AbstractThe purpose of this study was to assess the results of revision subacromial decompression and identify clinical and psychological factors that influence its outcome. Thirty-five patients with intact rotator cuffs who underwent surgery for recurrent stage II impingement were studied at a mean follow-up time of 43 months post-surgery. Twenty-seven patients were satisfied with their surgery. The UCLA Scoring System rated 18 of 35 with good/excellent results and 17 of 35 poor/fair results, 22 patients had workers compensation injuries, which correlated with poor outcome (P=0.0067). Patients with concomitant brachial plexopathy and/or compressive neuropathies were associated with unsatisfactory results (P=0.02).
RsumLe but de cette tude est dtudier les rsultats de revision dacromioplastie chez les patients qui nont pas de dchirure de la coiffe des rotateurs, de plus nous avons essay didentifier les facteurs cliniques et psychologiques qui influencent ces rsultats. 35 patients ont particip ltude. La moyenne de suivi tait de 43 mois. Il y avait 18/35 de bons ou excellent rsultats et 17/35 de rsultats mdiocres daprs la classification UCLA. Vingt-et-deux patients ont subi leur blessure au travail ce qui tait associ un mauvais resultat (P=0.0067). La prsence de lsions de la coiffe associ des blessures neurologiques ou syndromes de compression neurologique ont demontr de mauvais resultats (P=0.02).