Does acromioplasty result in favorable clinical and radiologic outcomes in the management of chronic subacromial pain syndrome? A double-blinded randomized clinical trial with 9 to 14 years' follow-up

Journal of Shoulder and Elbow Surgery
A KolkR G H H Nelissen

Abstract

The treatment effect of acromioplasty for chronic subacromial pain syndrome (SAPS) on long-term shoulder function and rotator cuff deterioration has still to be determined. This study aimed to determine the long-term clinical and radiologic treatment effect of arthroscopic acromioplasty in patients with chronic SAPS. In this double-blind, randomized clinical trial, 56 patients with chronic SAPS (median age, 47 years; age range, 31-60 years) were randomly allocated to arthroscopic bursectomy alone or to bursectomy combined with acromioplasty and were followed up for a median of 12 years. The primary outcome was the Constant score. Secondary outcomes included the Simple Shoulder Test, visual analog scale (VAS) for pain, VAS for shoulder functionality, and rotator cuff integrity assessed with magnetic resonance imaging or ultrasound. A total of 43 patients (77%) were examined at a median of 12 years' follow-up. Intention-to-treat analysis at 12 years' follow-up did not show a significant additional treatment effect of acromioplasty on bursectomy alone in improvement in Constant score (5 points; 95% confidence interval, -5.1 to 15.6), Simple Shoulder Test score, VAS score for pain, or VAS score for shoulder function. The prevalence...Continue Reading

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Citations

Jan 17, 2019·British Journal of Sports Medicine·Tuomas LähdeojaClare L Ardern
Mar 2, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Jeremy Lewis
Nov 13, 2018·Archives of Orthopaedic and Trauma Surgery·Tae-Hwan YoonYong-Min Chun
Mar 15, 2019·Archives of Orthopaedic and Trauma Surgery·Anselme BillaudPierre-Henri Flurin
Feb 28, 2020·JBJS Reviews·Luciano A Rossi, Maximiliano Ranalletta
Aug 1, 2019·Operative Orthopädie und Traumatologie·Kilian RuecklPiet Plumhoff
Dec 1, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Celeste L OverbeekJurriaan H de Groot
Dec 29, 2019·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Erik HohmannAndreas Imhoff
Sep 1, 2019·Clinics in Shoulder and Elbow·Young-Kyu KimJi-Uk Choi
Mar 9, 2021·JSES International·Hamez GacaferiCornelis P J Visser
Apr 24, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Luciano A RossiMaximiliano Ranalletta
Mar 28, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Pierre LavignacAnselme Billaud

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