Effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome

To investigate the effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome. Materials and methods: Sixty-eight patients having stage 2 shoulder impingement syndrome and treated with arthroscopic subacromial decompression were included in the study. We divided these patients into 2 groups, whereby 32 (47%) patients received conservative therapy before arthroscopic subacromial decompression and 36 (53%) patients did not receive conservative therapy. We compared both groups in terms of the the Constant, UCLA, and VAS scores for shoulder pain before and after arthroscopic subacromial decompression. Results: Constant, UCLA, and VAS scores were statistically significantly improved in both groups after arthroscopic subacromial decompression (P < 0.001). Constant, UCLA, and VAS scores before arthroscopic subacromial decompression were statistically better in Group 1 than in Group 2 (P < 0.001). No statistically significant difference was found between the groups in terms of Constant, UCLA, and VAS scores after arthroscopic subacromial decompression (P > 0.05). Conclusion: Conservative therapy applied in patients with stage 2 shoulder impingement syndrome before arthroscopic subacromial decompression does not have a positive contribution on the clinical outcome after arthroscopic subacromial decompression.

Effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome

To investigate the effects of conservative therapy applied before arthroscopic subacromial decompression on the clinical outcome in patients with stage 2 shoulder impingement syndrome. Materials and methods: Sixty-eight patients having stage 2 shoulder impingement syndrome and treated with arthroscopic subacromial decompression were included in the study. We divided these patients into 2 groups, whereby 32 (47%) patients received conservative therapy before arthroscopic subacromial decompression and 36 (53%) patients did not receive conservative therapy. We compared both groups in terms of the the Constant, UCLA, and VAS scores for shoulder pain before and after arthroscopic subacromial decompression. Results: Constant, UCLA, and VAS scores were statistically significantly improved in both groups after arthroscopic subacromial decompression (P < 0.001). Constant, UCLA, and VAS scores before arthroscopic subacromial decompression were statistically better in Group 1 than in Group 2 (P < 0.001). No statistically significant difference was found between the groups in terms of Constant, UCLA, and VAS scores after arthroscopic subacromial decompression (P > 0.05). Conclusion: Conservative therapy applied in patients with stage 2 shoulder impingement syndrome before arthroscopic subacromial decompression does not have a positive contribution on the clinical outcome after arthroscopic subacromial decompression.

___

  • Bigliani LU, Levine WN. Current concepts review. Subacromial impingement syndrome. J Bone Joint Surg Am 1997; 79: 1854– 1868.
  • Caspari RB, Thal R. A technique for arthroscopic subacromial decompression. Arthroscopy 1992; 8: 23–30.
  • Gartsman GM. Arthroscopic acromioplasty for lesion of the rotator cuff. J Bone Joint Surg Am 1990; 72: 169–180.
  • Lindh N, Norlin R. Arthroscopic subacromial decompression versus open acromioplasty. A two-year follow-up study. Clin Orthop Relat Res 1993; 290: 174–176.
  • Olsewski JM, Depew AD. Arthroscopic subacromial decompression and rotator cuff debridement for stage II and stage III impingement. Arthroscopy 1994; 10: 61–68.
  • Ryu RK. Arthroscopic subacromial decompression: a clinical review. Arthroscopy 1992; 8: 141–147.
  • Speer KP, Lohnes J, Garret WE. Arthroscopic subacromial decompression: results in advanced impingement syndrome. Arthroscopy 1991; 7: 291–296.
  • Van Holsbeeck E, DeRycke J, Declercq G, Martens M, Verstreken J, Fabry G. Subacromial impingement: open versus arthroscopic decompression. Arthroscopy 1992; 8: 173–178.
  • Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987; 214: 160–164.
  • Amstutz HC, Sew Hoy AL, Clarke IC. UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 1981; 155: 7–20.
  • Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986; 27: 117–126.
  • Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, Sim J. The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis. Semin Arthritis Rheum 2012; 42: 297–316.
  • Heredia-Rizo AM, López-Hervás A, Herrera-Monge P, Gutiérrez- Leonard A, Piña-Pozo F. Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: a case series. J Bodyw Mov Ther 2013; 17: 212–218.
  • Holmgren T, Björnsson Hallgren H, Öberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ 2012; 344: e787.
  • Atalar AC, Demirhan M, Kocabey Y, Akalin Y. Arthroscopic subacromial decompression: one- to seven-year results. Acta Orthop Traumatol Turc 2001; 35: 377–381.
  • Imhoff A, Ledermann T. Arthroscopic subacromial decompression with and without the Holmium:YAG-laser. A prospective comparative study. Arthroscopy 1995; 11: 549–556.
  • Norlin R. Arthroscopic subacromial decompression versus open acromioplasty. Arthroscopy 1989; 5: 321–323.
  • Rockwood CA, Lyons FR. Shoulder impingement syndrome: diagnosis, radiographic evaluation, and treatment with a modified Neer acromioplasty. J Bone Joint Surg Am 1993; 75: 409–424.
  • Sachs RA, Stone ML, Devine S. Open vs. arthroscopic acromioplasty: a prospective, randomized study. Arthroscopy 1994; 10: 248–254.
  • Wilk EW, Andrews JR. Rehabilitation following arthroscopic subacromial decompression. Orthopedics 1993; 16: 349–358.
  • Adolfsson L, Lysholm J. Results of arthroscopic acromioplasty related to rotator cuff lesions. Int Orthop 1993; 17: 228–231.
  • Altchek DW, Warren RF, Wickiewicz TL, Skyhar MJ, Ortiz G, Schwartz E. Arthroscopic acromioplasty: technique and results. J Bone Joint Surg Am 1990; 72: 1198–1207.
  • Dines JS, Grande DA, Dines DM. Tissue engineering and rotator cuff tendon healing. J Shoulder Elbow Surg 2007; 16: 204–207.
  • Ellman H. Arthroscopic subacromial decompression: analysis of one- to three-year results. Arthroscopy 1987; 3: 173–181.
  • Esch JC, Ozerkis LR, Helgager JA, Kane N, Lilliott N. Arthroscopic subacromial decompression: results according to the degree of rotator cuff tear. Arthroscopy 1988; 4: 241–249.
  • Patel VR, Singh D, Calvert PT, Bayley JI. Arthroscopic subacromial decompression: results and factors affecting outcome. J Shoulder Elbow Surg 1999; 8: 231–237.
  • Payne LZ, Altchek DW, Craig EV, Warren RF. Arthroscopic treatment of partial rotator cuff tears in young athletes: a preliminary report. Am J Sports Med 1997; 25: 299–305.
  • Dom K, Van Glabbeek F, Van Riet RP, Verborgt O, Wuyts FL. Arthroscopic subacromial decompression for advanced (stage II) impingement syndrome: a study of 52 patients with five years follow-up. Acta Orthop Belg 2003; 69: 13–17.
  • Bezer M, Aydın N, Erol B, Kocaoğlu B, Güven O. Late results of arthroscopic and open anterior acromioplasty. Acta Orthop Traumatol Turc 2004; 38: 115–117.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Molecular discrimination of Echinococcus granulosus and Echinococcus multilocularis by sequencing and a new PCR-RFLP method with the potential use for other Echinococcus species

Çağrı ŞAKALAR, Salih KUK, Ahmet ERENSOY, Adile Ferda DAĞLI, İbrahim Hanifi ÖZERCAN

Early surgical results of a 23-gauge trocar combined with a one-directional valve system in primary and secondary pars plana vitrectomy

Ayşe Gül ALTINTAŞ, Hasan Basri ARİFOĞLU, Şükrü Gültekin KÖKLÜ, Kenan SÖNMEZ

Evaluation and comparison of alpha- and beta-amanitin toxicity on MCF-7 cell line

Ertuğrul KAYA, Recep BAYRAM, Kürşat Oğuz YAYKAŞLI, İsmail YILMAZ, Sait BAYRAM

Leptin and leptin receptor polymorphisms are related to body mass index in a Turkish population

Uzay GÖRMÜŞ, Özlem TİMİRCİ KAHRAMAN, Bahar TOPTAŞ, Turgay İSBİR

Insulin-like growth factor 1, liver enzymes, and insulin resistance in patients with PCOS and hirsutism

Evrim ÇAKIR, Oya TOPALOĞLU, Nujen ÇOLAK BOZKURT, Başak KARBEK BAYRAKTAR

Airway inflammation and tiotropium treatment in stable COPD patients

Duygu ÖZOL, Harun KARAMANLI, Sema UYSAL, Muhammet Ramazan YİĞİTOĞLU, Zeki YILDIRIM

Effects of ozone therapy and taurine on ischemia/reperfusion-induced testicular injury in a rat testicular torsion model

Tolga Reşat AYDOS, Mehmet Murad BAŞAR, Oğuz KUL, Hasan Tarık ATMACA

Calcifying fibrous pseudotumor of lungs

Serdar Özkan Funda DEMİRAĞ, Erdal YEKELER, Nurettin KARAOĞLANOĞLU

Endothelial dysfunction and insulin resistance in young women with polycystic ovarian syndrome

Mine YAVUZ TAŞLIPINAR, Nedret KILIÇ, Nilüfer BAYRAKTAR, İsmail GÜLER, Yasemin GÜLCAN KURT

Hormone replacement therapy-related changes in the early postmenopausal period (critical window): an in vivo brain proton magnetic resonance spectroscopy study

Kamran MAHMUTYAZICIOĞLU, Fahri Halit BEŞİR, Mustafa BARDAKÇI