The effectiveness of acromioplasty in the treatment of subacromial impingement syndrome of the shoulder

Abstract

The aim of this study is to evaluate the effectiveness of anterior open acromioplasty in patients with subacromial impingement syndrome of the shoulder in which there is no response to conservative treatment. Anterior open acromioplasty was performed on 56 patients diagnosed with subacromial impingement syndrome. We have called patients for the control. We evaluated the patients according to the Constant shoulder scoring system and VAS (Visual Analogue Scale), at rest, at night and during activity. We also evaluated and recorded range of motion of the shoulder and muscle strength. In two patients (3.6%) the result was moderate; in five patients (8.9%) the result was good and in 49 patients (87.5%) the result was perfect. The mean Constant score was 87 (51-100). In two patients (3.5%) there was light pain at rest and at night, and moderate pain during motion. In three patients (5.3%) we detected moderate pain only during motion. In 51 patients (91.2%) there was no pain at all. Acromioplasty has a positive effect on the treatment of pain, active range of motion and muscle strength in daily living activities in the treatment of subacromial impingement syndrome. 

Keywords

• Acromioplasty
• Shoulder impingement
• Constant score
• Visual Analogue Scale
• Shoulder pain
• Open surgery

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