Arthroscopic Subacromial Decompression in Patients With Subacromial Impingement Syndrome.

Autor:	Salunkhe R; Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.; Orthopaedics and Trauma, Joint Replacement Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, IND., Patil VS; Orthopaedic Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND., Muneer MT; Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND., Chowdhary S; Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND., Ray S; Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 30; Vol. 16 (9), pp. e70569. Date of Electronic Publication: 2024 Sep 30 (Print Publication: 2024).
DOI:	10.7759/cureus.70569
Abstrakt:	Background:  Subacromial impingement syndrome (SIS) is a prevalent cause of shoulder dysfunction, affecting a significant portion of the adult population. It is associated with considerable pain, functional limitations, and disability. The evolution of treatment options, including arthroscopic subacromial decompression (ASAD), necessitates an updated evaluation of clinical outcomes and functional improvements. Objective:  This study aims to assess the effectiveness of ASAD in patients with SIS by evaluating clinical signs and functional outcomes at three, six, and 12 months postsurgery. Methods:  A prospective interventional study was conducted from August 2022 to November 2023 at Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, India. Twenty-five patients diagnosed with SIS were included. Baseline sociodemographic and clinical characteristics were recorded. Patients underwent arthroscopic decompression, and functional outcomes were measured using the Constant score and American Shoulder and Elbow Surgeons (ASES) score at three, six, and 12 months. Data were analyzed using Statistical Product and Service Solutions (SPSS, version 21.0; IBM SPSS Statistics for Windows, Armonk, NY), with a significance level set at p<0.05. Results:  The study cohort comprised 64% females and 36% males, with a mean age of 46-55 years. The majority (72%) were engaged in labor work. The mean body mass index (BMI) was 24.89. Rotator cuff status was intact in 56% of patients, while 44% had partial tears. At baseline, 84% reported pain upon lifting the arm, and 92% experienced loss of motion. Postsurgery, the Constant-Murley score improved significantly from 36% poor at baseline to 92% excellent at 12 months. Similarly, the ASES score increased from a baseline mean of 17-84.9 by 12 months (p<0.01). The acromiohumeral distance increased from 9.7 mm before treatment to 10.4 mm after treatment (p=0.009). No infections or neurological deficits were reported. Conclusion:  ASAD significantly improves shoulder function and reduces symptoms in patients with SIS. The Constant-Murley and ASES scores demonstrate substantial improvement over a 12-month follow-up period. The procedure is associated with favorable outcomes and minimal complications, supporting its effectiveness as a treatment modality for SIS. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Sub-Committee, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune issued approval IESC/354/2022. This is to certify that the synopsis (IESC/PGS/2022/98) titled " Arthroscopic Subacromial Decompression In Patients With Subacromial Impingement" to be done by Mohammed Talha Muneer under the guidance of Dr. Sanjay Deo from Department of MS-Orthopedics is ethically approved. The synopsis was approved by the Institutional Ethics Sub-Committee in its meeting held on 28/09/2022. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Salunkhe et al.)
Databáze:	MEDLINE
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