Prospective comparison between konservative and operative arthroscopic treatment of impingement syndrome of the shoulder

Not Applicable

• Conditions: M75.4; Impingement syndrome of shoulder

• Registration Number: DRKS00011548
• Lead Sponsor: niversitätsmedizin RostockOrthopädische Klinik und Poliklinik

Brief Summary

The treatment outcome in patients with primary extrinsic impingement syndrome was comparable in terms of function (constant score) and pain level (NRS value) for conservative and surgical therapy after 3, 6 and 12 months. With conservative therapy, the duration of incapacity to work is shorter. In addition, with conservative therapy, the risks and costs associated with an operation can be avoided. Targeted and structured conservative therapy requires a targeted functional problem analysis, which results in targeted instructions for the physiotherapist. Accompanying medical measures, such as infiltrations, are helpful in bursitis or AC joint arthrosis. Arthroscopic intervention can be performed if conservative treatment fails. The data from this work confirm the prevailing opinion that patients with primary extrinsic impingement syndrome without structural tendon damage should be treated conservatively. As a result, the ability to work can be achieved again more quickly. The implementation of targeted medical specifications for physiotherapeutic treatments is essential for the success of the treatment and should be ensured through targeted prescriptions, control of these prescribed therapy measures and training.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-02-08
• Results First Posted: 2017-12-27
• Study Completion: 2018-07-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 106

Inclusion Criteria

Pain in shoulder, pain longer than 6 weeks, age between 18 and 70 years, at least one positve sign for impingement of the shoulder in clinical examination, available MR, availability for conservative or operative treatment, availability for reevaluation, written informed consent

Exclusion Criteria

not available for reevaluation, rheumatic diseases, Arthrosis of the gleno humeral joint, age < 18 years and > 70 years, no positive clinical test for impingement, trauma, dislocation, instability of the gleno-humeral joint, laesion of labrum glenoidale, rupture of the long tendon of the biceps brachii

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Function of the shoulder by using the Constant Score after 3, 6 and 12 month

Secondary Outcome Measures

Name	Time	Method
Pain by using the NRS after 3, 6 and 12 month