The End of an Era?

The Journal of Orthopaedic and Sports Physical Therapy
Jeremy Lewis

Abstract

In 1972, American orthopaedic surgeon Charles Neer published his seminal paper, "Anterior Acromioplasty for the Chronic Impingement Syndrome in the Shoulder: A Preliminary Report." It wasn't a robust scientific paper; however, it changed the direction of orthopaedic practice for the next half century. Neer argued that a primary cause of shoulder pain was attrition of the supraspinatus tendon and related structures from the overlying acromion, especially when the arm was elevated. Neer recommended surgical removal to stop the impingement, and over the last half century, it could be argued that millions of people around the globe would have undergone acromioplasty surgery to stop this portion of the bone impinging onto the soft tissues located in the subacromial space. More recently, against the tide of subacromial decompression surgery there has been dissent, and the relationship between the acromion and symptoms has been challenged. J Orthop Sports Phys Ther 2018;48(3):127-129. doi:10.2519/jospt.2018.0102.

References

Jul 12, 2002·The New England Journal of Medicine·J Bruce MoseleyNelda P Wray
Jul 15, 2005·Journal of Shoulder and Elbow Surgery·Jeremy S LewisChristine Wright
Sep 22, 2005·ANZ Journal of Surgery·Damian McClellandRonald M Dodenhoff
Sep 20, 2008·British Journal of Sports Medicine·J S Lewis
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·H E HenkusE R A van Arkel
Aug 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Mark A VitaleWilliam N Levine
Apr 2, 2013·Journal of Shoulder and Elbow Surgery·John E KuhnUNKNOWN MOON Shoulder Group
Dec 27, 2013·The New England Journal of Medicine·Raine SihvonenUNKNOWN Finnish Degenerative Meniscal Lesion Study (FIDELITY) Group
Sep 22, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Jeremy LewisKaren Ginn
Jul 17, 2016·Journal of Shoulder and Elbow Surgery·Warren R DunnUNKNOWN MOON Shoulder Group

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