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No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial

OBJECTIVES: To report the five-year results of a randomised controlled trial examining the effectiveness of arthroscopic acromioplasty in the treatment of stage II shoulder impingement syndrome. METHODS: A total of 140 patients were randomly divided into two groups: 1) supervised exercise programme...

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Autores principales: Ketola, S., Lehtinen, J., Rousi, T., Nissinen, M., Huhtala, H., Konttinen, Y. T., Arnala, I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728648/
https://www.ncbi.nlm.nih.gov/pubmed/23836479
http://dx.doi.org/10.1302/2046-3758.27.2000163
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author Ketola, S.
Lehtinen, J.
Rousi, T.
Nissinen, M.
Huhtala, H.
Konttinen, Y. T.
Arnala, I.
author_facet Ketola, S.
Lehtinen, J.
Rousi, T.
Nissinen, M.
Huhtala, H.
Konttinen, Y. T.
Arnala, I.
author_sort Ketola, S.
collection PubMed
description OBJECTIVES: To report the five-year results of a randomised controlled trial examining the effectiveness of arthroscopic acromioplasty in the treatment of stage II shoulder impingement syndrome. METHODS: A total of 140 patients were randomly divided into two groups: 1) supervised exercise programme (n = 70, exercise group); and 2) arthroscopic acromioplasty followed by a similar exercise programme (n = 70, combined treatment group). RESULTS: The main outcome measure was self-reported pain as measured on a visual analogue scale. At the five-year assessment a total of 109 patients were examined (52 in the exercise group and 57 in the combined treatment group). There was a significant decrease in mean self-reported pain on the VAS between baseline and the five-year follow-up in both the exercise group (from 6.5 (1 to 10) to 2.2 (0 to 8); p < 0.001) and the combined treatment group (from 6.4 (2 to 10) to 1.9 (0 to 8); p < 0.001). The same trend was seen in the secondary outcome measures (disability, working ability, pain at night, Shoulder Disability Questionnaire and reported painful days). An intention-to-treat analysis showed statistically significant improvements in both groups at five years compared with baseline. Further, improvement continued between the two- and five-year timepoints. No statistically significant differences were found in the patient-centred primary and secondary parameters between the two treatment groups. CONCLUSIONS: Differences in the patient-centred primary and secondary parameters between the two treatment groups were not statistically significant, suggesting that acromioplasty is not cost-effective. Structured exercise treatment seems to be the treatment of choice for shoulder impingement syndrome.
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spelling pubmed-37286482013-08-07 No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial Ketola, S. Lehtinen, J. Rousi, T. Nissinen, M. Huhtala, H. Konttinen, Y. T. Arnala, I. Bone Joint Res Upper Limb OBJECTIVES: To report the five-year results of a randomised controlled trial examining the effectiveness of arthroscopic acromioplasty in the treatment of stage II shoulder impingement syndrome. METHODS: A total of 140 patients were randomly divided into two groups: 1) supervised exercise programme (n = 70, exercise group); and 2) arthroscopic acromioplasty followed by a similar exercise programme (n = 70, combined treatment group). RESULTS: The main outcome measure was self-reported pain as measured on a visual analogue scale. At the five-year assessment a total of 109 patients were examined (52 in the exercise group and 57 in the combined treatment group). There was a significant decrease in mean self-reported pain on the VAS between baseline and the five-year follow-up in both the exercise group (from 6.5 (1 to 10) to 2.2 (0 to 8); p < 0.001) and the combined treatment group (from 6.4 (2 to 10) to 1.9 (0 to 8); p < 0.001). The same trend was seen in the secondary outcome measures (disability, working ability, pain at night, Shoulder Disability Questionnaire and reported painful days). An intention-to-treat analysis showed statistically significant improvements in both groups at five years compared with baseline. Further, improvement continued between the two- and five-year timepoints. No statistically significant differences were found in the patient-centred primary and secondary parameters between the two treatment groups. CONCLUSIONS: Differences in the patient-centred primary and secondary parameters between the two treatment groups were not statistically significant, suggesting that acromioplasty is not cost-effective. Structured exercise treatment seems to be the treatment of choice for shoulder impingement syndrome. British Editorial Society of Bone and Joint Surgery 2013-07-01 /pmc/articles/PMC3728648/ /pubmed/23836479 http://dx.doi.org/10.1302/2046-3758.27.2000163 Text en ©2013 The British Editorial Society of Bone & Joint Surgery ©2013 The British Editorial Society of Bone & Joint Surgery. This is an open-access article distributed under the terms of the Creative Commons Attributions licence, which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited.
spellingShingle Upper Limb
Ketola, S.
Lehtinen, J.
Rousi, T.
Nissinen, M.
Huhtala, H.
Konttinen, Y. T.
Arnala, I.
No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title_full No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title_fullStr No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title_full_unstemmed No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title_short No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: Five-year results of a randomised controlled trial
title_sort no evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome: five-year results of a randomised controlled trial
topic Upper Limb
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728648/
https://www.ncbi.nlm.nih.gov/pubmed/23836479
http://dx.doi.org/10.1302/2046-3758.27.2000163
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