ArticleJSES international2021
Arthroscopic bursectomy less effective in the degenerative shoulder with chronic subacromial pain.
Article in JSES international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- The supraspinatus fascia: a consistently two-layered structure with nociceptive innervation and differential functional anatomy.Surgical and radiologic anatomy : SRA · 2026Article
- Association of Subacromial Bursa Characteristics With Preoperative Nocturnal Pain and the Efficacy of Surgical Treatment for Pain Relief: A Prospective Cohort Study.Orthopaedic journal of sports medicine · 2026Article
- The subacromial bursa modulates tendon healing after rotator cuff injury in rats.Science translational medicine · 2024Article
- 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
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVarying results after surgery in patients with subacromial pain syndrome (SAPS) have raised the question on whether there is a subgroup of patients that can benefit from surgery. Therefore, we aimed to identify preoperative and peroperative factors associated with a favorable patient-reported outcome after arthroscopic bursectomy in patients with SAPS.
methodsPatients with chronic SAPS who underwent arthroscopic bursectomy after failed conservative management were included (n = 94). Patients were evaluated at the baseline, and 2 weeks, 8 weeks, 6 months, and 1 year after surgery. The primary outcome was the Western Ontario Rotator Cuff index (WORC) score one year after surgery. The secondary outcome measure was a visual analog scale for pain. Mixed model analyses were used to identify prognostic factors.
resultsThe mean WORC (mean difference 39%, 95% confidence interval (CI) 32.8-45.3,
conclusionWe identified demographic and clinical factors that predict the course after arthroscopic subacromial bursectomy. We found that arthroscopic bursectomy is less effective in patients with SAPS with a degenerative shoulder. This finding suggests that an improved treatment effect of arthroscopic subacromial bursectomy can be expected in patients with chronic SAPS if intra-articular pathologies such as glenohumeral osteoarthritis are sufficiently excluded.
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