Document Detail


Subacromial decompression. Treatment for small- and medium-sized tears of the rotator cuff.
MedLine Citation:
PMID:  12358385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the results of arthroscopic subacromial decompression and debridement of the rotator cuff for chronic small- and medium-sized tears in 114 patients (118 shoulders) between two and five years after surgery. The mean Constant score was improved to 69.8, and 88 shoulders (74.6%) had a satisfactory outcome. Of patients under the age of 60 years the outcome was satisfactory in 59.3%, and in those over 60 years, in 87.5% (p < 0.001). An unsatisfactory outcome was related to manual work (p < 0.001) and a duration of symptoms of more than 12 months (p < 0.05). The outcome was not related to the size of the tear, the muscles involved or biceps pathology. Further surgery was required in 25 patients after a mean of 13.7 months (3 to 35); ten tears had progressed in size, but none became irreparable. There was no relationship between the increase in the size of the tear and its initial size, the muscles involved or the presence of biceps pathology. No tear became smaller with time.
Authors:
S N Massoud; O Levy; S A Copeland
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  84     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-02     Completed Date:  2002-10-25     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  955-60     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Arthroscopy*
Biomechanics
Chi-Square Distribution
Debridement
Decompression, Surgical / methods*
Female
Humans
Leisure Activities
Male
Middle Aged
Pain Measurement
Range of Motion, Articular
Rotator Cuff / injuries*,  surgery*
Sports
Treatment Outcome

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


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