Vuorenmaa Mirja, Häkkinen Arja, Paloneva Juha, Kiviranta Ilkka, Kautiainen Hannu, Marjo Oikari, Ylinen Jari
Keski-Suomen keskussairaala, yleislääketieteen yksikkö ja ORTON Invalidisäätiö.
Duodecim. 2011;127(9):935-40.
Subacromial impingement syndrome is a common orthopedic condition.
Patients operated due to shoulder impingement (n=104) were sent a questionnaire inquiring rehabilitation procedures before and after surgery, pain and shoulder function.
Response rate was 68%, mean age of the patients was 53 years. Before surgery, 50% of the patients had received physiotherapy. The symptoms disappeared after surgery in the majority of the patients. However, 13% of the patients had significant shoulder pain (VAS over 30 mm) one year postoperatively and 15% had considerable functional deficit.
To avoid unnecessary operations for shoulder impingement proper conservative treatment must be provided before surgery.
肩峰下撞击综合征是一种常见的骨科病症。
向因肩部撞击接受手术的患者(n = 104)发送问卷,询问手术前后的康复程序、疼痛和肩部功能情况。
回复率为68%,患者平均年龄为53岁。术前,50%的患者接受过物理治疗。大多数患者术后症状消失。然而,13%的患者术后一年仍有明显的肩部疼痛(视觉模拟评分超过30毫米),15%的患者存在相当程度的功能缺陷。
为避免对肩部撞击进行不必要的手术,术前必须提供适当的保守治疗。