Jerosch J, Strauss J M, Schneider T
Klinik für Allgemeine Orthopädie, Westfälische Wilhelms-Universität, Münster.
Z Orthop Ihre Grenzgeb. 1992 Sep-Oct;130(5):406-12. doi: 10.1055/s-2008-1039643.
In 148 patients with impingement lesion type I or type II, we performed an arthroscopic subacromial decompression (ASD). 122 patients ran a follow up one to three years post-operatively. All patients were pre- and postoperatively documented by a 100 point shoulder score. The mean score was 57.9 (+/- 11.5) preoperatively. Postoperatively there was a significant increase to 80.7 (+/- 17.9) (p < 0.05). 15% of the patients with a postoperative score less than 70 points were determined as failures. Patients with a preoperative pain history of more than one year had a significantly worse result (79.1 +/- 8.4) compared to those patients with a preoperative course less than one year (88.8 +/- 11.6) (p < 0.05). Other significant factors were the patient's age, and calcific tendinitis, whereas sex, preoperative range of motion, muscle atrophy, and degeneration of the acromioclavicular joint did not significantly influence the result. Our results after ASD in patients with subacromial pathology without a rupture of the rotator cuff are encouraging. Therefore, ASD seems to be a reasonable alternative to open acromioplasty.
对于148例I型或II型撞击损伤患者，我们实施了关节镜下肩峰下减压术（ASD）。122例患者在术后1至3年进行了随访。所有患者术前和术后均采用100分的肩部评分进行记录。术前平均评分为57.9（±11.5）。术后显著提高至80.7（±17.9）（p<0.05）。术后评分低于70分的患者中有15%被判定为手术失败。术前疼痛病史超过一年的患者，其结果（79.1±8.4）明显比术前病程少于一年的患者（88.8±11.6）更差（p<0.05）。其他显著因素包括患者年龄和钙化性肌腱炎，而性别、术前活动范围、肌肉萎缩和肩锁关节退变对结果没有显著影响。我们对肩袖未破裂的肩峰下病变患者进行ASD后的结果令人鼓舞。因此，ASD似乎是开放性肩峰成形术的合理替代方案。
