What is it about?
The article discusses recent trends in the management of subacromial shoulder pain. Several studies have challenged the method of surgical treatment since quite a few reports have not found any difference between surgery and physiotherapy. This is true on a Group level but not all patients recover by either of the prescribed treatments and it is not clear if these are the same patients or if there are predictive factors indicating that one or the other treatment method would be preferable.
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Why is it important?
The purpose of the article is to put the current studies on subacromial shoulder pain into perspective and possibly prevent a too dogmatic approach to the problem.
Perspectives
I recently heard a person, responsible for a randomised trial, state that it was proven that acromioplasty was an ineffective operation. This is obviously not true. What has been reported is that acromioplasty is no more effective than physiotherapy. In the light of such misinterpretations the article is still highly relevant.
Professor Lars E Adolfsson
Universitetssjukhuset i Linkoping
Read the Original
This page is a summary of: Is surgery for the subacromial pain syndrome ever indicated?, Acta Orthopaedica, October 2015, Taylor & Francis,
DOI: 10.3109/17453674.2015.1099597.
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