Serial one-year follow-up of shoulder impingement syndrome after arthroscopic subacromial decompression.
- Author:
Jin Young PARK
1
;
Suk Joo LYU
Author Information
1. Department of Orthopaedic Surgery, Dankook University College of Medicine, Chonan, Korea.
- Publication Type:Original Article
- Keywords:
Shoulder;
Impingement syndrome;
Arthroscopic subacromial decompression;
Serial follow-up
- MeSH:
Animals;
Comb and Wattles;
Decompression*;
Diagnostic Self Evaluation;
Elbow;
Follow-Up Studies*;
Hair;
Humans;
Range of Motion, Articular;
Shoulder Impingement Syndrome*;
Shoulder*
- From:The Journal of the Korean Orthopaedic Association
2000;35(2):351-356
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the improvement in the patient self-evaluation for shoulder function and range of motion after arthroscopic subacromial decompression for shoulder impingement syndrome. Materials and Method: We performed a study of 21 patients out of 45 patients who could be assessed preoperatively and at 6 weeks and 3, 6, 9 and 12 months, using the standardized method of Research Committee of American Shoulder & Elbow Surgeons. We used two-sample unequal variance student t-test and Mann-Whitney U test to compare the initial findings. RESULTS: Nineteen patients were satisfied subjectively at 12 months after operation. Pain improvement was significant at 6 weeks. The total score of patient self-evaluation, put on a coat and manage using the toilet improved at 3 months, while sleep on painful side, wash back, comb hair, reach a high shelf and lift 5 kg above the shoulder improved at 6 months. Throwing a ball overhead improved at 9 months. The gain in range of motion was not noticeable except for internal rotation, which improved from T11 to T8. CONCLUSION: We found an arthroscopic subacromial decompression to be an effective method for treating impingement syndrome of the shoulder. Functional recovery could improve during a prolonged period despite of early relief of pain.