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Rheumatology 2001; 40: 384-386
© 2001 British Society for Rheumatology

Arthroscopic subacromial surgery in inflammatory arthritis of the shoulder

A. Weber and S. Bell

Melbourne Shoulder and Elbow Centre and Monash Medical Centre, Melbourne, Australia

Objective. To evaluate the effectiveness of shoulder arthroscopy, with predominantly subacromial surgery, in patients with inflammatory arthritis.

Methods. Twelve patients with inflammatory arthropathy underwent arthroscopic shoulder surgery with subacromial decompression, debridement, and limited synovectomy. All clinically had symptoms predominantly arising from the subacromial region.

Results. In the final review, ten patients (83%) were satisfied with the result. Two year follow-up was achieved in 11 patients. Seven rated their recovery as good or excellent, one was fair, and three were poor. All three poor results had fairly advanced glenohumeral chondral damage.

Conclusion. In patients with inflammatory arthropathy and shoulder pain which clinically appears related predominantly to the subacromial region, provided there is no major chondral damage, then a reasonable result can be expected with arthroscopic debridement and modified subacromial decompression.

KEY WORDS: Shoulder, Inflammatory arthritis, Subacromial impingement, Arthroscopic surgery.

Correspondence to: S. Bell, Melbourne Shoulder and Elbow Centre, 31 Normanby Street, Brighton, Victoria 3186, Australia


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