Surgical treatment of os acromiale with and without associated rotator cuff tears
Autor: | Pedro K. Beredjiklian, Matthew L. Ramsey, Joseph P. Iannotti, Gerald R. Williams, David Silverberg, Joseph A. Abboud, Mathew Pepe |
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Rok vydání: | 2006 |
Předmět: |
Adult
Male Shoulder medicine.medical_specialty Shoulder surgery Acromioplasty medicine.medical_treatment Rotator Cuff Injuries Rotator Cuff medicine Humans Internal fixation Orthopedics and Sports Medicine Rotator cuff Aged Retrospective Studies Osteosynthesis business.industry Rotator cuff injury General Medicine Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Concomitant Workers' Compensation Tears Female Shoulder Injuries business Acromion Follow-Up Studies |
Zdroj: | Journal of Shoulder and Elbow Surgery. 15:265-270 |
ISSN: | 1058-2746 |
Popis: | Nineteen consecutive patients treated surgically for meso-os acromiale and subacromial pathology were reviewed retrospectively, with a mean length of follow-up of 40 months (range, 24-94 months). Of the patients, 11 (58%) were treated with acromioplasty in the presence of a stable os acromiale; 8 patients (42%) underwent open reduction-internal fixation for an unstable and painful os fragment. Of the 19 patients, 8 (42%) with an os acromiale had an associated full-thickness rotator cuff tear. Overall, only 10 of 19 patients (53%) achieved a satisfactory result. All 8 patients (100%) treated with open reduction-internal fixation achieved union of the os fragment, although only 3 (37.5%) achieved a satisfactory result. Of the 11 patients who underwent acromioplasty, only 7 (64%) achieved a satisfactory result. The outcome of surgical management of symptomatic meso-os acromiale with concomitant rotator cuff pathology was satisfactory in 4 of 8 patients in our study group. The rate of satisfactory results was similar in patients with (50%) and without (55%) associated rotator cuff tears. When we analyzed our results to exclude workers' compensation patients, 80% achieved satisfactory results (compared with only 22% in our workers' compensation group). |
Databáze: | OpenAIRE |
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