Trial reportBMC musculoskeletal disorders2014
Does arthroscopic sub-acromial decompression really work for sub-acromial impingement syndrome: a cohort study.
Trial report in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06473142 (CORRELATION BETWEEN SHOULDER DYSFUNCTION AND FRONTAL PLANE POSTURE IN SUBACROMIAL IMPINGEMENT SYNDROME), which is not on this map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Correlation between shoulder dysfunction and frontal plane posture in subacromial impingement syndrome
Who cites it
11 citing papers in PubMed, 40 citations in OpenAlex.
- Arthroscopic Subacromial Decompression in Patients With Subacromial Impingement Syndrome.Cureus · 2024Article
- The influence of exercise therapy dosing on pain and functional outcomes in patients with subacromial pain syndrome: A systematic review.Shoulder & elbow · 2024Review
- Identifying Conservative Interventions for Individuals with Subacromial Pain Syndrome Prior to Undergoing a Subacromial Decompression: A Scoping Review.International journal of sports physical therapy · 2023Article
- Patient education on subacromial impingement syndrome : Reliability and educational quality of content available on Google and YouTube.Orthopadie (Heidelberg, Germany) · 2022Article
- The influence of exercise on clinical pain and pain mechanisms in patients with subacromial pain syndrome.European journal of pain (London, England) · 2022Article
- Effects of a Novel Proprioceptive Rehabilitation Device on Shoulder Joint Position Sense, Pain and Function.Medicina (Kaunas, Lithuania) · 2022Article
- Article
- Subacromial impingement syndrome: management challenges.Orthopedic research and reviews · 2018Review
- The diagnostic value of a modified Neer test in identifying subacromial impingement syndrome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- Treatment of Subacromial Impingement Syndrome: Platelet-Rich Plasma or Exercise Therapy? A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2017Article
- Comprehensive Examination of the Athlete's Shoulder.Sports healthReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth Economists in Denmark have reported poor outcomes and low and delayed return to work for patients treated for Sub-Acromial Impingement syndrome (SAIS) by Arthroscopic Sub-Acromial Decompression (ASAD). In this setting it is important to evaluate outcomes following this commonly performed operation to justify undertaking it on our patients. The purpose of the study was to evaluate the effectiveness of ASAD for patients with SAIS and correlate clinical outcome with rate of return to work.
methodsProspective cohort study and retrospective review of data from the Nottingham Shoulder database. Inclusion criteria: Patients diagnosed clinically with SAIS by an experienced shoulder surgeon, who have failed conservative treatment (physiotherapy and sub-acromial injection), undergoing ASAD. Pre-operative and 6-month post-operative Oxford Shoulder Score (OSS) and Constant Score (CS) were compared. The rates of return to pre-operative work and hobbies were also analysed. Statistical analysis was carried out using the Wilcoxon signed rank test.
results73 patients with OSS (51 also with CS documentation) were included. The improvement in median OSS between pre-operative (24) and 6-month follow-up (39) was +15 (Z = -6.726, p < 0.0001, T = 6, r = 0.55). The difference in median CS between pre-operative (39) and 6-month follow-up (67) was +28 (Z = -5.435, p < 0.0001,T = 6, r = 0.59). Improvement in median pain score was +5 (7,12, p < 0.0001) median ADL was +5.5 (10.5,16, p < 0.0001) median ROM was +13 (18,31, p < 0.0001) and median strength was +4 (3,7, p < 0.0001). 76% returned to their pre-operative level of work (mean time = 11.5 weeks post surgery). 79% returned to pre-operative hobbies at a mean of 11.8 weeks after surgery.
conclusionThere is a significant improvement in both subjective and objective outcome 6 months after ASAD in patients with SAIS who have had previous failed conservative treatment. The rate of return to work was good for these patients in contrast to that reported for Danish patients. ASAD is a successful method of treatment for patients with SAIS who have had an initial trial of failed conservative treatment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.