Comparison of open acromioplasty, arthroscopic acromioplasty and physiotherapy in patients with subacromial impingement syndrome: a prospective randomised study

Farfaras, Stefanos; Sernert, Ninni; Hallström, Erling; Kartus, Jüri

doi:10.1007/s00167-014-3416-4

Cited by 48 publications

(58 citation statements)

References 36 publications

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“…For trials not reporting the index instrument, we followed a prespecified outcome hierarchy when deciding which data would be pooled (online supplementary appendix table 2). For Farfaras et al, 25 we combined 15 the open and arthroscopic subacromial decompression surgery arms in all analyses.…”

Section: Data Managementmentioning

confidence: 99%

“…Both trials also included a non-surgical arm. Five trials 25 Review subacromial decompression surgery with exercise therapy; one had a placebo laser arm with no active treatment. 30 One trial 34 compared acromioplasty plus bursectomy with bursectomy alone.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For the comparisons of subacromial decompression surgery versus placebo surgery, the risk of bias was low for all outcomes (online supplementary appendix table 4). Due to detection bias (all studies), selection bias, 25 attrition bias 25 35 and selective reporting, 33 41 for the comparisons of subacromial decompression surgery versus non-surgical treatment, the risk of bias was high for all outcomes except rotator cuff tears (online supplementary appendix table 4).…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…Both placebo-controlled trials reported harms, 15 16 while two of the trials with non-surgical comparisons reported that there were no harms 33 38 and three did not mention harms. 25 33 41 Overall the included trials provide low certainty evidence regarding harms due to small sample size and incomplete reporting. The two placebo-controlled trials reported five participants experiencing frozen shoulder in the subacromial decompression group and three in the placebo surgery group (table 3).…”

Section: Harmsmentioning

confidence: 99%

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Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Lähdeoja¹,

Karjalainen²,

Jokihaara³

et al. 2019

Br J Sports Med

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Section: Data Managementmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Section: Harmsmentioning

confidence: 99%

See 2 more Smart Citations

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Lähdeoja¹,

Karjalainen²,

Jokihaara³

et al. 2019

Br J Sports Med

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show abstract

“…Meanwhile, after excluding duplicate and obviously irrelevant reports, 20 articles were retained. By carefully reading the full text, it was found that: 3 articles 16-18 were just study protocol, 1 article 6 we couldn't extract the data we need, 2 article 19,20 were not randomized controlled trial, 3 articles [21][22][23] were based on the comparison of other surgical method and conservative management. 11 studies met our inclusion and exclusion criteria, and among these studies, 5 studies [24][25][26][27][28] published by Ketola et al described the same clinical study and the follow-up time of these studies all belonged to our long-term subgroup, so we only included as one.…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

Is arthroscopic decompression better than conservative management for shoulder impingement? A systematic review and meta-analysis

Liu

et al. 2019

Preprint

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Background Arthroscopic decompression is commonly used to treat shoulder impingement, while the role of conservative treatment in these patients remains unclear. The objective of this paper is to synthesise available evidence regarding the effectiveness of subacromial decompression for shoulder impingement compared with conservative treatment to verify whether arthroscopic surgery is superior to conservative treatment. Methods We systematicly retrieved the Cochrane databases, Embase as well as Pubmed (from inception to July. 02, 2019) for randomized controlled trials. Cochrane risk-of-bias tool was used to assess all referred studies’ quality and we pooled outcomes with a random-effects model. We divided the outcomes into short-term subgroup(<2 years) and long-term subgroup (≥2 years). Results 7 randomised controlled trials (RCTs) were included, involving a total of 607 patients, 297 patients operated arthroscopic decompression, compared to 310 patients treated with conservative management. We found no significant differences either in shoulder pain scores or shoulder function scores between arthroscopic decompression and conservative management wether in long-term or short-term follow-up subgroups. Conclusion No significant difference was demonstrated on the treatment outcomes of shoulder impingement between arthroscopic decompression and conservative management in our meta-analysis. Thus, we suggested that conservative management should be chosen firstly for patients with shoulder impingement, when patients’ symptom cannot be relieved from the conservative treatment, arthroscopic decompression should be taken into consideration.Levels of Evidence Level-I study

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Subacromial decompression surgery for rotator cuff disease

Karjalainen

Jain

Page

et al. 2019

Cochrane Database of Systematic Reviews

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Background Surgery for rotator cuff disease is usually used after non-operative interventions have failed, although our Cochrane Review, first published in 2007, found that there was uncertain clinical benefit following subacromial decompression surgery. Objectives To synthesise the available evidence of the benefits and harms of subacromial decompression surgery compared with placebo, no intervention or non-surgical interventions in people with rotator cuff disease (excluding full thickness rotator cuff tears). Search methods We searched CENTRAL, MEDLINE, Embase, Clinicaltrials.gov and WHO ICRTP registry from 2006 until 22 October 2018, unrestricted by language. Selection criteria We included randomised and quasi-randomised controlled trials (RCTs) of adults with rotator cuff disease (excluding full-thickness tears), that compared subacromial decompression surgery with placebo, no treatment, or any other non-surgical interventions. As it is least prone to bias, subacromial decompression compared with placebo was the primary comparison. Other comparisons were subacromial decompression versus exercises or non-operative treatment. Major outcomes were mean pain scores, shoulder function, quality of life, participant global assessment of success, adverse events and serious adverse events. The primary endpoint for this review was one year. For serious adverse events, we also included data from prospective cohort studies designed to record harms that evaluated subacromial decompression surgery or shoulder arthroscopy.

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Comparison of open acromioplasty, arthroscopic acromioplasty and physiotherapy in patients with subacromial impingement syndrome: a prospective randomised study

Abstract: CT with low follow-up rate, Level II.

Cited by 48 publications

References 36 publications

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Is arthroscopic decompression better than conservative management for shoulder impingement? A systematic review and meta-analysis

Subacromial decompression surgery for rotator cuff disease

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