Subacromial impingement syndrome：a systematic review of arthroscopicversus open subacromial decompression
10.3969/j.issn.2095-4344.2014.46.031
- VernacularTitle:肩峰下撞击综合征治疗：关节镜下肩峰减压与开放性手术的系统评价
- Author:
Yan DONG
;
Keyuan ZHANG
;
Xuebin SUN
;
Gang LI
;
Abulimiti NIJIATI
;
Yang LIU
- Publication Type:Journal Article
- Keywords:
acromion;
shoulder impingement syndrome;
arthroscopes
- From:
Chinese Journal of Tissue Engineering Research
2014;(46):7538-7544
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:It is stil disputed about the treatment of subacromial impingement syndrome at present, arthroscopic subacromial decompression or open subacromial decompression. OBJECTIVE:To assess the clinical therapeutic effects of arthroscopic subacromial decompressionversus open subacromial decompression in the treatment of subacromial impingement syndrome. METHODS:Controled trials on arthroscopic subacromial decompressionversus open acromioplasty in the treatment of subacromial impingement syndrome were colected in different databases through computer search. There was no limitation for language, randomized controled trials or blinded studies. At last, the meta-analysis was conducted by using RevMan5.0 software. RESULTS AND CONCLUSION:Four randomized controled trials and six non-randomized controled trials were included in this study, involving 583 patients with subacromial impingement syndrome. The results of meta-analysis prompted that as to the hospital inpatient days and time until return to work, the group of arthroscopic subacromial decompression was shorter than open subacromial decompression. However, as to the postoperative shoulder functional scores, the operative time, patient’s satisfaction, and the rate of excelent and good results of postoperative UCLAs, there were no significant statistical differences between two groups. Due to the certain limitations and deficiencies of the quantity and quality in the included trials, there must stil need large-sample, multi-centered, high-quality randomized controled trials to confirm these results.
