Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지

Arthroscopic Decompression in Stage II Subacromial Impingement - Five to Twelve Years Follow up -

제 2단계 견봉하 충돌증후군에서 관절경적 감압술(5년에서 12년의 장기추시관찰 결과)

  • Choi Chong-Hyuk (Department of Orthopaedic Surgery, Youngdong Severance Hospital, Yonsei University College of Medicine) ;
  • OJ Ogilvie-Harris (Department of Orthopaedic Surgery, Western Division, University of Toronto)
  • 최종혁 (연세대학교 의과대학 영동세브란스병원 정형외과학교실) ;
  • Published : 1999.12.01
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Abstract

We investigated the effectiveness of arthroscopic decompression in stage Ⅱ subacromial impingement after long term follow up. Arthroscopic subacromial decompression was done in 104 consecutive patients who had stage Ⅱ sub­acromial impingement. After average of 8.4 years follow up, the final results were as following; 57 shoulders(55%) in excellent, 25(24%) in good, 16(15%) in fair and 6(6%) in poor. All parameters-pain, function, muscle strength and motion-were improved significantly(p<0.00l). Rotator cuff tear was developed in 10 shoulders after decompression. Among them, 8 shoulders had unfavorable results including two poor. In 6 failures, two had rotator cuff tear, three had recurrence of impingement with degenerative change and reflex sympathetic dystrophy was developed in one. Reoperations were done in 4 shoulders. Improvement of impingement symptoms was maintained in the most of patients(79%) after long term follow up. Arthroscopic decompression surgery was very effective means for stage Ⅱ impingement syndrome.

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