NDLI: Patients With Impingement Syndrome With and Without Rotator Cuff Tears Do Well 20 Years After Arthroscopic Subacromial Decompression.

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Patients With Impingement Syndrome With and Without Rotator Cuff Tears Do Well 20 Years After Arthroscopic Subacromial Decompression.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Jaeger, Moritz Berndt, Thomas Rühmann, Oliver Lerch, Solveig
Description	Author Affiliation: Jaeger M ( Clinic of Orthopedics, Traumatology and Sports Medicine, Klinikum Agnes Karll Laatzen, Klinikum Region Hannover, Laatzen, Germany. Electronic address: moritz.jaeger@posteo.de.); Berndt T ( Clinic of Orthopedics, Traumatology and Sports Medicine, Klinikum Agnes Karll Laatzen, Klinikum Region Hannover, Laatzen, Germany.); Rühmann O ( Clinic of Orthopedics, Traumatology and Sports Medicine, Klinikum Agnes Karll Laatzen, Klinikum Region Hannover, Laatzen, Germany.); Lerch S ( Clinic of Orthopedics, Traumatology and Sports Medicine, Klinikum Agnes Karll Laatzen, Klinikum Region Hannover, Laatzen, Germany.)
Abstract	PURPOSE: To present the long-term outcome of arthroscopic subacromial decompression (ASD) for patients with impingement syndrome with or without rotator cuff tears as well as with or without calcific tendinitis in a follow-up of 20 years. METHODS: We included 95 patients after a mean follow-up of 19.9 (19.5 to 20.5) years. All patients underwent ASD, including acromioplasty, resection of the coracoacromial ligament, and coplaning without cuff repair. The Constant score was used to assess the functioning of the shoulder. In addition, we defined a combined failure end point of a poor Constant score and revision surgery. RESULTS: Revision surgery was performed in14.7% of the patients. The combined end point showed successful results in 78.8% of all cases. All patients with isolated impingement syndrome achieved successful results. Those with partial-thickness tears had successful outcomes in 90.9% of all cases, and patients with full-thickness tears had successful outcomes in 70.6% of all cases. The tendinitis calcarea group showed the poorest results, with a 65.2% success rate. CONCLUSIONS: Our long-term results show that patients with impingement syndrome who received ASD, including acromioplasty, resection of the coracoacromial ligament, and coplaning do well 20 years after the index surgery. ASD without cuff repair even appears to be a safe, efficacious, and sustainable procedure for patients with partial rotator cuff tears. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
File Format	HTM / HTML
ISSN	07498063
Issue Number	3
Volume Number	32
e-ISSN	15263231
Journal	Arthroscopy: The Journal of Arthroscopic & Related Surgery
Language	English
Publisher	Elsevier
Publisher Date	2016-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Shoulder Impingement Syndrome Bursa, Synovial Humans Middle Aged Rotator Cuff Male Discipline Orthopedic Surgery Journal Article Decompression, Surgical Arthroscopy Surgery Shoulder Adult Female Retrospective Studies Diagnosis Ligaments, Articular Postoperative Period Treatment Outcome Arthroplasty Forecasting Shoulder Joint Follow-up Studies Acromion Methods
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Sports Science

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