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Which patients do not recover from shoulder impingement syndrome, either with operative treatment or with nonoperative treatment?


ABSTRACT:

Background and purpose

Shoulder impingement syndrome is common, but treatment is controversial. Arthroscopic acromioplasty is popular even though its efficacy is unknown. In this study, we analyzed stage-II shoulder impingement patients in subgroups to identify those who would benefit from the operation.

Patients and methods

In a previous randomized study, 140 patients were either treated with a supervised exercise program or with arthroscopic acromioplasty followed by a similar exercise program. The patients were followed up at 2 and 5 years after randomization. Self-reported pain was used as the primary outcome measure.

Results

Both treatment groups had less pain at 2 and 5 years, and this was similar in both groups. Duration of symptoms, marital status (single), lo

SUBMITTER: Ketola S 

PROVIDER: S-EPMC4750760 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature