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No clinically relevant benefit of subacromial decompression for subacromial shoulder pain

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Ace Report Cover
February 2019

No clinically relevant benefit of subacromial decompression for subacromial shoulder pain

Vol: 8| Issue: 2| Number:34| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial

Lancet. 2018 Jan 27;391(10118):329-338. doi: 10.1016/S0140-6736(17)32457-1

Contributing Authors:
DJ Beard JL Rees A Gray AJ Carr I Rombach JA Cook C Cooper N Merritt BA Shirkey JL Donovan S Gwilym J Savulescu J Moser M Jepson I Tracey A Judge K Wartolowska

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Synopsis

313 patients with subacromial impingement were randomized to either arthroscopic subacromial decompression, arthroscopic irrigation alone, or no treatment. Patients were primarily assessed for function, on the Oxford Shoulder Score, after 6 and 12 months. Comparing the two arthroscopic interventions to each other, no significant difference in functional scores were observed between the arthroscopi...

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