Evidence-Based Orthopaedics   |    
Arthroscopic Decompression and Physiotherapy Have Similar Effectiveness for Subacromial Impingement

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Source of funding: Medical Research Unit of Ringkjoebing County.
For correspondence: Dr. J.P. Haahr, Department of Occupational Medicine, Herning Hospital, DK-7400 Herning, Denmark. E-mail address: hecjph@ringamt.dk
Haahr JP, Østergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH. Exercises Versus Arthroscopic Decompression in Patients with Subacromial Impingement: A Randomised, Controlled Study in 90 Cases with a One Year Follow Up.
Ann Rheum Dis.
2005 May;64: 760-4.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Nov 01;87(11):2595-2595. doi: 10.2106/JBJS.8711.ebo2
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Question: In patients who have shoulder pain with subacromial impingement, is arthroscopic subacromial decompression more effective than graded physiotherapy?Design: Randomized (allocation concealed)*, unblinded, controlled trial with 1-year follow-up.*Information provided by author.Setting: A hospital in Ringkjoebing County, Denmark.Patients: Studied were 90 patients who were from 18 to 55 years of age; had had symptoms for 6 months to 3 years; and met the following diagnostic criteria: presence of shoulder pain, pain on abduction of the shoulder with painful arch, a positive impingement sign (Hawkins sign), and a positive impingement test (relief of pain after injection of local anesthetic into the subacromial space). Follow-up was 93% (mean age, 44 y; 69% women).
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