DETERMINANTS OF OUTCOME IN NON-SURGICAL TREATMENT OF SUBACROMIAL IMPINGEMENT

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GITI M.R.; TAHERI AZAM A.; AALAMI HARANDI B.; NAVAB SHEYKH ALESLAM I.; TAHMASBI M.T.; SHAHRIAR KAMRANI R.; EGHTESADI ARAGHI P.

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2005 | Volume:62 | Issue:10 Page(s): 794-801

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Title

DETERMINANTS OF OUTCOME IN NON-SURGICAL TREATMENT OF SUBACROMIAL IMPINGEMENT

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Keywords

NON-OPERATIVE TREATMENTQ4

SUBAROMIAL IMPINGEMENT SYNDROMEQ4

GLENOHUMERAL AND ACROMIOCLAVICALUR ARTHRITISQ4

Abstract

Background: Impingement syndrome accounts as the one of the numerous causes of the shoulder pain. The purpose of this study is to define the factors that can affect the prognosis of conservative treatment of patients with subacromial impingement syndrome. Materials and Methods: From July 2001 since 2002, 102 patients that have referred to orthopedic clinic of Shariaty and Imam Khomeini Hospital with subacromial impingement, confirmed by clinical test of Impingement, Job"s and Hawkinds"s test were enrolled in a prospective case-series study. They were conservatively treated in 12 month period with non-surgical conservative treatment consist of corticosteriod injection in subacromial bursa, NSAID s administration and physiotherapy and were followed for 12 months. Patients with follow-up period less than 12 months, with radiological evidences of GLENOHUMERAL AND ACROMIOCLAVICALUR ARTHRITIS, history of acute traumatic rupture of rotator cuff, proximal fracture of humorous, Frozen-shoulder history and patients with diabetes were excluded from the study. For evaluating of the treatment, Constant score were utilized. For determination of each variable effect, logistic regression was used. Results: 89 patients (44 male and 45 female) with the mean ago of 56/4 yr completed the study. 67 patients (75/3%) were properly treated There was a significant difference between before and after Constant score (52/6 vs. 74/6 P<0/05).Atrophy of rotator cuff muscles as the most important factor and time between initiation of the symptoms 120 days or more, acromion morphology hocked (type III), moderate to sever weakness, AHI (Acromial Humeral Interval) less than 7 mm, moderate sever active range of motion restriction, spur in ant-inf edge of acromion, were inversely affected the treatment results; Age, gender, involvement of dominant hand, side of involvement and history of pervious trauma had no significant effect. Conclusion: it is concluded that in patients with mentioned factors, conservative treatment results may not be satisfactory and in order to shortening the clinical course, it might be better to consider surgical treatment as soon as possible.

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APA: Copy

GITI, M.R., TAHERI AZAM, A., AALAMI HARANDI, B., NAVAB SHEYKH ALESLAM, I., TAHMASBI, M.T., SHAHRIAR KAMRANI, R., & EGHTESADI ARAGHI, P.. (2005). DETERMINANTS OF OUTCOME IN NON-SURGICAL TREATMENT OF SUBACROMIAL IMPINGEMENT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 62(10), 794-801. SID. https://sid.ir/paper/38292/en

Vancouver: Copy

GITI M.R., TAHERI AZAM A., AALAMI HARANDI B., NAVAB SHEYKH ALESLAM I., TAHMASBI M.T., SHAHRIAR KAMRANI R., EGHTESADI ARAGHI P.. DETERMINANTS OF OUTCOME IN NON-SURGICAL TREATMENT OF SUBACROMIAL IMPINGEMENT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;62(10):794-801. Available from: https://sid.ir/paper/38292/en

IEEE: Copy

M.R. GITI, A. TAHERI AZAM, B. AALAMI HARANDI, I. NAVAB SHEYKH ALESLAM, M.T. TAHMASBI, R. SHAHRIAR KAMRANI, and P. EGHTESADI ARAGHI, “DETERMINANTS OF OUTCOME IN NON-SURGICAL TREATMENT OF SUBACROMIAL IMPINGEMENT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 62, no. 10, pp. 794–801, 2005, [Online]. Available: https://sid.ir/paper/38292/en

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