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.