Long‐term results after resection of the coracoacromial ligament for shoulder impingement in athletes

Albertsson, Magnus P.; Karlsson, Jón; Peterson, Lars; Westlin, Nils E.

doi:10.1111/j.1600-0838.1992.tb00325.x

Cited by 7 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The low return rate to sport in this study led to new thoughts about the etiology of impingement in overhead athletes. Albertsson et al (1992) evaluated the procedure of an open resection of the coraco‐acromial ligament in 25 shoulders of mainly overhead athletes, 40% being swimmers. Before the injury, 23 were athletes at a competitive level, and the operation returned 12 (50%) to this level.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Swimmers' painful shoulder arthroscopic findings and return rate to sports

Brushøj

Bak²,

Johannsen³

et al. 2006

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Shoulder pain is the most common musculo-skeletal complaint in competitive swimmers. It remains one of the shoulder pain syndromes in overhead athletes where no golden standard of treatment exists. Eighteen competitive swimmers who all had undergone shoulder arthroscopy for therapy-resistant shoulder pain were retrospectively evaluated with respect to operative findings and ability to return to their sport after the operation. The most common finding at arthroscopy was labral pathology in 11 (61%) and subacromial impingement in five shoulders (28%). Operative procedures included debridement in 11 swimmers, partial release of the coraco-acromial ligament in four, and bursectomy in four. Sixteen (89%) responded to the follow-up evaluation. Nine swimmers (56%) were able to compete at preinjury level after 4 (2-9) months. Findings at arthroscopy suggest that the term "Swimmer's shoulder" covers a variety of pathologies including labral wearing and subacromial impingement. Arthroscopic debridement of labral tears or bursectomy in swimmers with shoulder pain has a low success rate with regard to return to sport. Further understanding and investigation of this syndromes complex pathophysiology is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment of swimmer's shoulder has included distal clavicle resection, coraco‐acromial ligament resection, debridement, and decompression, with poor return rates (Tibone et al, 1985; Jobe & Glousman, 1991; Albertsson et al, 1992).…”

mentioning

confidence: 99%

Swimmers' painful shoulder arthroscopic findings and return rate to sports

Brushøj

Bak²,

Johannsen³

et al. 2006

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

show abstract

“…Return rates vary from 20% to 56%. 28,33,34 It seems that the prognosis is best if glenohumeral instability is the primary pathology. Open or arthroscopic inferior capsular shift procedures have been reported with good outcomes in athletes.…”

Section: The Role Of Diagnostic Imaging and Arthroscopymentioning

confidence: 98%

The Practical Management of Swimmer's Painful Shoulder: Etiology, Diagnosis, and Treatment

Bak¹

2010

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

Shoulder pain is the most common musculoskeletal complaint in competitive swimmers. Problems with the shoulders of swimmers resemble that of the disabled thrower's shoulder, but the clinical findings and associated dysfunctions are not quite the same. Therefore, swimmers with shoulder pain should be evaluated and treated as a separate clinical entity, aimed toward underlying pathology and dysfunction. Balanced strength training of the rotator cuff, improvement of core stability, and correction of scapular dysfunction is central in treatment and prevention. Technical and training mistakes are still a major cause of shoulder pain, and intervention studies that focus on this are desirable. Imaging modalities rarely help clarify the diagnosis, their main role being exclusion of other pathology. If nonoperative treatment fails, an arthroscopy with debridement, repair, or reduction of capsular hyperlaxity is indicated. The return rate and performance after surgery is low, except in cases where minor glenohumeral instability is predominant. Overall, the evidence for clinical presentation and management of swimmer's shoulder pain is sparse. Preliminary results of an intervention study show that scapular dyskinesis can be prevented in some swimmers. This may lead to a reduction of swimmer's shoulder problems in the future.

show abstract

“…Albertsson et al (73) reported excellent or good results in 84% after resection of the coracoacromial ligament; however, of 23 elite or league competitive athletes only 12 (50%) were able to return to the previous level of activity. No data on possible concomitant instability were given (73). Altchek found that 76% returned to sports after acromioplasty with resection of the coracoacromial ligament, but most of the patients were not highly competitive and still the prognosis was worse for overhead athletes, where a high incidence of tears of the inferior part of the labrum was found (74).…”

Section: Surgical Treatmentmentioning

confidence: 99%

Nontraumatic glenohumeral instability and coracoacromial impingement in swimmers

Bak

1996

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Competitive swimming is one of the most demanding and time-consuming sports. Swimmers at elite level practice 20-30 h per week. During 1 year's practice, the average top level swimmer performs more than 500,000 stroke revolutions per arm. These innumerable repetitions over many years of hard training together with an increasing muscular imbalance around the shoulder girdle seem to be the main etiological factors in the development of the overuse syndrome swimmer's shoulder. Shoulder pain in swimmers has in general been regarded as synonymous with coracoacromial impingement, i.e. anterior shoulder pain due to rotator cuff tendinitis, but new knowledge suggests that a concomitant glenohumeral instability plays an additional role. The diagnostic complexity of the problem is as challenging as the search for the gold standard of treatment. The condition should ideally be diagnosed as early as possible, and intensive functional rehabilitation of the shoulder girdle including the scapular muscles should be started in order to restore muscle balance. The surgical possibilities include subacromial decompression in cases of purely mechanical impingement. If a painful glenohumeral instability persists after intensive functional rehabilitation, anterior capsulolabral reconstruction can be performed. Still, however, short-and long-term results show that surgery is less successful in elite athletes involved in overhead sports. Prevention protocols include education of coaches in primary injury prophylaxis and the institution of resistance strength training in prepubescent swimmers. Emphasis should be made to improve muscular balance around the glenohumeral and

show abstract

Long‐term results after resection of the coracoacromial ligament for shoulder impingement in athletes

Abstract: term results after resection of the coracoacromial ligament for shoulder impingement in athletes.Scand J Med Sci Sports 1992: 2 84-86.

Cited by 7 publications

References 6 publications

Swimmers' painful shoulder arthroscopic findings and return rate to sports

Swimmers' painful shoulder arthroscopic findings and return rate to sports

The Practical Management of Swimmer's Painful Shoulder: Etiology, Diagnosis, and Treatment

Nontraumatic glenohumeral instability and coracoacromial impingement in swimmers

Contact Info

Product

Resources

About