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231225s2021 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2020.10.021
|2 doi
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|a pubmed24n1074.xml
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|a (NLM)33681841
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|a DE-627
|b ger
|c DE-627
|e rakwb
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| 041 |
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|a eng
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| 100 |
1 |
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|a Gacaferi, Hamez
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Arthroscopic bursectomy less effective in the degenerative shoulder with chronic subacromial pain
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| 264 |
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1 |
|c 2021
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| 336 |
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|a Text
|b txt
|2 rdacontent
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| 337 |
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 21.04.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2020 The Authors.
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|a BACKGROUND: Varying results after surgery in patients with subacromial pain syndrome (SAPS) have raised the question on whether there is a subgroup of patients that can benefit from surgery. Therefore, we aimed to identify preoperative and peroperative factors associated with a favorable patient-reported outcome after arthroscopic bursectomy in patients with SAPS
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|a METHODS: Patients with chronic SAPS who underwent arthroscopic bursectomy after failed conservative management were included (n = 94). Patients were evaluated at the baseline, and 2 weeks, 8 weeks, 6 months, and 1 year after surgery. The primary outcome was the Western Ontario Rotator Cuff index (WORC) score one year after surgery. The secondary outcome measure was a visual analog scale for pain. Mixed model analyses were used to identify prognostic factors
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| 520 |
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|a RESULTS: The mean WORC (mean difference 39%, 95% confidence interval (CI) 32.8-45.3, P < .001) and visual analog scale pain scores (mean difference 41 mm points, 95% CI 3.37-4.88, P < .001) significantly improved one year after surgery. Nineteen patients (20%) developed a postoperative frozen shoulder. A longer duration of preoperative complaints and the peroperative identification of degenerative glenoid cartilage were associated with significantly worse WORC scores, with -0.086% per month (95% CI -0.156 to -0.016, P = .016) and -20% (95% CI -39.4 to -1.26, P = .037), respectively
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| 520 |
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|a CONCLUSION: We identified demographic and clinical factors that predict the course after arthroscopic subacromial bursectomy. We found that arthroscopic bursectomy is less effective in patients with SAPS with a degenerative shoulder. This finding suggests that an improved treatment effect of arthroscopic subacromial bursectomy can be expected in patients with chronic SAPS if intra-articular pathologies such as glenohumeral osteoarthritis are sufficiently excluded
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|a Journal Article
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4 |
|a SAIS
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| 650 |
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4 |
|a SAPS
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| 650 |
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4 |
|a Shoulder
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| 650 |
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4 |
|a arthroscopy
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| 650 |
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4 |
|a rotator cuff
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| 650 |
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|a subacromial impingement syndrome
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| 650 |
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4 |
|a subacromial pain syndrome
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| 700 |
1 |
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|a Kolk, Arjen
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Visser, Cornelis P J
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 5(2021), 2 vom: 09. März, Seite 220-227
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|x 2666-6383
|7 nnns
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| 773 |
1 |
8 |
|g volume:5
|g year:2021
|g number:2
|g day:09
|g month:03
|g pages:220-227
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| 856 |
4 |
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|u http://dx.doi.org/10.1016/j.jseint.2020.10.021
|3 Volltext
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