Abstract:

Aim: The aim of this study is to evaluate the arthroscopic surgery results of cases with isolated subacromial impingement syndrome (SIS) that do not respond to conservative treatment. Material and Methods: 44 patients who had arthroscopic subacromial decompression and acromiplasty due to SIS between 2015 and 2018, were retrospectively analyzed. Patients with isolated subacromial impingement syndrome who did not respond to conservative treatment including drugs, physiotherapy, exercises and subacromial steroid injections were included. For the patients, preoperative and postoperative The American Shoulder and Elbow Surgeons Shoulder (ASES) Scores were measured. Results: Forty-four patients with a mean follow-up of 26.4 months (ranging from 24 to 35 months; SD: 7.3) and a mean age of 51.4 (ranging from 39 to 55; SD: 6.96) were reached. Thirty (68%) of the patients were female and fourteen (32%) were male. There were no significant differences between groups according to the age, sex, and follow-up time (p>0.50). There were type 3 acromion in total of 7 patients and type 2 acromion in 18 patients. The overall mean preperative ASES score was 38.8 (ranging from 36.6 to 41.8). And, the mean postoperaive ASES score was 84.9 (ranging from 76.2 to 88.3). Conclusion: The short-term clinical results of subacromial decompression and acromioplasty in patients who do not respond to conservative treatment has successfull results that support literature knowledge.

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