The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence?
The incidence of acromioplasty has increased dramatically in recent decades, but its role in rotator cuff surgery has been debated. Neer popularized the extrinsic theory of rotator cuff pathology, where mechanical compression of the coracoacromial arch leads to tearing of the rotator cuff. Under thi...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/467571 |
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| author | Lewis L. Shi T. Bradley Edwards |
| author_facet | Lewis L. Shi T. Bradley Edwards |
| author_sort | Lewis L. Shi |
| collection | DOAJ |
| description | The incidence of acromioplasty has increased dramatically in recent decades, but its role in rotator cuff surgery has been debated. Neer popularized the extrinsic theory of rotator cuff pathology, where mechanical compression of the coracoacromial arch leads to tearing of the rotator cuff. Under this theory, acromioplasty is advocated to modify acromial morphology as an essential part of rotator cuff surgery. Proponents of the intrinsic theory suggest rotator cuff tendons undergo degeneration through aging and overuse, and that bursectomy alone without acromioplasty is sufficient.
There exist cadaveric studies, expert opinions, and numerous case series espousing both sides of the argument. Recently, however, numerous high-quality prospective randomized controlled trials have been published examining the role of acromioplasty. They have similar study design and randomization protocols, including groups of arthroscopic rotator cuff repair with bursectomy and acromioplasty versus isolated bursectomy. The results have been consistent across all studies, with no difference in the outcomes of the acromioplasty and isolated bursectomy groups. Current evidence does not support the routine use of acromioplasty in the treatment of rotator cuff disease. |
| format | Article |
| id | doaj-art-b2ab62b362e74f0a93111fa168822777 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-b2ab62b362e74f0a93111fa1688227772025-02-03T05:46:14ZengWileyAdvances in Orthopedics2090-34642090-34722012-01-01201210.1155/2012/467571467571The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence?Lewis L. Shi0T. Bradley Edwards1Department of Orthopaedics, University of Chicago, 5841 S. Maryland Avenue, MC 3079, Chicago, IL 60637, USAFondren Orthopaedic Group, Texas Orthopedic Hospital, 7401 South Main Street, Houston, TX 77030, USAThe incidence of acromioplasty has increased dramatically in recent decades, but its role in rotator cuff surgery has been debated. Neer popularized the extrinsic theory of rotator cuff pathology, where mechanical compression of the coracoacromial arch leads to tearing of the rotator cuff. Under this theory, acromioplasty is advocated to modify acromial morphology as an essential part of rotator cuff surgery. Proponents of the intrinsic theory suggest rotator cuff tendons undergo degeneration through aging and overuse, and that bursectomy alone without acromioplasty is sufficient. There exist cadaveric studies, expert opinions, and numerous case series espousing both sides of the argument. Recently, however, numerous high-quality prospective randomized controlled trials have been published examining the role of acromioplasty. They have similar study design and randomization protocols, including groups of arthroscopic rotator cuff repair with bursectomy and acromioplasty versus isolated bursectomy. The results have been consistent across all studies, with no difference in the outcomes of the acromioplasty and isolated bursectomy groups. Current evidence does not support the routine use of acromioplasty in the treatment of rotator cuff disease.http://dx.doi.org/10.1155/2012/467571 |
| spellingShingle | Lewis L. Shi T. Bradley Edwards The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? Advances in Orthopedics |
| title | The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? |
| title_full | The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? |
| title_fullStr | The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? |
| title_full_unstemmed | The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? |
| title_short | The Role of Acromioplasty for Management of Rotator Cuff Problems: Where Is the Evidence? |
| title_sort | role of acromioplasty for management of rotator cuff problems where is the evidence |
| url | http://dx.doi.org/10.1155/2012/467571 |
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