Orthop Ihre Grenzgeb 2002 Jul-Aug;140(4):381-4
[Subacromial denervation as a treatment modality for patients with subacromial pathology]
Klinik fur Orthopadie und
Orthopadische Chirurgie, Johanna-Etienne-Krankenhaus, Neuss.
The purpose of the presented study was to valuate the question whether
subacromial denervation alone is sufficient in patients with subacromial
pathology. MATERIAL AND METHODS: 20 patients (male: 7; female 13) with
subacromial pathology without anterior acomionosteophytes, rotator cuff tear,
calcific tendinitis or ac-joint pathology underwent endoscopically controlled
subacromial denervation. The procedure was performed with an HF device.
Patients were followed up at 6 weeks, 3 and 6 months with the Constant score.
RESULTS: The preoperative Constant score was 59 +/- 18. Postoperatively the
Constant score increased to 78 +/- 18 after 6 weeks, up to 83 +/- 5 after 3
months and up to 85 +/- 13 after 6 months. There was no difference between
male and female patients nor between patients with different profession or
athletic activity. We could not document any complication. Patients returned
to work within 6 weeks after surgery. CONCLUSION: Patients without anterior
acromion osteophytes and without rotator cuff tear may get good results with
subacromial denervation alone and may not need acrornioplasty.