Hernández-Valera D, Pancorbo-Sandoval E, Delgado-Quiñones A, Echevarría-Borges Y, Quesada-Pérez JA, Díaz-Prieto G

Language: Spanish
References: 18
Page: 1547-1558
PDF size: 872.49 Kb.

ABSTRACT

Introduction: subacromial syndrome is a condition characterized by intra-articular tendinous impingement by osteophytes or narrowing of space.
Objective: to evaluate Neer’s technique in the treatment of patients with subacromial syndrome and the factors and activities favoring this condition.
Materials end methods: an observational, descriptive, prospective study was performed in patients with subacromial syndrome treated with acromioplasty using Neer's technique. The universe was formed by 66 patients aged over 20 years, who presented subacromial syndrome with symptoms for more than 6 months, and were treated with Neer's technique.
Results: the most affected sex was the female one, with 65.2 %. The age group aged 41 to 50 years predominated. In pre-surgical stage, pain ranged from moderate to severe in 77.2 %, and from null to mild after surgery. Preoperative function was moderate to severe in 68.1 % and null or mild after surgical treatment. The previous active flexion was below 90° in 83.1 % before being operated, and above 90° in 80.3 % after surgery. Muscle strength was poor or regular in pre-surgical stage in 77.2 %, being excellent or good after surgery.
Conclusions: once Neer's technique was applied, the pain was mild or null in most of the universe, the shoulder function was good, the anterior flexion adequate, and the muscle strength good.

REFERENCES

1. Codman EA. The Shoulder. Rupture of the Supraspinatus Tendon and Other Lesions in or About the Subacromial Bursa. Boston: Thomas Todd Co; 1934 [citado 09/09/2020]. Disponible en: Disponible en: https://www.amazon.es/shoulder-Rupture-supraspinatus-lesions-subacromial/dp/B00085DK5O

2. Smith DL, Campbell SM. Painful shoulder syndromes: diagnosis and management. J Gen Intern Med. 1992;7(3):328-39. Citado en PubMed; PMID: 1613616.

3. Luime JJ, Koes BW, Hendriksen IJM, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81. Citado en PubMed; PMID: 15163107.

4. Cabrera-Filtres N, Salles-Betancourt G, Berna-González MJ, et al. Tratamiento de descompresión subacromial en el Síndrome de pinzamiento anterior del hombro. Rev. Cubana Ortop Traumatol [Internet]. 2006 [citado 09/09/2020];(1). Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2004000100001

5. Dhillon KS. Subacromial Impingement Syndrome of the Shoulder: A Musculoskeletal Disorder or a Medical Myth? Malays Orthop J. 2019 Nov;13(3):1-7. Citado en PubMed; PMID: 31890103.

6. Kibler WB, Ludewig PM, McClure PW, et al. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit’. Br J Sports Med. 2013;47(14):877-85. DOI: 10.1136/bjsports-2013-092425.

7. Amstutz HC, Sew Hoy AL, Clarke IC. UCLA Anatomic total shoulder arthrosplasty. Clin Orthop. 1981;155:7-20.

8. Kolk A, Thomassen B, Hund H, et al. Does acromioplasty result in favorable clinical and radiologic outcomes in the management of chronic subacromial pain syndrome? A double-blinded randomized clinical trial with 9 to 14 years’ follow-up. J Shoulder Elbow Surg. 2017 Aug;26(8):1407-15. Citado en PubMed; PMID: 28495574.

9. Patel M, Martin JR, Campbell DH, et al. Inferior Tilt of the Glenoid Leads to Medialization and Increases Impingement on the Scapular Neck in Reverse Shoulder Arthroplasty. J Shoulder Elbow Surg. 2021 Jun;30(6):1273-81. Citado en PubMed; PMID: 33069903.

10. Kanatli U, Ayanoğlu T, Aktas E, et al. Grade of coracoacromial ligament degeneration as type of partial rotator cuff tear. J Shoulder Elbow Surg. 2016 Nov;25(11):1824-28. Citado en PubMed; PMID: 27262409.

11. Monreal-González RJ, Díaz-Ramos H, León-Santana P, et al. Capsulitis adhesiva del hombro: tratamiento con distensión hidráulica y anestesia local. Rev Cubana Ortop Traumatol [Internet]. 2006 [citado 09/09/2020];22(2). Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2006000200005&lng=es&nrm=iso&tlng=es

12. Jaeger M, Berndt T, Rühmann O, et al. Patients with impingement syndrome with and without rotator cuff tears do well 20 years after arthroscopic subacromial decompression. Arthroscopy. 2016 Mar;32(3):409-15. Citado en PubMed; PMID: 26507160.

13. Kluczynski MA, Isenburg MM, Marzo JM, et al. ¿Does early versus delayed active range of motion affect rotator cuff healing after surgical repair? A systematic review and meta-analysis. Am J Sports Med. 2016 Mar;44(3):785-91. Citado en PubMed; PMID: 25943112.

14. Burkhart SS, Nottage WM, Ogilvie-Harris DJ, et al. Partial repair of irreparable rotator cuff tcars. Arthroscopy. 1994 Aug;10(4):363-70. Citado en PubMed; PMID: 7945631.

15. Butt U, Whiteman A, Wilson J, et al. Does arthroscopic subacromial decompression improve quality of life. Ann R Coll Surg Engl. 2015 Apr; 97(3):221-3. Citado en PubMed; PMID: 26263808.

16. Beard DJ, Rees JL, Cook JA, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet [Internet]. 2018 [citado 09/09/2020];391(10118):329-38. Disponible en: Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-67361732457-1/fulltext

17. Overbeek CL, Gademan MGJ, Kolk A, et al. Reduced psychosocial functioning in Subacromial Pain Syndrome is associated with persistence of complaints after 4 years. J Shoulder Elbow Surg. 2021 Feb;30(2):223-8. Citado en PubMed; PMID: 32949758.

18. McClure PW, Michener LA. Staged approach for rehabilitation classification: shoulder disorders (STAR-Shoulder). Phys Ther. 2015 May;95(5):791-800. Citado en PubMed; PMID: 25504491.