Abstract
Subacromial impingement syndrome accounts for a large proportion of patients with shoulder pain. If thorough nonoperative treatment fails, subacromial decompression (SAD) with partial acromioplasty may help reduce mechanical impingement and optimize shoulder function in certain cases. Large acromial spurs have been shown to cause significant impingement and even bursal-sided tears of the underlying rotator cuff; therefore subacromial decompression may even prevent cuff tears.
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Jacobsen JR, Jensen CM, Deutch SR. Acromioplasty in patients selected for operation by national guidelines. J Shoulder Elbow Surg. 2017;26(10):1854–61.
Mitchell JJ, Horan MP, Greenspoon JA, Menge TJ, Tahal DS, Millett PJ. Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis: minimum 5-year follow-up. Am J Sports Med. 2016;44(12):3206–13.
Jaeger M, Berndt T, Rühmann O, Lerch S. Patients with impingement syndrome with and without rotator cuff tears do well 20 years after arthroscopic subacromial decompression. Arthroscopy. 2016;32(3):409–15.
Katthagen JC, Marchetti DC, Tahal DS, Turnball TL, Millett PJ. The effects of arthroscopic lateral acromioplasty on the critical shoulder angle and the anterolateral deltoid origin: an anatomic cadaveric study. Arthroscopy. 2016;32(4):569–75.
Randelli P, Margheritini F, Cabitza P, Dogliotti G, Corsi MM. Release of growth factors after arthroscopic acromioplasty. Knee Surg Sports Traumatol Arthrosc. 2009;17(1):98–101. https://doi.org/10.1007/s00167-008-0653-4.
Shi LL, Edwards TB. The role of acromioplasty for management of rotator cuff problems: where is the evidence. Adv Orthop. 2012;2012:467571.
Frank JM, Chahal J, Frank RM, Cole BJ, Verma NN, Romeo AA. The role of acromioplasty for rotator cuff problems. Orthop Clin North Am. 2014;45(2):219–24.
Nicholson GP, Goodman DA, Flatow EL, Bigliani LU. The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg. 1996;5(1):1–11.
Gerber C, Catanzaro S, Betz M, Ernstbrunner L. Arthroscopic correction of the critical shoulder angle through lateral acromioplasty: a safe adjunct to rotator cuff repair. Arthroscopy. 2018;34(3):771–80.
Paavola M, Finnish Subacromial Impingement Arthroscopy Controlled Trial (FIMPACT) Investigators, et al. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. BMJ. 2018;362:k2860.
Beard DJ, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. CSAW Study Group. Lancet. 2018;391(10118):329–38.
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Kane, P.W., Pogorzelski, J., Fritz, E.M., Millett, P.J. (2019). Subacromial Decompression. In: Millett, P., Pogorzelski, J. (eds) Advanced Techniques in Shoulder Arthroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-13503-4_2
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DOI: https://doi.org/10.1007/978-3-030-13503-4_2
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