PURPOSE: The purposes of this study was to better understand the utilization of anterior acromioplasty over time, in the absence of rotator cuff repair; to examine the relation to patient characteristics (age, sex) and types of rotator cuff pathology (inflammation or fibrosis, partial-thickness tearing, full-thickness tearing undergoing debridement); and to assess the utilization of arthroscopy in this procedure. METHODS: Using the resources of the Rochester Epidemiology Project, cataloging medical records of residents in Olmsted County, Minnesota, we identified 246 patients who underwent anterior acromioplasty between 1980 and 2005. It has previously been shown that rarely does a resident of Olmsted County undergo an orthopaedic procedure at a facility outside the county. RESULTS: The incidence of anterior acromioplasty increased over time (P < .001), with crude rates of 3.3 per 100,000 persons in 1980 to 1985 and 19.0 per 100,000 persons in 2000 to 2005. Sex, age, and types of rotator cuff pathology did not significantly change over the 26-year period. There was a dramatic shift from use of the open approach to the arthroscopic approach over this time period (P < .001) and a decrease in the concomitant performance of distal clavicle resection (P < .001). CONCLUSIONS: The frequency of anterior acromioplasty has dramatically increased over time. Increasing knowledge about this syndrome, including better imaging, has facilitated patient treatment for a stable spectrum of rotator cuff pathology (inflammation or fibrosis, partial-thickness tearing, full-thickness tearing undergoing debridement), as has the application of endoscopic surgery. LEVEL OF EVIDENCE: Level III, epidemiologic study.
PURPOSE: The purposes of this study was to better understand the utilization of anterior acromioplasty over time, in the absence of rotator cuff repair; to examine the relation to patient characteristics (age, sex) and types of rotator cuff pathology (inflammation or fibrosis, partial-thickness tearing, full-thickness tearing undergoing debridement); and to assess the utilization of arthroscopy in this procedure. METHODS: Using the resources of the Rochester Epidemiology Project, cataloging medical records of residents in Olmsted County, Minnesota, we identified 246 patients who underwent anterior acromioplasty between 1980 and 2005. It has previously been shown that rarely does a resident of Olmsted County undergo an orthopaedic procedure at a facility outside the county. RESULTS: The incidence of anterior acromioplasty increased over time (P < .001), with crude rates of 3.3 per 100,000 persons in 1980 to 1985 and 19.0 per 100,000 persons in 2000 to 2005. Sex, age, and types of rotator cuff pathology did not significantly change over the 26-year period. There was a dramatic shift from use of the open approach to the arthroscopic approach over this time period (P < .001) and a decrease in the concomitant performance of distal clavicle resection (P < .001). CONCLUSIONS: The frequency of anterior acromioplasty has dramatically increased over time. Increasing knowledge about this syndrome, including better imaging, has facilitated patient treatment for a stable spectrum of rotator cuff pathology (inflammation or fibrosis, partial-thickness tearing, full-thickness tearing undergoing debridement), as has the application of endoscopic surgery. LEVEL OF EVIDENCE: Level III, epidemiologic study.
Authors: Dade D Fletcher; Karen L Andrews; John W Hallett; Matthew A Butters; Charles M Rowland; Steven J Jacobsen Journal: Arch Phys Med Rehabil Date: 2002-10 Impact factor: 3.966
Authors: Filippo Familiari; Alan Gonzalez-Zapata; Bruno Iannò; Olimpio Galasso; Giorgio Gasparini; Edward G McFarland Journal: J Orthop Traumatol Date: 2015-05-24
Authors: Juha Paloneva; Vesa Lepola; Jaro Karppinen; Jari Ylinen; Ville Äärimaa; Ville M Mattila Journal: Acta Orthop Date: 2014-10-23 Impact factor: 3.717
Authors: David Beard; Jonathan Rees; Ines Rombach; Cushla Cooper; Jonathan Cook; Naomi Merritt; Alastair Gray; Stephen Gwilym; Andrew Judge; Julian Savulescu; Jane Moser; Jenny Donovan; Marcus Jepson; Caroline Wilson; Irene Tracey; Karolina Wartolowska; Benjamin Dean; Andrew Carr Journal: Trials Date: 2015-05-09 Impact factor: 2.279