In a prospective randomised study we compared the results of arthroscopic subacromial bursectomy alone with debridement of the subacromial bursa followed by acromioplasty. A total of 57 patients with a mean age of 47 years (31 to 60) suffering from primary subacromial impingement without a rupture of the rotator cuff who had failed previous conservative treatment were entered into the trial. Th...

PURPOSE To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape. METHODS Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impingement with or without rotator cuff tear (group 1), whereas the 20 controls (mean age, 27 years)...

OBJECTIVE To determine whether there are differences in results when evaluating cervical range of motion (ROM) with radiographic analysis, a bubble goniometer, and a dual inclinometer and whether particular physical parameters are related to cervical ROM. METHODS We evaluated the cervical ROM of 115 volunteers with each of the 3 clinical methods. Tape measurements of neck girth, distance from...

BACKGROUND The subacromial impingement syndrome (SIS) is the most common diagnosed disorder of the shoulder in primary health care, but its aetiology is unclear. Conservative treatment regimes focus at reduction of subacromial inflammatory reactions or pathologic scapulohumeral motion patterns (intrinsic aetiology). Long-lasting symptoms are often treated with surgery, which is focused at enlar...

We examined 270 scapular bones and found an incidence of os acromiale of 8.2%. In most cases, the free fragment was approximately one-third of the overall length of the acromion, and included the acromioclavicular facet and the principal areas of attachment of the coracoacromial ligament. Two-thirds of the specimens showed a distinctive pattern of osteophytic lipping. Based on this study, we de...

INTRODUCTION: Shoulder impingement and rotator cuff tear are commonly seen in shoulder pathology. Pathological changes the soft tissue around can be due to intrinsic degenerative tendons or extrinsic mechanical compression acromion types. Changes morphology have been postulated, which might one of causes syndrome tears. But few study results shown that role is doubtful. Our primary objective wa...

Introduction. When using the double interval slide technique for arthroscopic repair of chronic large or massive rotator cuff tears, the posterior interval release is directed toward the scapular spine until the fat pad that protects the suprascapular nerve is reached. Injury to the suprascapular nerve can occur due to the nerve's proximity to the operative field. This study aimed to identify s...