title: Open versus arthroscopic subacromial decompression: a prospective, randomized study of 34 patients followed for 8 years.
abstract: In a randomized prospective study, we selected 15 patients for arthroscopic subacromial decompression (ASD) and 19 patients for open subacromial decompression (OSD). All had impingement syndrome (Neer grade II), and had been unsuccessfully treated without surgery for more than 6 months. The UCLA Shoulder Rating Scale, Visual Analogue Scales for pain and satisfaction, isokinetic dynamometer recordings and physical testing were assessed preoperatively and at 1 (except isokinetic testing), 3, 6, and 12 months, and, finally, 8 years after surgery. We found essentially no differences in the clinical tests between the groups during this period. The use of ASD or OSD seems to be a matter of cosmesis and personal preference.
authors.affiliation: Rikshospitalet University Hospital, Department of Orthopaedics, NO-0027 Oslo, Norway. torstein.husby@rikshospitalet.no
authors.forename: Torstein
authors.initials: T
authors.lastname: Husby
authors.forename: Jan-Ragnar
authors.initials: JR
authors.lastname: Haugstvedt
authors.forename: Merete
authors.initials: M
authors.lastname: Brandt
authors.forename: Inger
authors.initials: I
authors.lastname: Holm
authors.forename: Harald
authors.initials: H
authors.lastname: Steen
mesh_terms: D000174:Acromion / Q000601:surgery*; D000328:Adult; D000704:Analysis of Variance; D001182:Arthroscopy / Q000379:methods*; D016009:Chi-Square Distribution; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D011336:Probability; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D012016:Reference Values; D018570:Risk Assessment; D017006:Rotator Cuff / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D019534:Shoulder Impingement Syndrome / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler