Arthroscopic Decompression in the Management of Subacromial Impingement Syndrome
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- Category: Vol. 77, June 2009
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Arthroscopic Decompression in the Management of Subacromial Impingement Syndrome,NASEF M. NASEF, AHMAD M. KHOLEIF and SHERIF ABD EL LATIF
Abstract
Background: Open acromioplasty has classically been described as a method of treatment for subacromial shoulder impingement syndrome. However, the arthroscopic method of management has also recently gained wide popularity.
Objective: The aim of this work was to present clinical outcome of arthroscopic decompression in the management of subacromial shoulder impingement syndrome.
Study Design: A case series.
Patients and Methods: The study involved 30 patients with stage II-III impingement; 18 females (60%) and 12 males (40%). Arthroscopic decompression was done from the bursal side (subacromial decompression). Among other exclusion criteria in this series; there were no cases with concomitant rotator cuff ruptures requiring repair.
Outcome Measures: The primary outcome measure was success of the procedure as judged by postoperative University of California at Los Angeles (ULCA) score on the last follow-up visit and Neer Criteria for "satisfaction". The secondary outcome was complications of the procedure.
Results: Average age at time of operation was 43.3 years. The mean follow-up was 25 months (range, 9-45). Outcome was satisfactory in 90%; 53.3% excellent and 36.7% good. Three patients had unsatisfactory results; 2 fair and one poor. No postoperative complications were found.
Conclusion: Results of arthroscopic subacromial decom-pression-though somewhat technically demanding-are grati-fying when performed properly in selected patients. Hospital-ization is brief with rapid return to daily activities and little risk of deltoid muscle complications.