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 Mid-term results of arthroscopic subacromial decompression in patients with or without partial thickness rotator cuff tears

Ahmed S Eid, Amitabh J Dwyer, Andrew F. W. Chambler
Yeovil Elbow and Shoulder Service, Department of Trauma and Orthopaedic Surgery, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT, United Kingdom

Correspondence Address:
Amitabh J Dwyer
Department of Trauma and Orthopaedic Surgery, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT
United Kingdom
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Source of Support: None, Conflict of Interest: Approval For this Study: Granted by the Department of Clinical Governance, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT UK


DOI: 10.4103/0973-6042.102558

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Year : 2012  |  Volume : 6  |  Issue : 3  |  Page : 86-89

 
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Aim: To evaluate mid-term outcome in patients who underwent arthroscopic subacromial decompression (ASD) for shoulder impingement syndrome with intact and partially torn rotator cuffs. Materials and Methods: A total of 80 consecutive patients (83 shoulders) who underwent ASD for impingement syndrome between 2003 and 2006 were analyzed. Mean age was 57.1 years. Patients' self-reported Oxford Shoulder Score (OSS) for pain was collected prospectively and was used as an instrument to measure surgical outcome. Results: The mean initial and final OSS for patients with an intact rotator cuff was 26.1 and 40.3, respectively, at a mean follow up of 71.9 months (nearly 7 years). The mean initial and final OSS for patients with a partially torn articular sided tear was 22.6 and 41.9, respectively, at mean follow up of 70.7 months. Both groups showed significant sustained improvement (P < 0.0001). The mean improvement of OSS following ASD was statistically greater (P < 0.03) for partially torn rotator cuff group (19.3 points) as compared to those with normal rotator cuff (14.2 points). Conclusion: Patients with dual pathology (partial rotator cuff tear and impingement) appreciated a significantly greater improvement following ASD compared to those with impingement alone. Both groups of patients had a similar final outcome at a mid-term follow up. Level of Evidence: IV, retrospective study on consecutive series of patients.






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Ahmed S Eid, Amitabh J Dwyer, Andrew F. W. Chambler
Yeovil Elbow and Shoulder Service, Department of Trauma and Orthopaedic Surgery, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT, United Kingdom

Correspondence Address:
Amitabh J Dwyer
Department of Trauma and Orthopaedic Surgery, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: Approval For this Study: Granted by the Department of Clinical Governance, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT UK


DOI: 10.4103/0973-6042.102558

Get Permissions

Aim: To evaluate mid-term outcome in patients who underwent arthroscopic subacromial decompression (ASD) for shoulder impingement syndrome with intact and partially torn rotator cuffs. Materials and Methods: A total of 80 consecutive patients (83 shoulders) who underwent ASD for impingement syndrome between 2003 and 2006 were analyzed. Mean age was 57.1 years. Patients' self-reported Oxford Shoulder Score (OSS) for pain was collected prospectively and was used as an instrument to measure surgical outcome. Results: The mean initial and final OSS for patients with an intact rotator cuff was 26.1 and 40.3, respectively, at a mean follow up of 71.9 months (nearly 7 years). The mean initial and final OSS for patients with a partially torn articular sided tear was 22.6 and 41.9, respectively, at mean follow up of 70.7 months. Both groups showed significant sustained improvement (P < 0.0001). The mean improvement of OSS following ASD was statistically greater (P < 0.03) for partially torn rotator cuff group (19.3 points) as compared to those with normal rotator cuff (14.2 points). Conclusion: Patients with dual pathology (partial rotator cuff tear and impingement) appreciated a significantly greater improvement following ASD compared to those with impingement alone. Both groups of patients had a similar final outcome at a mid-term follow up. Level of Evidence: IV, retrospective study on consecutive series of patients.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06