[Subacromial denervation as a treatment modality for patients with subacromial pathology].
OBJECTIVE
The purpose of the presented study was to valuate the question whether subacromial denervation alone is sufficient in patients with subacromial pathology.


METHODS
20 patients (male: 7; female 13) with subacromial pathology without anterior acomionosteophytes, rotator cuff tear, calcific tendinitis or ac-joint pathology underwent endoscopically controlled subacromial denervation. The procedure was performed with an HF device. Patients were followed up at 6 weeks, 3 and 6 months with the Constant score.


RESULTS
The preoperative Constant score was 59 +/- 18. Postoperatively the Constant score increased to 78 +/- 18 after 6 weeks, up to 83 +/- 5 after 3 months and up to 85 +/- 13 after 6 months. There was no difference between male and female patients nor between patients with different profession or athletic activity. We could not document any complication. Patients returned to work within 6 weeks after surgery.


CONCLUSIONS
Patients without anterior acromion osteophytes and without rotator cuff tear may get good results with subacromial denervation alone and may not need acrornioplasty.
Klinik für Orthopädie und Orthopädische Chirurgie, Johanna-Etienne-Krankenhaus, Neuss.
J
J
Jerosch
D001182:Arthroscopy; D003714:Denervation / Q000379:methods*; D004598:Electrosurgery / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D020069:Shoulder Pain / Q000209:etiology / Q000601:surgery*