ACE Report #10413
Ace Report Cover Shoulder & Elbow

Decompression of no statistical benefit over sham, and no clinical benefit over exercise for SIS

Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:N/A

Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial

BMJ. 2018 Jul 19;362:k2860. doi: 10.1136/bmj.k2860

Contributing Authors: M Paavola J Ranstam V Savolainen TL Järvinen J Kalske K Kanto A Malmivaara S Taimela J Inkinen I Sinisaari

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210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program. Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months. Analyses demonstrated no statistically significant differences in pain scores between ...

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