title: Revision surgery after failed subacromial decompression.
abstract: The purpose of this study was to assess the results of revision subacromial decompression and identify clinical and psychological factors that influence its outcome. Thirty-five patients with intact rotator cuffs who underwent surgery for recurrent stage II impingement were studied at a mean follow-up time of 43 months post-surgery. Twenty-seven patients were satisfied with their surgery. The UCLA Scoring System rated 18 of 35 with good/excellent results and 17 of 35 poor/fair results, 22 patients had worker's compensation injuries, which correlated with poor outcome (P=0.0067). Patients with concomitant brachial plexopathy and/or compressive neuropathies were associated with unsatisfactory results (P=0.02).
authors.affiliation: Oklahoma Orthopedic Inc., Norman, OK 73071, USA. marcand@ilinkusa.net
authors.forename: M A
authors.initials: MA
authors.lastname: Arcand
authors.forename: P
authors.initials: P
authors.lastname: O'Rourke
authors.forename: C A
authors.initials: CA
authors.lastname: Zeman
authors.forename: W Z
authors.initials: WZ
authors.lastname: Burkhead
mesh_terms: D000328:Adult; D000368:Aged; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies; D019534:Shoulder Impingement Syndrome / Q000601:surgery*; D016896:Treatment Outcome