The Role of Arthroscopic Decompression in Subacromial Impingement Syndrome

Yıl 2019, Cilt: 3 Sayı: 3, 248 - 253, 26.10.2019

Aziz Atik

https://doi.org/10.30565/medalanya.567430

Cited By: 1

Öz

Aim: The aim of this study was to evaluate the clinical results of patients who had arthroscopic subacromial decompression for the diagnosis of subacromial impingement syndrome which is characterized by compression of the coracoacromial arc on rotator cuff tendons. 

Patients and Methods: We have evaluated the Constant scores, rest VAS and motion VAS scores of 25 patients who had arthroscopic subacromial decompression after six months of failed conservative treatment, at the preoperative day, 15th day and 6th month after the operation. 

Results: There was a statistically significant difference between pre-operative and 15th day / 6th month scores with Mann Whitney U test (p <0.0001). We found that the patients’ pain decreased and shoulder functions improved statistically. 

Conclusion: We believe that the choice of treatment for early stages of subacromial impingement syndrome is conservative, but if complaints persist even six months after conservative treatment, then arthroscopic subacromial decompression is a good choice of treatment. 

Anahtar Kelimeler

shoulder, rotator cuff, subacromial impingement syndrome, arthroscopic decompression

Subakromiyal Sıkışma Sendromunda Artroskopik Tedavinin Yeri

Öz

Amaç: Bu çalışmanın amacı, rotator manşet tendonları üzerine korakoakromiyal arkın basısı ile karakterize subakromiyal sıkışma sendromu tanısı ile artroskopik subakromiyal dekompresyon yapılan hastaların klinik sonuçlarını değerlendirmektir. 

Hastalar veYöntem: En az altı ay konservatif tedavi uygulamalarından fayda görmeyen ve artroskopik subakromial dekompresyon uyguladığımız 25 hastanın, tedavi öncesi ve cerrahi sonrası 15. gün ve 6. aydaki Constant, istirahat VAS ve hareket VAS skorlarını değerlendirdik. 

Bulgular: Ameliyat öncesi ve 15. gün / 6. ay skorları arasında Mann Whitney U testi ile istatistiksel olarak anlamlı bir fark vardı (p <0.0001). Hastaların ağrılarının azaldığını ve omuz fonksiyonlarında iyileşme olduğunu istatistiksel olarak tespit ettik. 

Sonuç: Erken evre subakromial sıkışma sendromunun tedavisinin konservatif olduğu; ancak, 6 ay konservatif tedaviye rağmen şikayetleri devam eden hastalarda artroskopik subakromial dekompresyonun iyi bir tedavi seçeneği olduğu kanaatindeyiz. 

Anahtar Kelimeler

omuz, rotator manşet, subakromial sıkışma sendromu, artroskopik dekompresyon

Kaynakça

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