Staff View: Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome

Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome

Introduction: Shoulder impingement syndrome is a common diagnosis leading to shoulder disabilities. Subacromial decompression surgery either arthroscopic or mini open is indicated in patients who failed conservative therapy. Arthroscopic surgery is introduced to reduce soft tissue dissection hence l...

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Main Authors:	Nik Abdul Adel, Nik Alyani, Siron @ Baharom, Khairul Nizam, Mat Lani, Muhammad Taufik
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/70149/1/MRS2018-71.pdf http://irep.iium.edu.my/70149/ http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-71.pdf
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spelling	my.iium.irep.701492019-02-11T06:47:31Z http://irep.iium.edu.my/70149/ Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome Nik Abdul Adel, Nik Alyani Siron @ Baharom, Khairul Nizam Mat Lani, Muhammad Taufik RD701 Orthopedics Introduction: Shoulder impingement syndrome is a common diagnosis leading to shoulder disabilities. Subacromial decompression surgery either arthroscopic or mini open is indicated in patients who failed conservative therapy. Arthroscopic surgery is introduced to reduce soft tissue dissection hence less soft tissue damage and fasten rehabilitation. This study is conducted to compare the outcome of mini open and arthroscopic surgery. Materials and Methods: A cross sectional study was conducted in patients who were diagnosed with shoulder impingement syndrome with or without rotator cuff tear who underwent subacromial decompression surgery, with mini open or arthroscopic surgery at Hospital Tengku Ampuan Afzan, Kuantan. Functional outcome was assessed using American Shoulder and Elbow Surgeon (ASES) score and Constant score. Results: Six patients were recruited in the mini open group while 11 in the arthroscopic group. Of these, all were female in mini open group, aged 56.7 ± 7.9 while seven female and four male in the arthroscopic group aged 55.1 ± 9.4 (p-value 0.733). They were evaluated at 3 to 5 years after surgery in the mini open, and at six months in the arthroscopic group. There was no significant different in the ASES score in the mini open group (89.8 ± 11.7) and arthroscopic group (89.8 ±17.9), with p-value of 0.998. Constant score in the mini open was 18.67 ± 7.61, while in the arthroscopic was 16.18 ± 15.03; and there was no significant difference in this two groups (p-value 0.712). Three patients each has good and fair outcome in the mini open surgery, while six patients has excellent, two each has good and fair; and one has poor outcome in the arthroscopic surgery. Conclusion: There were no significant differences in the functional outcomes between mini open and arthroscopic subacromial decompression surgery. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/70149/1/MRS2018-71.pdf Nik Abdul Adel, Nik Alyani and Siron @ Baharom, Khairul Nizam and Mat Lani, Muhammad Taufik (2018) Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome. The International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 70. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-71.pdf
institution	Universiti Islam Antarabangsa Malaysia
building	IIUM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	International Islamic University Malaysia
content_source	IIUM Repository (IREP)
url_provider	http://irep.iium.edu.my/
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Nik Abdul Adel, Nik Alyani Siron @ Baharom, Khairul Nizam Mat Lani, Muhammad Taufik Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
description	Introduction: Shoulder impingement syndrome is a common diagnosis leading to shoulder disabilities. Subacromial decompression surgery either arthroscopic or mini open is indicated in patients who failed conservative therapy. Arthroscopic surgery is introduced to reduce soft tissue dissection hence less soft tissue damage and fasten rehabilitation. This study is conducted to compare the outcome of mini open and arthroscopic surgery. Materials and Methods: A cross sectional study was conducted in patients who were diagnosed with shoulder impingement syndrome with or without rotator cuff tear who underwent subacromial decompression surgery, with mini open or arthroscopic surgery at Hospital Tengku Ampuan Afzan, Kuantan. Functional outcome was assessed using American Shoulder and Elbow Surgeon (ASES) score and Constant score. Results: Six patients were recruited in the mini open group while 11 in the arthroscopic group. Of these, all were female in mini open group, aged 56.7 ± 7.9 while seven female and four male in the arthroscopic group aged 55.1 ± 9.4 (p-value 0.733). They were evaluated at 3 to 5 years after surgery in the mini open, and at six months in the arthroscopic group. There was no significant different in the ASES score in the mini open group (89.8 ± 11.7) and arthroscopic group (89.8 ±17.9), with p-value of 0.998. Constant score in the mini open was 18.67 ± 7.61, while in the arthroscopic was 16.18 ± 15.03; and there was no significant difference in this two groups (p-value 0.712). Three patients each has good and fair outcome in the mini open surgery, while six patients has excellent, two each has good and fair; and one has poor outcome in the arthroscopic surgery. Conclusion: There were no significant differences in the functional outcomes between mini open and arthroscopic subacromial decompression surgery.
format	Article
author	Nik Abdul Adel, Nik Alyani Siron @ Baharom, Khairul Nizam Mat Lani, Muhammad Taufik
author_facet	Nik Abdul Adel, Nik Alyani Siron @ Baharom, Khairul Nizam Mat Lani, Muhammad Taufik
author_sort	Nik Abdul Adel, Nik Alyani
title	Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
title_short	Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
title_full	Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
title_fullStr	Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
title_full_unstemmed	Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
title_sort	outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/70149/1/MRS2018-71.pdf http://irep.iium.edu.my/70149/ http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-71.pdf
_version_	1643619168547766272
score	13.211869

Outcome of arthroscopic vs mini open subacromial decompression in treating shoulder impingement syndrome

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