Clinical efficacy comparison of arthroscopic subacromial smooth polishing and acromioplasty in treating of rotator cuff tears

作者: Zhaoxun Pan , Chao Sun , Xiaojun Min , Dekai Du , Zhongli Pang

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摘要: Many physicians perform traditional Acromioplasty (AMP) in arthroscopic Rotator Cuff Repair (RCR) surgery. However, this surgery might cause shoulder pain, or joint instability postoperation. We compared the clinical efficacies of Arthroscopic Subacromial Smooth Polishing (ASSP) and AMP RCR. The data 74 patients performed ARCR were retrospectively analysed, among who 36 intraoperative SSP, 38 AMP. two groups compared, evaluated, statistically analysed using VAS, Constant-Murley Score (CMS), MRI before (T1), 3 months after (T2), last follow-up (T3). followed up 18-36 (average 26.9 months). postoperative VAS CMS significantly different from those at T1 (P 0.05). SSP can reduce pain improve functions than AMP, but it cannot shorten rotator cuff healing time.

参考文章(21)
Thomas Trojian, J. Herrbert Stevenson, Evaluation of shoulder pain. Journal of Family Practice. ,vol. 51, pp. 605- 611 ,(2002)
Brian M. Torpey, Kazuo Ikeda, Michael Wang, Dingeman van der Heeden, Edmund Y. S. Chao, Edward G. McFarland, The deltoid muscle origin. Histologic characteristics and effects of subacromial decompression. American Journal of Sports Medicine. ,vol. 26, pp. 379- 383 ,(1998) , 10.1177/03635465980260030601
Joaquin Sanchez-Sotelo, Robert H. Cofield, Charles M. Rowland, Shoulder hemiarthroplasty for glenohumeral arthritis associated with severe rotator cuff deficiency. Journal of Bone and Joint Surgery, American Volume. ,vol. 83, pp. 1814- 1822 ,(2001) , 10.2106/00004623-200112000-00008
Maristella F. Saccomanno, Gianpiero Cazzato, Mario Fodale, Giuseppe Sircana, Giuseppe Milano, Magnetic resonance imaging criteria for the assessment of the rotator cuff after repair: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 23, pp. 423- 442 ,(2015) , 10.1007/S00167-014-3486-3
Michael Akbar, Manuela Brunner, Volker Ewerbeck, Bernd Wiedenhöfer, Thomas Grieser, Thomas Bruckner, Markus Loew, Patric Raiss, Do overhead sports increase risk for rotator cuff tears in wheelchair users Archives of Physical Medicine and Rehabilitation. ,vol. 96, pp. 484- 488 ,(2015) , 10.1016/J.APMR.2014.09.032
Luk Verhelst, Pieter-Jan Vandekerckhove, Gregory Sergeant, Koen Liekens, Petrus Van Hoonacker, Bart Berghs, Reversed arthroscopic subacromial decompression for symptomatic irreparable rotator cuff tears: Mid-term follow-up results in 34 shoulders Journal of Shoulder and Elbow Surgery. ,vol. 19, pp. 601- 608 ,(2010) , 10.1016/J.JSE.2009.10.001
John M. Fenlin, Jeffrey M. Chase, Scott A. Rushton, Barbara G. Frieman, Tuberoplasty: creation of an acromiohumeral articulation-a treatment option for massive, irreparable rotator cuff tears. Journal of Shoulder and Elbow Surgery. ,vol. 11, pp. 136- 142 ,(2002) , 10.1067/MSE.2002.121764
MELVIN POST, JAMES COHEN, Impingement syndrome. A review of late stage II and early stage III lesions. Clinical Orthopaedics and Related Research. pp. 126- 132 ,(1986) , 10.1097/00003086-198606000-00023
Benjamin Shaffer, Daniel Huttman, Rotator cuff tears in the throwing athlete. Sports Medicine and Arthroscopy Review. ,vol. 22, pp. 101- 109 ,(2014) , 10.1097/JSA.0000000000000022
Francesco Oliva, Alessio Giai Via, Nicola Maffulli, Role of Growth Factors in Rotator Cuff Healing Sports Medicine and Arthroscopy Review. ,vol. 19, pp. 218- 226 ,(2011) , 10.1097/JSA.0B013E3182250C78