Abstract
Background: Subacromial impingement syndrome is a common disorder about the shoulder. Patients presented by shoulder pain and impaired activity of daily living. Patients can be treated conservatively and if failed surgical intervention is indicated which could be open or arthroscopically with variable results. Aim and objective: This study was conducted to compare effectiveness and benefits between arthroscopic and open subacromial decompression in treatment of subacromial impingement syndrome. Method: The study was approved by the local ethics committee, and a written consent was obtained for each subject, and included 60 patients; 30 patients was treated by arthroscopic subacromial decompression and the other 30 were treated by open surgery. Patients were followed for a period of one year. Results: Functional outcome was assessed using the American shoulder and elbow surgeons’ score. The arthroscopic group (A) had significant high score in first three months after operation than the open group (B). And after 6 months the significance between the two groups decreased till one year after operation at which there was no significance. Conclusion: Our results revealed that arthroscopic subacromial decompression for subacromial impingement syndrome were effective and safe than open surgery.
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