DETERMINANTS OF NON-SURGICAL TREATMENT OUTCOME IN SUBACROMIAL IMPINGEMENT SYNDROME

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GITI M.R.; TAHERI AZAM A.

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Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2004 | Volume:2 | Issue:3 (7) Page(s): 8-14

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Title

DETERMINANTS OF NON-SURGICAL TREATMENT OUTCOME IN SUBACROMIAL IMPINGEMENT SYNDROME

Author(s)

GITI M.R. | TAHERI AZAM A. | Issue Writer Certificate

Keywords

SUBACROMIAL IMPINGEMENT SYNDROMEQ4

SHOULDER IMPINGEMENT SYNDROMEQ4

ROTATOR CUFFQ3

TREATMENT OUTCOMEQ3

Abstract

Background: Impingement syndrome is one of the numerous causes of shoulder pain. The purpose of this study is to define the factors that can affect the prognosis of conservative treatment of SUBACROMIAL IMPINGEMENT SYNDROME. Materials and Methods: From July 2001 to 2002, 102 patients with subacromial impingement, being confirmed by clinical tests of impingement, were enrolled in a prospective case-series study. They were treated conservatively with corticosteroid injection in subacromial bursa, NSAID administration and physiotherapy, and were followed for 12 months. Any patient with less than 11 months follow-up, with radiographic evidence of glenohumeral and acromioclavicalur arthritis, history of acute traumatic rupture of ROTATOR CUFF, proximal fracture of humorous, frozen-shoulder, and diabetes was excluded from the study. The scoring system of Constant and Murley was used for evaluation of TREATMENT OUTCOME. Results: 89 patients (44 male and 45 female) with mean age of 56.4 years completed the study. 67 patients (75.3%) were properly treated. There was a significant difference in Constant scores before and after treatment (p<0.05). A poor prognosis could be anticipated in those with weakness and/or atrophy of ROTATOR CUFF muscles, more than 120 days interval between initiation of symptoms and treatment, hooked acromion morphology, Acromio-Humeral Interval of less than 7 mm, moderate to severe restriction in active range of motion, and spur in antero-inferior edge of acromion. Age, gender, hand dominancy, side of involvement and history of previous trauma had no significant effect. Conclusion: Patients with "some defined poor prognostic factors" will fail conservative treatment. It might be better to consider other treatment modalities, even surgery, early on.

Cites

TRANSLATION AND EVALUATION OF SHORT MUSCULOSKELETAL FUNCTION ASSESSMENT QUESTIONNAIRE IN FARSI LANGUAGE PATIENTS WITH MUSCULOSKELETAL TRAUMA

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APA: Copy

GITI, M.R., & TAHERI AZAM, A.. (2004). DETERMINANTS OF NON-SURGICAL TREATMENT OUTCOME IN SUBACROMIAL IMPINGEMENT SYNDROME. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 2(3 (7)), 8-14. SID. https://sid.ir/paper/85466/en

Vancouver: Copy

GITI M.R., TAHERI AZAM A.. DETERMINANTS OF NON-SURGICAL TREATMENT OUTCOME IN SUBACROMIAL IMPINGEMENT SYNDROME. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2004;2(3 (7)):8-14. Available from: https://sid.ir/paper/85466/en

IEEE: Copy

M.R. GITI, and A. TAHERI AZAM, “DETERMINANTS OF NON-SURGICAL TREATMENT OUTCOME IN SUBACROMIAL IMPINGEMENT SYNDROME,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 2, no. 3 (7), pp. 8–14, 2004, [Online]. Available: https://sid.ir/paper/85466/en

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