Author/Editor		Fokter, Samo K; Sajovic, Matjaž
Title		Utesnitveni sindrom ramena
Translated title		Shoulder impingement syndrome
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 7-8
Publication year		1997
Volume		str. 401-3
Language		slo
Abstract		Background. Impingement syndrome is a common cause for choulder pain. Patients without improvement after months of conservative treatment and those with ruptured rotator cuff are treated surgicaly. The results of such a treatment, operative technique as may be required for understanding of postoperative rehabilitation, which is described in some details, are discussed. Methods. 96 patients (101 shoulders) operated from 1992 to 1994 for shoulder impingement syndrome were available for a retrospective study with a mean follow-up period of 34 months (range, nine to 56 months). The results were graded according the UCLA criteria. In the group without rotatot cuff rupture, anterior acromioplasty was peformed in 45 cases, and 56 tendon reconstruction with acromioplsty were performed in the group with rotator cuff rupture. Results. In the whole series, a satisfactory results (UCLA>27 scores from 35 possible) was achieved in 65 patients (64,4%). Ten out of fifteen patients with poor results (UCLA<21 scores) were workers compensation cases. Conclusions. Surgical treatment of impingement syndrome mostly results in pain relief. Operation should be followed by precise rehabilitation if damaged shoulder kinematics is to be restored.
Summary		Izhodišča. Utesnitveni sindrom ramenskega sklepa je pogost vzrok za bolečino v rami. Bolnike, ki po večmesečnem konservativnem zdravljenju ne čutijo izboljšanja, in bolnike, pri katereih je prišlo do raztrganine tetiv rotatorne manšete, zdravimo operativno. Avtorja prikazujeta rezultate tovrstnega zdravljenja in opišeta kirurško tehniko, če jo je koristno poznati za razumevanje pooperativne rehabilitacije, ki jo prikazujejo v podrobnostih. Metode. Pri 91 bolnikih smo v letih 1992 do 1994 zaradi US operirali en ramenski sklep, pri petih bolnikih pa oba, skupaj torej 101 ramenski sklep. Povprečna opazovalna doba je bila 34 mesecev (razpon devet do 56 mesecev). Zdravljenje smo retrospektivno ocenili s pomočjo meril UCLA. V skupini brez raztrganine rotatorne manšete je bilo opravljenih 45 akromioplastik, v skupini z raztrganinami pa 56 rekonstrukcij z akromioplastiko. Rezultati. Skupno je zadovoljiv rezultat (UCLA>27 od 35 možnih točk) doseglo 65 bolnikov (64,4%). Deset od 15 bolnikov z nezadostnim rezultatom zdravljenja (UCLA<21 točk) je imelo nerešen problem na delovnem mestu. Zaključki. Kirurško zdravljenje pri večini bolnikov odpravi bolečino. Operaciji mora slediti skrbna rehabilitacija, med katero bolnik ponovno vzpostavi porušeno kinematiko ramenskega sklepa.
Descriptors		SHOULDER IMPINGEMENT SYNDROME ROTATOR CUFF TREATMENT OUTCOME