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Surgery Of The Subacromial Space, Our Experience With 71 Cases.

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Author(s): Jiménez Martín A*,Angulo Gutiérrez J,González Herranz J,Rodriguez de la Cueva JM,Díaz del Río J,Lara Bullón J.

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 5;
Issue: 2;
Date: 2008;
Original page

Keywords: acromioplasty | rotator cuff | Constant | UCLA | DASH

ABSTRACT
Objectives: Subacromial syndrome with cuff involvement can be treated with the classic, mini-open or arthroscopic methods. Our objective is to review 71 shoulders interventions in our centre and to study the results of these techniques. Materials and Methods: We analysed age, sex, NMR lesions, type of repair, complications, Constant, DASH and UCLA scales, among others. Results: Median age: 50 years; standard deviation: 9.97 years; Positive Yochum (91.5%), partial tear (25.4%), complete tear (33.8%). Classic repair (70.4%), arthroscopic (4.2%) mini-open (25.4%), with harpoons (45.1%), transbone suture (15.5%), section of the coracoacromial ligament (59.2%) and perforations in the zone of Codman (12.7%). The final DASH results were better for the arthroscopy (57.33 points). There were statistically significant results when making before and after comparisons of the surgical treatment (the open and mini-open techniques): Significant differences were not found between the Constant and UCLA tests (p=0.00) in our series, but there were regarding the number of harpoons (p=0.032), with more being used in the open techniques. Conclusions: In our series we did not find significant differences regarding the outcomes of the classic and mini-open techniques. We consider the mini-open technique to be effective, and useful in the cases where arthroscopic experience is limited.
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