior open acromioplasty in patients with subacromial impingement syndrome of the shoulder in which there is no response to conservative treatment. Anterior open acromioplasty was performed on 56 patients diagnosed with subacromial impingement syndrome. We have called patients for the control. We evaluated the patients according to the Constant shoulder scoring system and VAS (Visual Analogue Scale), at rest, at night and during activity. We also evaluated and recorded range of motion of the shoulder and muscle strength. In two patients (3.6%) the result was moderate; in five patients (8.9%) the result was good and in 49 patients (87.5%) the result was perfect. The mean Constant score was 87 (51-100). In two patients (3.5%) there was light pain at rest and at night, and moderate pain during motion. In three patients (5.3%) we detected moderate pain only during motion. In 51 patients (91.2%) there was no pain at all. Acromioplasty has a positive effect on the treatment of pain, active range of motion and muscle strength in daily living activities in the treatment of subacromial impingement syndrome.

Keywords:

Acromioplasty, Shoulder impingement, Constant score, Visual Analogue Scale, Shoulder pain, Open surgery,

PDF

___

Bölükbaşı, S., Şimşek, A., Başkan, T., 1993. Omuzun impingement sendromu ve rotator manşet lezyonlarında akromiyoplasti. In: Ege R, editör. XIII. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 519-521.
Budoff, J.E., Nırschl, R.P., Guidi, E.J., 1998. Current concept review: Debridement of partial-thickness tears of the rotator cuff without acro- mioplasty. J. Bone Joint Surg. 80, 733-748.
Conroy, D.E., Hayes, K.W., 1998. The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impinge- ment syndrome. J.O.S.P.T. 28, 3-13.
Ekin, A., Tatari, H., Berk H., Mağden O., Havitçioğlu, H., 1993. Omuz impingement sendromunda akromionun anatomik ve radyolojik özel- liklerinin değerlendirilmesi. Artroplasti Artroskopik Cerrahi. 4, 27-32.
Elman, H., 1987. Arthroscopic subacromial decompression: Analysis of one-to three-year results. Arthroscopy. 3, 173-181.
Hawkins, R.J., Plancher, K.D., Sademdi, S.R., Brezenoff, L.S., Moor, J.T., 2001. Arthroscopic subacromial decompression. J. Shoulder Elb. Surg. 10, 225-230.
Insel, L., Dawson, J., Zondervan, K., Rose, P., Randall, T., Fitzpatrick, R., Carr, A., 2006. Prevalence andincidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology. 45, 215–221.
Karabulut, İ.Ç., 1999. Subakromiyal sıkışma sendromunun tedavisinde lazer ve ultrason.Uzmanlık Tezi. İstanbul.
Matsen, F., Arntz, C., 1990. Subacromial impingement. In Rockwood C, Matsen F (eds). The Shoulder. Philadelphia, W.B. Saunders Company, 623-648.
Neer, C.S., 1972. II. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J. Bone Joint Surg. 54, 41-50.
Post, M., Cohen, J., 1986. Impingement syndrome. A review of late stage II and early stage III lesions. Clin. Orthop. 207, 125-132.
Rockwood, C.A., 1990. Surgical treatment of the shoulder impingement. A modification of the near anterior acromioplasty in 71 shoulders. Orthop. Trans. 14, 251.
Sauers, E.L,. 2005. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: A systematic review. J. Hand Ther. 40, 221-223.
Taheriazam, A., Sadatsafavi, M., Moayyeri, A., 2005. Outcome predictors in nonoperative management of newly diagnosed subacromial im- pingement syndrome: A longitudinal study. Medscape General Medicine. 7, 63.
Thorling, J., Bjerneld, H., Hallin, G., Hovelius, L., Hagg, O., 1985. Acromioplasty for impingement syndrome. Acta Orthop. Scandi. 56, 147- 148.
Tibone, J.E., Jobe, F.W., Kerlan, R.K., Carter, V.S., Shields, C.L., Lombardo, S.J., Yocum, L.A., 1985. Shoulder impingement syndrome in ath- letes treated by an anterior acromioplasty. Clin. Orthop. 198, 134-140.