16 KB95 KB14 KB192920262004Hussein, MohsenMikek, Martinštevilka:12letnik:73str. 929-931ISSN:1318-0347COBISSID:19103193URN:URN:NBN:SI:doc-3Y4UAPRAslSlovensko zdravniško društvoZdravniški vestnikAcromionAkromionArthroscopyArtroskopijaramaramenski sklepRamenski sklep, utesnitveni sindromRotator CuffRotatorna manšetaShoulder Impingement SyndromeTendinitistherapyutesnitveni sindromzdravljenjeArtroskopsko zdravljenje utesnitvenega sindroma rame v okviru enodnevne bolnišnice| Arthroscopic treatment of shoulder impingement syndrome in one-day hospital|Background. Arthroscopic subacromial decompression is the method of choice in operative treatment of subacromial rotator cuff impingement. In General Hospital Novo mesto the procedure is performed on a basis of one-day surgery. Methods. We present a prospective analysis of results of operative treatment of shoulder impingement in 36 patients. In all patients functional shoulder scores according to Constant, SST and UCLA were recorded before the operative procedure and again at least three months after the index procedure. Results. According to acromial morphology in the observed group there were three patients with type I acromion (8%), 22 patients had type II acromion (61%) and11 had acromion type III (31%). The average Constant score improved from 21(SD +- 15% before the operation to 78 (SD +- 12) after the operation and average SST score improved from 4, 7 (SD +- 2) to 7,5 (SD +- 1.4) and average UCLA score from 11 (SD +- 3) to 26 (SD +- 3). Conclusions. We conclude that arthroscopic subacromial decompression in properly selected patients enables attainment of good or excellent results in over 90% of patients, Because of minimal invasivness the procedure can be safely performed as one-day surgeryIzhodišča. Artroskopska subakromialna dekompresija je metoda izbire pri operativnem zdravljenju subakromialne utesnitve. V SB Novo mesto poseg opravljamo v okviru enodnevne bolnišnice. Metode. Predstavljamo prospektivno analizo rezultatov operativnega zdravljenja subakromialne utesnitve pri 36 osebah. Pri vseh so bili določeni funkcionalni statusi ramena z metodami po Constantu, SST in UCLA pred posegom in najmanj tri mesece po posegu. Rezultati. Glede na akromialno morfologijo so bili v opazovani skupini trije bolniki z akromionom tipa I (8%), 22 z akromionom tipa II (61%) ter 11 z akromionom tipa III (31%). Povprečna vrednostpo Constantu se je z 21 (SD +- 15) izboljšala po operaciji na 78 (SD +- 12), povprečna vrednost SST je porasla s 4,7 (SD +- 2) na 7,5 (SD +- 1,4) ter povprečna vrednost UCLA z 11 (SD +- 3) na 26 (SD +- 3). Zaključki. Artroskopska subakromialna dekompresija pri ustrezno zastavljenih indikacijah omogoča doseganje odličnih oziroma dobrih rezultatov pri več kot 90% bolnikov in je zaradi minimalne invazivnostiposeg, ki ga lahko varno izvajamo v okviru enodnevne bolnišniceTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo