Gartsman G M
The Methodist Hospital, Houston, Texas, USA.
J Bone Joint Surg Am. 1997 May;79(5):715-21. doi: 10.2106/00004623-199705000-00011.
Thirty-three consecutive patients in whom an irreparable tear of the rotator cuff had been treated with operative debridement and subacromial decompression were evaluated both preoperatively and postoperatively with regard to pain, ability to perform activities of daily living, range of motion, strength, and satisfaction. The assessments were performed with the Shoulder Score Index of the American Shoulder and Elbow Surgeons and the scoring systems of the University of California at Los Angeles and Constant and Murley. At the time of follow-up, twenty-six patients thought that the condition of the shoulder was improved; three, that it was unchanged; and four, that it was worse after the operation. There was a significant decrease in pain (p = 0.001) and significant increases in the range of motion (p = 0.038) and the ability to perform activities of daily living (p = 0.016). However, these improvements were inferior to those in reported series in which torn rotator cuffs had been repaired. Strength with elevation was decreased after the operations in the present series (p = 0.0007).
对33例因肩袖不可修复性撕裂而接受手术清创和肩峰下减压治疗的连续患者，在术前和术后分别就疼痛、日常生活活动能力、活动范围、力量及满意度进行了评估。评估采用美国肩肘外科医师学会的肩关节评分指数以及加利福尼亚大学洛杉矶分校、康斯坦特和默利的评分系统。随访时，26例患者认为肩部状况有所改善；3例认为无变化；4例认为术后情况变差。疼痛显著减轻（p = 0.001），活动范围（p = 0.038）和日常生活活动能力显著提高（p = 0.016）。然而，这些改善不如已报道的肩袖撕裂修复系列中的改善效果。在本系列中，术后上举力量下降（p = 0.0007）。
