De Baere Tom, Dubuc Jean-Emile, Joris Daniel, Delloye Christian
Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Acta Orthop Belg. 2004 Dec;70(6):520-4.
The influence of acromioplasty in long standing rotator cuff deficiency with intractable pain was retrospectively evaluated in a consecutive series of 13 patients who were followed for a mean period of 19 months (range, 12 to 42 months) after arthroscopic acromioplasty. The Constant score improved from 59.3 (range, 39.9 to 90.3) preoperatively to 98.7 (69.1 to 122.7) postoperatively. Pain and motion improved significantly whereas strength did not improve. Arthroscopic acromioplasty in painful chronic rotator cuff avulsion was found to be an effective means to control pain and improve motion; it can be recommended when conservative treatment has failed.
回顾性评估了肩峰成形术对长期存在的肩袖缺损伴顽固性疼痛的影响,该研究纳入了连续的13例患者,他们在关节镜下肩峰成形术后平均随访19个月(范围12至42个月)。Constant评分从术前的59.3(范围39.9至90.3)提高到术后的98.7(69.1至122.7)。疼痛和活动度显著改善,而力量未改善。发现关节镜下肩峰成形术是控制疼痛和改善活动度的有效手段;当保守治疗失败时可以推荐使用。