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Omuz Sıkışma Sendromunun Tedavisinde Akromiyoplastinin Rolü Omuz Sıkışma Sendromunda Akromiyoplasti.

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العنوان: Omuz Sıkışma Sendromunun Tedavisinde Akromiyoplastinin Rolü Omuz Sıkışma Sendromunda Akromiyoplasti.
Alternate Title: The Role of Acromioplasty in the Treatment of Shoulder Impingement Syndrome Acromioplasty in the Treatment of Shoulder Impingement.
المؤلفون: Nuran, Rüştü1, Kural, Cemal1, Uğraş, Ali Akın1 akinugras@gmail.com, Akyıldız, Mustafa Fehmi1, Kayıpmaz, Murat1, Ertürk, Haldun1
المصدر: Medical Bulletin of Haseki / Haseki Tip Bulteni. Dec2011, Vol. 49 Issue 4, p141-144. 4p. 1 Color Photograph, 1 Chart.
مصطلحات موضوعية: *ARTHROSCOPY, *SHOULDER disorders, *RANGE of motion of joints, *SHOULDER pain, *MAGNETIC resonance imaging, *DIAGNOSTIC imaging, *THERAPEUTICS
Abstract (English): Aim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively. The shoulder abduction and flexion range of motion and muscle power were measured preoperatively and postoperatively. Anteroposterior, neutral, axillary and impingement radiographs were taken. Shoulder magnetic resonance imaging (MRI) was performed. Clinical assessment was performed by the Constant shoulder score. Results: Results of MRI revealed that 20 cases had type 1, 2 and 3 acromion in 3, 9 and 8 patients, respectively. The mean followup time was 16 months. Compared to preoperative conditions, the results in 80% of cases were rated as perfect (p<0.000), since all cases had gained both significantly more range of motion (p<0.000) and muscle power (p<0.000), in addition to decreased pain in all cases (p<0.000). Four cases who had been rated as good had common features as advance age, traumatic etiology and inadequate rehabilitation. Conclusion: Open acromioplasty surgery reduces pain, increases range of motion and is an effective treatment option in cases of shoulder impingement syndrome not responding to conservative treatment. [ABSTRACT FROM AUTHOR]
Abstract (Turkish): Amaç: Konservatif tedaviye cevap vermeyen omuz sıkışma sendromlu hastalarda yapılan açık akromiyoplasti ameliyatının sonuçları incelendi. Yöntemler: Prospektif olarak konservatif tedaviye cevap vermemiş 20 omuz sıkışma sendromlu olgu incelendi. Ameliyat öncesi ve sonrası omuz abdüksiyon, fleksiyon hareket genişlikleri ve kas gücü değerleri ölçüldü. Radyolojik olarak anteroposterior, nötral, aksiller ve impingement grafileri çekildi. Omuz manyetik rezonans görüntülemesi yapıldı. Klinik değerlendirme Constant omuz skoru ile yapıldı. Bulgular: Manyetik rezonans görüntüleme sonucunda 20 olgunun 3’ünde tip 1; 9’unda tip 2; 8’inde ise tip 3 akromiyon tespit edilmiştir. Ortalama takip süresi 16 aydır. Ameliyat öncesine göre %80 olgu mükemmel sonuç almış (p<0.000), olguların eklem hareket genişlikleri artmış (p<0.000), kas güçleri artmış (p<0.000) ve ağrıları azalmıştır (p<0.000). Sonucu iyi olarak değerlendirilen dört olgunun ortak özellikleri; hastalığın travma sonucu başlamış olması, ileri yaş ve yetersiz rehabilitasyondur. Sonuç: Konservatif tedaviye cevap vermeyen omuz sıkışma sendromlu olgularda açık akromiyoplasti cerrahisi ağrıyı azaltır, eklem hareket genişliğini arttırır ve etkili bir tedavi seçeneğidir. [ABSTRACT FROM AUTHOR]
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Array ( [Name] => Abstract [Label] => Abstract (English) [Group] => Ab [Data] => Aim: The results of open acromioplasty procedures were investigated for shoulder impingement syndrome in patients who did not respond to conservative treatment. Methods: Twenty cases of shoulder impingement syndrome who did not respond to conservative treatment were investigated prospectively. The shoulder abduction and flexion range of motion and muscle power were measured preoperatively and postoperatively. Anteroposterior, neutral, axillary and impingement radiographs were taken. Shoulder magnetic resonance imaging (MRI) was performed. Clinical assessment was performed by the Constant shoulder score. Results: Results of MRI revealed that 20 cases had type 1, 2 and 3 acromion in 3, 9 and 8 patients, respectively. The mean followup time was 16 months. Compared to preoperative conditions, the results in 80% of cases were rated as perfect (p&lt;0.000), since all cases had gained both significantly more range of motion (p&lt;0.000) and muscle power (p&lt;0.000), in addition to decreased pain in all cases (p&lt;0.000). Four cases who had been rated as good had common features as advance age, traumatic etiology and inadequate rehabilitation. Conclusion: Open acromioplasty surgery reduces pain, increases range of motion and is an effective treatment option in cases of shoulder impingement syndrome not responding to conservative treatment. [ABSTRACT FROM AUTHOR] )
Array ( [Name] => Abstract [Label] => Abstract (Turkish) [Group] => Ab [Data] => Ama&#231;: Konservatif tedaviye cevap vermeyen omuz sıkışma sendromlu hastalarda yapılan a&#231;ık akromiyoplasti ameliyatının sonu&#231;ları incelendi. Y&#246;ntemler: Prospektif olarak konservatif tedaviye cevap vermemiş 20 omuz sıkışma sendromlu olgu incelendi. Ameliyat &#246;ncesi ve sonrası omuz abd&#252;ksiyon, fleksiyon hareket genişlikleri ve kas g&#252;c&#252; değerleri &#246;l&#231;&#252;ld&#252;. Radyolojik olarak anteroposterior, n&#246;tral, aksiller ve impingement grafileri &#231;ekildi. Omuz manyetik rezonans g&#246;r&#252;nt&#252;lemesi yapıldı. Klinik değerlendirme Constant omuz skoru ile yapıldı. Bulgular: Manyetik rezonans g&#246;r&#252;nt&#252;leme sonucunda 20 olgunun 3’&#252;nde tip 1; 9’unda tip 2; 8’inde ise tip 3 akromiyon tespit edilmiştir. Ortalama takip s&#252;resi 16 aydır. Ameliyat &#246;ncesine g&#246;re %80 olgu m&#252;kemmel sonu&#231; almış (p&lt;0.000), olguların eklem hareket genişlikleri artmış (p&lt;0.000), kas g&#252;&#231;leri artmış (p&lt;0.000) ve ağrıları azalmıştır (p&lt;0.000). Sonucu iyi olarak değerlendirilen d&#246;rt olgunun ortak &#246;zellikleri; hastalığın travma sonucu başlamış olması, ileri yaş ve yetersiz rehabilitasyondur. Sonu&#231;: Konservatif tedaviye cevap vermeyen omuz sıkışma sendromlu olgularda a&#231;ık akromiyoplasti cerrahisi ağrıyı azaltır, eklem hareket genişliğini arttırır ve etkili bir tedavi se&#231;eneğidir. [ABSTRACT FROM AUTHOR] )
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