Summary: The purpose of this study is to assess whether the results of arthroscopic shoulder decompression can be improved with a diagnostic injection of local anesthetic into the subacromial space as a definitive test to improve the results of arthroscopic subacromial decompression.

Background

Patients with subacromial impingement have difficulties with activities of daily living, particularly with overhead work and often have difficulty sleeping on their injured shoulder. Prior studies have demonstrated that arthroscopic decompression of patients with shoulder pain does not provide substantial improvement.

Hypothesis/purpose: The purpose of this study is to assess whether the results of arthroscopic shoulder decompression can be improved with a diagnostic injection of local anesthetic into the subacromial space as a definitive test to improve the results of arthroscopic subacromial decompression.

Study design: Cohort study

Methods

Four outcome scores (ASES Index, ASES Function, VAS and SANE) were assessed by patient surveys at five different time points (preoperatively, three months, six months, one year, two years).

Results

43 patients underwent shoulder decompression procedures and 90.6% were followed for at least one year. Outcomes scores with at least 1 year followup were noted. VAS scores improved from 6.0 to 3.4. ASES Index score improved from 39.9 to 66.8. ASES Function improved from 12.1 to 20.3. SANE improved from 34.9 to 64. All measures were noted to have had a statistically significant improvement which exceeded the MCID.

Conclusion

The performance of a diagnostic subacromial injection of local anesthetic substantially improves outcome following an arthroscopic subacromial decompression in patients with intact rotator cuff tendons. This additional step helps to differentiate patients who have unrelated pain which may be related to other areas and can be confused with impingement syndrome as a cause of shoulder pain.

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The Effect On Healing Rate of the Addition Of A Bioinductive Implant To A Rotator Cuff Repair. The Results Of A Randomized Controlled Trial in 124 Subjects. ePoster Presentation Miguel Angel Ruiz Iban, MD, PhD, SPAIN Jose Luis Avila Lafuente, MD, SPAIN Miguel Garcia Navlet, MD, SPAIN Raquel Ruiz Díaz, MD, SPAIN Santos Moros, MD, SPAIN Calos Vaquero Comino, MD, SPAIN Gabriel Del Monte Bello, MD, SPAIN Maria Luisa Rosas, MD, SPAIN Ignacio Rus De Rus Aznar, MD, PhD, SPAIN Paul Sierra, MD, SPAIN Jorge Diaz Diaz Heredia, MD, PhD, SPAIN
Allograft Augmentation of Irreparable Supraspinatus Tendon Tears, High Graft Healing Rate with Improved Clinical Function: A Case Series Study ePoster Presentation Mark David Haber, MBBS, FRACS, AUSTRALIA Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Clinical Results And Retear Rates After Arthroscopic Rotator Cuff Repair With Manipulation Under Anesthesia ePoster Presentation Yoshitsugu Takeda, MD, PhD, JAPAN Naoto Suzue, MD, PhD, JAPAN
Effects of an Abduction Brace After Shoulder Surgery on Gait Parameters and Functional Mobility ePoster Presentation Filippo Familiari, MD, Prof., ITALY Michele Mercurio, MD, ITALY Francesca Greco, MSc, ITALY Alessandro Barone, MD, Prof., ITALY Gian Pietro Emerenziani, PT, ITALY Olimpio Galasso, MD, Prof., ITALY Giorgio Gasparini, MD, Prof., ITALY
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A Diagnostic Subacromial Injection of Local Anesthetic Significantly Improves the Efficacy of Arthroscopic Shoulder Subacromial Decompression

A Diagnostic Subacromial Injection of Local Anesthetic Significantly Improves the Efficacy of Arthroscopic Shoulder Subacromial Decompression

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Methods

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Conclusion

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A Diagnostic Subacromial Injection of Local Anesthetic Significantly Improves the Efficacy of Arthroscopic Shoulder Subacromial Decompression

A Diagnostic Subacromial Injection of Local Anesthetic Significantly Improves the Efficacy of Arthroscopic Shoulder Subacromial Decompression

Background

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content