Arthroscopic Decompression with Acromioplasty and Structured Exercise Was No More Effective and Was More Expensive Than Exercise Alone

Harrison, Alicia K.; Flatow, Evan L.
August 2010
Journal of Bone & Joint Surgery, American Volume;Aug2010, Vol. 92-A Issue 10, p1999
Academic Journal
The article focuses on the study concerning the effectiveness and cost effectiveness of arthroscopic decomposition with acromioplasty and structured exercise in patients with shoulder impingement syndrome. It notes that arthroscopic decompression with acromioplasty plus structured exercise did not provide any clinical benefit to patients and was more expensive. A commentary on the study that examines patients most likely to be considered as candidates for surgical treatment is also offered.


Related Articles

  • Arthroscopy: A new approach to knee surgery that affects patient care. Armstrong, Myrna; Patterson, Rita // RN;Jan78, Vol. 41 Issue 1, p35 

    Describes the use of arthroscopy, an alternative approach to orthopedic diagnosis and surgery, in dealing with knee-joint injuries. Information on pre-operation management; Procedures involved in arthroscopy; Exercises for arthroscopy patients following operations.

  • The effect of isolated labrum resection on shoulder stability. Pouliart, Nicole; Gagey, Olivier // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2006, Vol. 14 Issue 3, p301 

    The present study was initiated to determine whether glenohumeral instability and dislocation can result from isolated lesions of the glenoid labrum in an arthroscopic cadaver model. Adjacent combinations of four zones of the labrum (superior, anterosuperior, anteroinferior and inferior) were...

  • MARKET SNAPSHOT The Rotator Cuff Repair Debate Continues: Double or Single Row? Shepherd, Maria // Orthopedic Design & Technology;Sep/Oct2012, Vol. 8 Issue 5, p38 

    The article focuses on the debate regarding the cost-effectiveness between the two types of rotator cuff repair (RCR) procedures. It references the study published in "The Journal of Bone And Joint Surgery" which examined whether arthroscopic double-row rotator cuff repair can be a...

  • Artroscopía de rodilla sin la utilización de dispositivos para isquemia. Villarreal, José María Busto; Figueroa Cal y Mayor, Francisco; Flores, Carlos Terán; Cadena, Carlos Martín Carlos; Quiñones, Marco Antonio González // Acta Ortopedica Mexicana;may/jun2005, Vol. 19 Issue 3, p109 

    The percentage of adverse effects after the use of ischemia devices in knee arthroscopy is relatively high, likewise absolute contraindications exist for the use of these devices. In an intent of obviating this effects without sacrificing the visualization of the surgical field have appealed to...

  • Tek taraflı spinal anestezide düşük doz bupivakain ve bupivakainfentanil kombinasyonunun derlenmeye etkisi. Sönmez, Bilgehan; Akçay, Murat; Akçaboy, Erkan Yavuz; Akçaboy, Zeynep Nur; Küçük, Ahmet; Göğüs, Nermin // Journal of Clinical & Experimental Investigations / Klinik ve De;2011, Vol. 2 Issue 1, p22 

    Objective: Our aim was to compare unilateral spinal anesthesia produced by 6 mg hyperbaric bupivacaine or 4 mg hyperbaric bupivacaine plus 10

  • Arthroscopically Assisted Coronoid Fracture Fixation: A Preliminary Report. Michael Hausman; Raymond Klug; Sheeraz Qureshi; Rachel Goldstein; Bradford Parsons // Clinical Orthopaedics & Related Research;Dec2008, Vol. 466 Issue 12, p3147 

    Abstract  We investigated the feasibility of arthroscopically assisted reduction and fixation of small coronoid fractures and the anterior capsule for treatment of patients with Regan and Morrey Types I and II (O’Driscoll Types I and II) coronoid fractures with...

  • 360° arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint – indication, surgical technique, results. Jerosch, Joerg // Knee Surgery, Sports Traumatology, Arthroscopy;May2001, Vol. 9 Issue 3, p178 

    Adhesive capsulitis of the glenohumeral joint is said to be a self-limiting process. However, in some patients the disease can last much longer than 1 year, which may lead patients to more invasive treatment than merely undergoing physiotherapy. Other patients do not accept this severe...

  • A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle. Jin-Ho Cho // Knee Surgery & Related Research;Mar2014, Vol. 26 Issue 1, p43 

    Introduction: Several techniques have been used for arthroscopic repair of middle segment, posteromedial or posterolateral corner tears of the meniscus. One of the commonly used methods is the inside-out double arm needle technique. Surgical Technique: We have developed a vertical mattress...

  • Tibial intercondylar eminence fractures in adults: arthroscopic treatment. Delcogliano, A.; Chiossi, S.; Caporaso, A.; Menghi, A.; Rinonapoli, G. // Knee Surgery, Sports Traumatology, Arthroscopy;Jul2003, Vol. 11 Issue 4, p255 

    Results obtained from the surgical treatment of 15 cases of type II and III tibial intercondylar eminence fractures-according to the classification of Meyers and McKeever [12, 13]-are reported in this paper. The average age of the patients observed was 22 years (range 18-41). All patients...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics