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Systematic review of the surgical treatment for symptomatic os acromiale

The optimal surgical treatment for symptomatic os acromiale that has failed nonoperative management is unclear in the literature. We conducted a systematic review of multiple medical databases for level I–IV evidence. Both radiographic and clinical outcomes were analyzed. Nine studies met the inclus...

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Detalles Bibliográficos
Autores principales: Harris, Joshua D., Griesser, Michael J., Jones, Grant L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3109771/
https://www.ncbi.nlm.nih.gov/pubmed/21660192
http://dx.doi.org/10.4103/0973-6042.80461
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author Harris, Joshua D.
Griesser, Michael J.
Jones, Grant L.
author_facet Harris, Joshua D.
Griesser, Michael J.
Jones, Grant L.
author_sort Harris, Joshua D.
collection PubMed
description The optimal surgical treatment for symptomatic os acromiale that has failed nonoperative management is unclear in the literature. We conducted a systematic review of multiple medical databases for level I–IV evidence. Both radiographic and clinical outcomes were analyzed. Nine studies met the inclusion criteria (118 subjects, 125 shoulders). One hundred and fifteen subjects were treated surgically (122 shoulders). The mean age of the subjects was 49±11 years. The mean preoperative duration of symptoms was 12±8.6 months. Mesoacromiale was the most common type treated (94%). Internal fixation was the most common surgical technique used (60%), followed by excision (27%) and acromioplasty (13%). Rotator cuff repair was the most common concurrent surgical technique (performed in 59% of the surgically treated shoulders), followed by distal clavicle excision (25%). All surgical techniques resulted in improvement in clinical outcomes. Surgical management of symptomatic os acromiale that has failed nonoperative measures may predictably lead to improved outcomes.
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spelling pubmed-31097712011-06-09 Systematic review of the surgical treatment for symptomatic os acromiale Harris, Joshua D. Griesser, Michael J. Jones, Grant L. Int J Shoulder Surg Review Article The optimal surgical treatment for symptomatic os acromiale that has failed nonoperative management is unclear in the literature. We conducted a systematic review of multiple medical databases for level I–IV evidence. Both radiographic and clinical outcomes were analyzed. Nine studies met the inclusion criteria (118 subjects, 125 shoulders). One hundred and fifteen subjects were treated surgically (122 shoulders). The mean age of the subjects was 49±11 years. The mean preoperative duration of symptoms was 12±8.6 months. Mesoacromiale was the most common type treated (94%). Internal fixation was the most common surgical technique used (60%), followed by excision (27%) and acromioplasty (13%). Rotator cuff repair was the most common concurrent surgical technique (performed in 59% of the surgically treated shoulders), followed by distal clavicle excision (25%). All surgical techniques resulted in improvement in clinical outcomes. Surgical management of symptomatic os acromiale that has failed nonoperative measures may predictably lead to improved outcomes. Medknow Publications 2011 /pmc/articles/PMC3109771/ /pubmed/21660192 http://dx.doi.org/10.4103/0973-6042.80461 Text en © International Journal of Shoulder Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Harris, Joshua D.
Griesser, Michael J.
Jones, Grant L.
Systematic review of the surgical treatment for symptomatic os acromiale
title Systematic review of the surgical treatment for symptomatic os acromiale
title_full Systematic review of the surgical treatment for symptomatic os acromiale
title_fullStr Systematic review of the surgical treatment for symptomatic os acromiale
title_full_unstemmed Systematic review of the surgical treatment for symptomatic os acromiale
title_short Systematic review of the surgical treatment for symptomatic os acromiale
title_sort systematic review of the surgical treatment for symptomatic os acromiale
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3109771/
https://www.ncbi.nlm.nih.gov/pubmed/21660192
http://dx.doi.org/10.4103/0973-6042.80461
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