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 Functional Outcome Of Arthroscopic Subscapularis Tendon Repair Through Anterolateral Viewing Portal Using Lasso-Loop Technique ePoster Presentation Prince Shanavas Khan, D' ORTHO, M.S. ORTHO, INDIA Arun Mundakkal, M.B.B.S, INDIA
Structured Exercise Therapy Improves Shoulder Function and Patient Reported Outcomes Without Increasing Tear Size for Individuals With Isolated Supraspinatus Tear ePoster Presentation Luke Mattar, BS, UNITED STATES Camille Johnson, M.S., UNITED STATES Tom Gale, MS, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES William Anderst, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Richard E Debski, PhD, UNITED STATES
Evaluated The Effective Of Tendon Healing After Rotator Cuff Repair Used Modified Mason-Allen Suture Technique Combined With Microfracture Procedure ePoster Presentation Quyet Tran, MD, VIETNAM Viet Duc Vu, MD, VIETNAM Trần Trung Dũng, Professor, MD, PhD, VIETNAM
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
Radiological Healing of The Rotator Cuff On MRI Does Not Correlate With Functional Outcomes After Arthroscopic Rotator Cuff Repair ePoster Presentation Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA
Superiore Capsular Reconstruction Using the Long Head Of Biceps Tendon With Good Clinical and Radiographical Outcome ePoster Presentation Andreas Voss, MD, GERMANY Laura Hauer, Student , GERMANY Laura Weber, Student , GERMANY Stefan Greiner, MD, Prof., GERMANY
Impact of Patient Resilience on Rotator Cuff Repair Post-Operative Outcomes ePoster Presentation Ryan W. Paul, BS, UNITED STATES Michael P Campbell, MD, UNITED STATES Sydney Streicher, BA, UNITED STATES Matthew P Wallingford, BS, UNITED STATES Taylor D'Amore, MD, UNITED STATES Sean Bryan, MD, UNITED STATES Fotios P. Tjoumakaris, MD, UNITED STATES Kevin Freedman, MD, UNITED STATES

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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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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