Document Detail


The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: a systematic review and meta-analysis.
MedLine Citation:
PMID:  22305327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to determine the efficacy of arthroscopic repair of full-thickness rotator cuff tears with and without subacromial decompression.
METHODS: We searched the Cochrane Central Register of Controlled Trials (third quarter of 2011), Medline (1948 to week 1 of September 2011), and Embase (1980 to week 37 of 2011) for eligible randomized controlled trials. Two reviewers selected studies for inclusion, assessed methodologic quality, and extracted data. Pooled analyses were performed by use of a random effects and relative risk model with computation of 95% confidence intervals.
RESULTS: We included 4 randomized trials and 373 patients. Methodologic quality was variable as assessed by the CLEAR NPT (Checklist to Evaluate a Report of a Non-pharmacological Trial) tool. One trial showed that there was no difference in disease-specific quality of life (Western Ontario Rotator Cuff questionnaire) between the 2 treatment groups. A meta-analysis of shoulder-specific outcome measures (American Shoulder and Elbow Surgeons or Constant scores) or the rate of reoperation between patients treated with subacromial decompression and those treated without it also showed no statistically significant differences.
CONCLUSIONS: On the basis of the currently available literature, there is no statistically significant difference in subjective outcome after arthroscopic rotator cuff repair with or without acromioplasty at intermediate follow-up.
LEVEL OF EVIDENCE: Level I, systematic review of Level I studies.
Authors:
Jaskarndip Chahal; Nathan Mall; Peter B MacDonald; Geoffrey Van Thiel; Brian J Cole; Anthony A Romeo; Nikhil N Verma
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis; Review; Video-Audio Media     Date:  2012-02-02
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:  28     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-08-22     Revised Date:  2012-09-26    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  720-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, USA. jaschahal@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Acromion / pathology,  surgery*
Arm Injuries / pathology,  surgery*
Arthroscopy*
Decompression, Surgical*
Humans
Reoperation / statistics & numerical data
Rotator Cuff / injuries*,  surgery
Shoulder Joint / injuries*,  surgery
Treatment Outcome
Comments/Corrections
Comment In:
Arthroscopy. 2012 Aug;28(8):1047-8; author reply 1048-9   [PMID:  22840984 ]

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


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