The Role of Acromioplasty for Management of Rotator Cuff Problems : Where Is the Evidence?
Joint Authors
Edwards, T. Bradley
Shi, Lewis L.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-19
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The incidence of acromioplasty has increased dramatically in recent decades, but its role in rotator cuff surgery has been debated.
Neer popularized the extrinsic theory of rotator cuff pathology, where mechanical compression of the coracoacromial arch leads to tearing of the rotator cuff.
Under this theory, acromioplasty is advocated to modify acromial morphology as an essential part of rotator cuff surgery.
Proponents of the intrinsic theory suggest rotator cuff tendons undergo degeneration through aging and overuse, and that bursectomy alone without acromioplasty is sufficient.
There exist cadaveric studies, expert opinions, and numerous case series espousing both sides of the argument.
Recently, however, numerous high-quality prospective randomized controlled trials have been published examining the role of acromioplasty.
They have similar study design and randomization protocols, including groups of arthroscopic rotator cuff repair with bursectomy and acromioplasty versus isolated bursectomy.
The results have been consistent across all studies, with no difference in the outcomes of the acromioplasty and isolated bursectomy groups.
Current evidence does not support the routine use of acromioplasty in the treatment of rotator cuff disease.
American Psychological Association (APA)
Shi, Lewis L.& Edwards, T. Bradley. 2012. The Role of Acromioplasty for Management of Rotator Cuff Problems : Where Is the Evidence?. Advances in Orthopedics،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-473830
Modern Language Association (MLA)
Shi, Lewis L.& Edwards, T. Bradley. The Role of Acromioplasty for Management of Rotator Cuff Problems : Where Is the Evidence?. Advances in Orthopedics No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-473830
American Medical Association (AMA)
Shi, Lewis L.& Edwards, T. Bradley. The Role of Acromioplasty for Management of Rotator Cuff Problems : Where Is the Evidence?. Advances in Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-473830
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473830