Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears

Objective: The objective of this study was to evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears. Materials and Methods: From August 2018 to February 2021, 30 patients with partial rotator cuff tears wer...

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Main Authors: Pinaki Das, Ritwika Nandi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthopaedic Diseases and Traumatology
Subjects:
Online Access:http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=258;epage=261;aulast=Das
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author Pinaki Das
Ritwika Nandi
author_facet Pinaki Das
Ritwika Nandi
author_sort Pinaki Das
collection DOAJ
description Objective: The objective of this study was to evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears. Materials and Methods: From August 2018 to February 2021, 30 patients with partial rotator cuff tears were included in the study who underwent either conservative management by physical rehabilitation and steroid injections or arthroscopic subacromial decompression (ASAD) by random allocation. The outcome measure of this study was done on the basis of comparison of the Oxford Shoulder Score (OSS), Simple Shoulder Test (SST), and the range of motion (ROM in degrees) on presentation, and at different time intervals (2 weeks, 12 weeks, and 24 weeks) after the intervention. Results: The follow-up period in both groups was at least 6 months. The proportion of patients with improvements of OSS, SST, and ROM at different time intervals of the patients treated with ASAD were higher than that of the patients treated conservatively and it was significant (P < 0.05). Conclusion: The current study concluded that there was a clinically relevant benefit of performing subacromial decompression over conservative management in patients with partial rotator cuff tears.
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spelling doaj.art-264b74a4044a4d79bfd719afd12b23382024-04-08T06:28:25ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedic Diseases and Traumatology2665-93522665-93602023-01-016325826110.4103/jodp.jodp_118_22Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tearsPinaki DasRitwika NandiObjective: The objective of this study was to evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears. Materials and Methods: From August 2018 to February 2021, 30 patients with partial rotator cuff tears were included in the study who underwent either conservative management by physical rehabilitation and steroid injections or arthroscopic subacromial decompression (ASAD) by random allocation. The outcome measure of this study was done on the basis of comparison of the Oxford Shoulder Score (OSS), Simple Shoulder Test (SST), and the range of motion (ROM in degrees) on presentation, and at different time intervals (2 weeks, 12 weeks, and 24 weeks) after the intervention. Results: The follow-up period in both groups was at least 6 months. The proportion of patients with improvements of OSS, SST, and ROM at different time intervals of the patients treated with ASAD were higher than that of the patients treated conservatively and it was significant (P < 0.05). Conclusion: The current study concluded that there was a clinically relevant benefit of performing subacromial decompression over conservative management in patients with partial rotator cuff tears.http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=258;epage=261;aulast=Dasarthroscopypartial rotator cuff tearsteroidsubacromial decompressionsubacromial impingement syndrome
spellingShingle Pinaki Das
Ritwika Nandi
Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
Journal of Orthopaedic Diseases and Traumatology
arthroscopy
partial rotator cuff tear
steroid
subacromial decompression
subacromial impingement syndrome
title Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
title_full Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
title_fullStr Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
title_full_unstemmed Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
title_short Evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
title_sort evaluate and compare the results of conservative management versus arthroscopic subacromial decompression in symptomatic partial rotator cuff tears
topic arthroscopy
partial rotator cuff tear
steroid
subacromial decompression
subacromial impingement syndrome
url http://www.jodt.org/article.asp?issn=2665-9352;year=2023;volume=6;issue=3;spage=258;epage=261;aulast=Das
work_keys_str_mv AT pinakidas evaluateandcomparetheresultsofconservativemanagementversusarthroscopicsubacromialdecompressioninsymptomaticpartialrotatorcufftears
AT ritwikanandi evaluateandcomparetheresultsofconservativemanagementversusarthroscopicsubacromialdecompressioninsymptomaticpartialrotatorcufftears