Document Detail


Congenital subacromial stenosis.
MedLine Citation:
PMID:  7727014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital subacromial stenosis is a previously undescribed entity that causes narrowing of the height of the subacromial space without proximal migration of the humerus. This study comprised 25 shoulders with congenital subacromial stenosis. All patients had either an impingement syndrome or rotator cuff tear. The average acromiohumeral interval was 4.7 mm. Fifteen of the 25 shoulders (60%) had rotator cuff tears. Patients requiring surgery comprised a bimodal age distribution: those with an impingement syndrome requiring decompression had an average age of 42, whereas those with rotator cuff tears requiring surgical treatment had an average age of 66. Study of a separate standard asymptomatic population of 84 patients showed that some younger individuals with congenital subacromial stenosis may be asymptomatic. However, the natural history seems to be a relentless progression to impingement and eventually to complete rotator cuff tear. Therefore, subacromial decompression is recommended in younger symptomatic individuals to prevent later rotator cuff tear.
Authors:
S S Burkhart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  11     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-05-26     Completed Date:  1995-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  63-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, USA.
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MeSH Terms
Descriptor/Qualifier:
Acromion / abnormalities*
Adult
Aged
Aged, 80 and over
Constriction, Pathologic / congenital
Humans
Humerus / abnormalities*
Joint Diseases / pathology*,  radiography,  surgery
Middle Aged
Rotator Cuff / injuries*
Shoulder Joint / injuries*,  radiography,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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