POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
POSTER ABSTRACTS - ISAKOS
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demonstrated better improvement at 3 and 6<br />
months postoperative evaluations. At one year, all<br />
the patients except one obtained a satisfactory<br />
result.<br />
Discussion & Conclusions: ACR seems to have a<br />
better outcome when compared with MAD.<br />
Radiofrequency release of rotator interval,<br />
coracohumeral ligament and capsule may prevent<br />
early healing and adhesions, obtaining a quicker<br />
functional recover.<br />
E-poster w/ Standard #943<br />
Arthroscopic Subacromial Decompression:<br />
Clinical Outcome After 2 - 9 Years of 422<br />
Shoulders<br />
Max Kaab, Berlin, GERMANY, Presenter<br />
D Sult, Berlin, GERMANY<br />
J Beuche, Berlin, GERMANY<br />
NP Sudkamp, Freiburg, GERMANY<br />
Andreas Weiler, Berlin, GERMANY<br />
Berlin, GERMANY<br />
Purpose:<br />
Arthroscopic subacromial decompression (ASD) is<br />
a frequently performed procedure. Goal of the<br />
study was evaluation of the clinical outcome with<br />
respect to rotator cuff pathology and other factors<br />
as e.g. SLAP-lesion. Additonally the reliability of<br />
inquest of various shoulder-scores by phone<br />
interview was evaluated.<br />
Methods:<br />
From 1993 to 2001 ASD was performed with 511<br />
shoulders (mean age 51 years, range 20 - 79<br />
years). 422 shoulders (follow-up 82%) were<br />
evaluated by detailed standardized phone<br />
interview. 155 patients (follow-up 43%) underwent<br />
clinical examination 10 days following phone<br />
interview. Average follow-up was 58 month after<br />
surgery. Constant-, UCLA-, ASES-score, spimple<br />
shoulder test and VAS were used.<br />
Results:<br />
The average Constant-score (raw-score) did<br />
improve from 46 preoperatively to 81. For all<br />
scores 65% of patients reached good and excellent<br />
results, while 15% were not satisfied. Patients over<br />
the age of 60 years had significantly more benefit<br />
from the operation. The numer of patients which<br />
were very satisfied with operation was higher with<br />
the diagnosis tendinits calcarea and full thickness<br />
rotator cuff tear (however not significant, p=0.41).<br />
The numer of patients unsatisfied was higher with<br />
the diagnoses re-operation, SLAP-lesion and<br />
running workers compensation application (not<br />
significant). All shoulder-scores, except the<br />
Constant-score did show high agreement between<br />
phone interview and clinical examination (p
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