SUBACROMIAL IMPINGEMENT SYNDROME. METHODS OF TREATMENT AND THE EFFECTIVENESS OF ARTHROSCOPIC TECHNIQUES
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2015, Vol 13, Issue 13
Abstract
Introduction Shoulder pain is an increasingly frequent disorder affecting people today. In recent years, a reduction of the age of people af- fected by this condition has been observed, mainly due to frequent injuries and accumu- lated sports- and work-related strain. Sub- acromial impingement includes all changes in the shoulder resulting in a narrowing of the subacromial space. Aim Evaluation of the effectiveness of arthroscop- ic treatment in patients with subacromial impingement syndrome surgically treated at the Orthopaedics, Traumatology and Hand Surgery Clinic and Department in Poznan University of Medical Sciences. Material and methods The study group included 60 patients (32 women and 28 men) surgically treated be- cause of subacromial impingement syn- drome in 2001–2009. The average age was 54 years. A “shoulder assessment form” used at the Department of Hand Surgery was filled out to investigate the recovery of the shoulder function. The form was based on quantitative scoring systems (VAS, ASES/ SSI – American Shoulder and Elbow Sur- geons/Shoulder Score Index, UCLA Shoul- der rating scale and SST – Simple Shoulder Test). Questionnaires were filled before the surgery and during the follow-up examina- tion. The follow-up examination was con- ducted by telephone and the results were compared with the pre-operative results. Results Improvement was achieved basing on re- sults of all questionnaires in comparison with the pre-operative scores. The SSI – Shoulder Score Index (ASES) increased from 34.2 points to 74.3 points. The UCLA score improved as well. The average num- ber of positive responses provided by the patients in the SST test also increased, from 4 to 9. The average level of pain, measured by means of the VAS, decreased from 7.2 (±2,1) to 2.8 (±2,9). Patient satisfaction with regard to shoulder function also signifi- cantly improved – the number of dissatisfied patients decreased from 59 pre-operatively to 8 post-operatively. Conclusions Arthroscopic decompression of the subacro- mial space causes a significant improvement in upper limb function in both subjective and clinical assessment of the patients. The improvement relates to a reduction of the level of pain and increased ability to per- form the activities of daily living.
Authors and Affiliations
Piotr Kaczmarek, Przemysław Lubiatowski, Leszek Romanowksi, Irena Kłyk
Keywords
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