The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement

Aim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively....

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Main Authors: Rüştü Nuran, Cemal Kural, Ali Akın Uğraş
Format: Article
Language:English
Published: Galenos Publishing House 2011-12-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access:http://www.hasekidergisi.com/article_4638/The-Role-Of-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement-Syndrome-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement
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author Rüştü Nuran
Cemal Kural
Ali Akın Uğraş
author_facet Rüştü Nuran
Cemal Kural
Ali Akın Uğraş
author_sort Rüştü Nuran
collection DOAJ
description Aim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively. The shoulder abduction and flexion range of motion and muscle power were measured preoperatively and postoperatively. Anteroposterior, neutral, axillary and impingement radiographs were taken. Shoulder magnetic resonance imaging (MRI) was performed. Clinical assessment was performed by the Constant shoulder score. Results: Results of MRI revealed that 20 cases had type 1, 2 and 3 acromion in 3, 9 and 8 patients, respectively. The mean followup time was 16 months. Compared to preoperative conditions, the results in 80% of cases were rated as perfect (p<0.000), since all cases had gained both significantly more range of motion (p<0.000) and muscle power (p<0.000), in addition to decreased pain in all cases (p<0.000). Four cases who had been rated as good had common features as advance age, traumatic etiology and inadequate rehabilitation. Conclusion: Open acromioplasty surgery reduces pain, increases range of motion and is an effective treatment option in cases of shoulder impingement syndrome not responding to conservative treatment. (The Me di cal Bul le tin of Ha se ki 2011; 49: 141-4)
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institution Kabale University
issn 1302-0072
2147-2688
language English
publishDate 2011-12-01
publisher Galenos Publishing House
record_format Article
series Haseki Tıp Bülteni
spelling doaj-art-b1892e010ec942e3b8acf33dd19be4e02025-08-20T03:39:25ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882011-12-01494141144The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder ImpingementRüştü Nuran0Cemal Kural1Ali Akın Uğraş2Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeHaseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, TürkiyeAim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively. The shoulder abduction and flexion range of motion and muscle power were measured preoperatively and postoperatively. Anteroposterior, neutral, axillary and impingement radiographs were taken. Shoulder magnetic resonance imaging (MRI) was performed. Clinical assessment was performed by the Constant shoulder score. Results: Results of MRI revealed that 20 cases had type 1, 2 and 3 acromion in 3, 9 and 8 patients, respectively. The mean followup time was 16 months. Compared to preoperative conditions, the results in 80% of cases were rated as perfect (p<0.000), since all cases had gained both significantly more range of motion (p<0.000) and muscle power (p<0.000), in addition to decreased pain in all cases (p<0.000). Four cases who had been rated as good had common features as advance age, traumatic etiology and inadequate rehabilitation. Conclusion: Open acromioplasty surgery reduces pain, increases range of motion and is an effective treatment option in cases of shoulder impingement syndrome not responding to conservative treatment. (The Me di cal Bul le tin of Ha se ki 2011; 49: 141-4)http://www.hasekidergisi.com/article_4638/The-Role-Of-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement-Syndrome-Acromioplasty-In-The-Treatment-Of-Shoulder-ImpingementAcromioplastyimpingementshouldersurgery
spellingShingle Rüştü Nuran
Cemal Kural
Ali Akın Uğraş
The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
Haseki Tıp Bülteni
Acromioplasty
impingement
shoulder
surgery
title The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
title_full The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
title_fullStr The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
title_full_unstemmed The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
title_short The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement
title_sort role of acromioplasty in the treatment of shoulder impingement syndrome acromioplasty in the treatment of shoulder impingement
topic Acromioplasty
impingement
shoulder
surgery
url http://www.hasekidergisi.com/article_4638/The-Role-Of-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement-Syndrome-Acromioplasty-In-The-Treatment-Of-Shoulder-Impingement
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