Arthroscopy: The Journal of Arthroscopic & Related Surgery
ShoulderAn Informative Level III Evidence Epidemiologic Study of Arthroscopy and the Increase in Anterior AcromioplastiesArthroscopy and the Dramatic Increase in Frequency of Anterior Acromioplasty From 1980 to 2005: An Epidemiologic Study
Section snippets
Methods
Approval for this project was obtained from the institutional review boards of 2 institutions, the Mayo Clinic (No. 07-002423) and Olmsted Medical Center (No. 020-OMC-07), Rochester, Minnesota. The Mayo Clinic is an academic, tertiary care center. Olmsted Medical Center is a private hospital serving the residents of Olmsted County. Using the resources of the Rochester Epidemiology Project, which catalogs medical records of residents of Olmsted County, Minnesota, we were able to identify
Results
During this period, 246 patients with 246 operated shoulders had anterior acromioplasty, and they were included in our study group. Of the patients, 96 underwent an open anterior acromioplasty and 150 underwent an arthroscopic anterior acromioplasty. In 21 patients a contralateral anterior acromioplasty was done at some point in time, but these procedures are not a part of this analysis. Only the earlier affected side was incorporated into the data analysis. There were 157 men and 89 women in
Discussion
Impingement syndrome is accepted to be relatively common; however, no information is available regarding the incidence of surgical treatment, namely open or arthroscopic anterior acromioplasty. It has also not been known how this treatment has changed over time. The purpose of this study was to better understand the utilization of anterior acromioplasty over the past quarter of a century, as well as its relation to surgical technique, patient characteristics, and shoulder disease. Over the past
Conclusions
The frequency of anterior acromioplasty has dramatically increased over time. Increasing knowledge about this syndrome, including better imaging, has facilitated patient treatment for a stable spectrum of rotator cuff pathology (inflammation or fibrosis, partial-thickness tearing, full-thickness tearing undergoing debridement), as has the application of endoscopic surgery.
References (15)
- et al.
Trends in rehabilitation after amputation for geriatric patients with vascular disease: Implications for future health resource allocation
Arch Phys Med Rehabil
(2002) - et al.
Trends in the utilization of primary total hip arthroplasty, 1969 to 1990: A population-based study in Olmsted County, Minnesota
Mayo Clin Proc
(1993) History of the Rochester Epidemiology Project
Mayo Clin Proc
(1996)- et al.
Total knee arthroplasty: A population-based study
Mayo Clin Proc
(1991) Arthroscopic subacromial decompression: Analysis of one to three year results
Arthroscopy
(1987)- et al.
Arthroscopic acromioplastyCurrent status
Orthop Clin North Am
(1997) - et al.
Arthroscopic subacromial decompression
J Shoulder Elbow Surg
(2001)
Cited by (52)
National Trends Show Declining Use of Arthroscopic Subacromial Decompression Without Rotator Cuff Repair
2021, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Vitale et al. saw a 142.3% increase in aSAD from 1999 to 2008 despite only a 13% increase in cumulative orthopaedic procedures.27 Yu et al. demonstrated an increase from 3.3 to 19.0 per 100,000 for aSADs from 1980 to 2005, partially due to the growth in arthroscopic surgery.28 In contrast, Mauro et al. found a significant decrease in aSADs from 2005 to 2009 within the American Board of Orthopaedic Surgery database.17
Intraobserver and interobserver reliability of the Copeland-Levy classification for arthroscopic evaluation of subacromial impingement
2017, Journal of Shoulder and Elbow SurgeryShoulder Arthroscopy in Adults 60 or Older: Risk Factors That Correlate With Postoperative Complications in the First 30 Days
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2017, Arthroscopy - Journal of Arthroscopic and Related SurgeryHeterogeneous MR arthrography findings in patients with subacromial impingement syndrome – Diagnostic subgroups?
2016, Journal of Electromyography and KinesiologyCitation Excerpt :There is no consensus on a specific definition or a set of clinical or radiological characteristics that encompass SIS. Despite this, acromioplasty, which is based on the classic extrinsic etiologic theory (Neer, 1972), is a frequently performed surgery for SIS symptoms and one of the most performed orthopedic surgeries in general (Yu et al., 2010). However, its success rates are highly variable (Altchek et al., 1990; Ellman and Kay, 1991; Sachs et al., 1994; Van Holsbeeck et al., 1992) and good clinical outcome has been reported for patients in whom the acromial shape is not altered (Brox et al., 1993; Budoff et al., 2005; Goldberg et al., 2001; Henkus et al., 2009; Morrison et al., 1997; Wirth et al., 1997).
The authors report no conflict of interest.