Tibone J E, Jobe F W, Kerlan R K, Carter V S, Shields C L, Lombardo S J, Yocum L A
Clin Orthop Relat Res. 1985 Sep(198):134-40.
Shoulder pain caused by a impingement syndrome commonly affects an athlete's performance. Thirty-five shoulders in 33 athletes had an impingement syndrome treated by an anterior acromioplasty after failure of conservative treatment. Thirty-one of 35 shoulders (89%) were subjectively judged improved by the patients from their preoperative status. The moderate and severe pain was reduced from 97% of the shoulders preoperation to 20% postoperation. The pain at rest and with activities of daily living was reduced from 71% of the shoulders preoperation to 9% postoperation. However, only 15 of 35 operated shoulders (43%) allowed return to the same preinjury level of competitive athletics, and only four of 18 athletes involved in pitching and throwing returned to their former preinjury status. This operation is satisfactory for pain relief but does not allow an athlete to return to his former competitive status. A prolonged rehabilitation program may improve the results.
由撞击综合征引起的肩部疼痛通常会影响运动员的表现。33名运动员的35个肩部患有撞击综合征，在保守治疗失败后接受了前肩峰成形术。35个肩部中的31个（89%）经患者主观判断较术前状况有所改善。中度和重度疼痛从术前97%的肩部降至术后20%。静息时和日常生活活动时的疼痛从术前71%的肩部降至术后9%。然而，35个接受手术的肩部中只有15个（43%）能够恢复到受伤前的竞技运动水平，参与投球和投掷的18名运动员中只有4人恢复到受伤前的状态。该手术在缓解疼痛方面令人满意，但不能让运动员恢复到以前的竞技状态。延长康复计划可能会改善结果。
