Nutton R W, McBirnie J M, Phillips C
Princess Margaret Rose Orthopaedic Hospital, Edinburgh, UK.
J Bone Joint Surg Br. 1997 Jan;79(1):73-6. doi: 10.1302/0301-620x.79b1.7225.
We report a prospective study of 49 patients who had arthroscopic subacromial decompression for chronic rotator-cuff impingement. All patients were assessed preoperatively and at 3, 6 and 12 months using the modified UCLA shoulder score. The dominant arm was affected in 35 patients, but only 13 recognised overuse as a cause of their shoulder pain. Before operation, the UCLA shoulder score was poor or fair in all patients. After three months only 28% of patients had satisfactory relief of symptoms but at one year 85% of patients examined had a good or excellent result. Patients with calcific tendonitis recovered more quickly: 93% reported a good result at six months. We conclude that arthroscopic subacromial decompression is an effective form of treatment, but that patients should be warned that recovery from surgery may be prolonged.
我们报告了一项针对49例因慢性肩袖撞击症接受关节镜下肩峰下减压术患者的前瞻性研究。所有患者在术前以及术后3个月、6个月和12个月均使用改良的加州大学洛杉矶分校（UCLA）肩部评分进行评估。35例患者的优势臂受到影响，但只有13例认识到过度使用是其肩部疼痛的原因。术前，所有患者的UCLA肩部评分均为差或中等。术后三个月，只有28%的患者症状得到满意缓解，但在术后一年，接受检查的患者中有85%取得了良好或优异的结果。患有钙化性肌腱炎的患者恢复得更快：93%的患者在六个月时报告结果良好。我们得出结论，关节镜下肩峰下减压术是一种有效的治疗方式，但应告知患者手术恢复时间可能会延长。
