Subacromial decompression surgery for rotator cuff disease.

Teemu V Karjalainen,Renea V Johnston,Arnav Agarwal,Rachelle Buchbinder,Tuomas A Lähdeoja,Nitin B Jain,Cristina M Page,Per O Vandvik,Paul Salamh,Lauri Kavaja,Clare L Ardern

doi:10.1002/14651858.cd005619.pub3

Abstract

Subacromial decompression surgery for rotator cuff disease.

Highlights

Surgery for rotator cu disease is usually used a er non-operative interventions have failed, our Cochrane Review, first published in 2007, found that there was uncertain clinical benefit following subacromial decompression surgery
We downgraded the certainty of the evidence to moderate for global assessment of treatment success; there was probably no clinically important benefit in this outcome either compared with placebo, exercises or nonoperative treatment
Precise estimates are unknown, the risk of serious adverse events is likely less than 1%

Summary

Introduction

Surgery for rotator cu disease is usually used a er non-operative interventions have failed, our Cochrane Review, first published in 2007, found that there was uncertain clinical benefit following subacromial decompression surgery. This Cochrane Review is one of an updated series of Cochrane Reviews of interventions for shoulder disorders. The last review on surgery for rotator cu disease was published in Issue 1, 2008 (up to date to 3 September 2006; Coghlan 2008) For this update we have split the surgery for rotator cu disease review into three reviews: 1) subacromial decompression surgery for rotator cu disease (the topic of this review); 2) surgery for full-thickness rotator cu tears; and 3) surgery for calcific rotator cu tendinopathy. The shape of the acromion and fatigue or imbalance of muscular strength in the rotator cu muscles has been postulated to predispose to subacromial impingement (Chen 1999)

Objectives

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Discussion

Conclusion