作者
David J Beard, Jonathan L Rees, Jonathan A Cook, Ines Rombach, Cushla Cooper, Naomi Merritt, Beverly A Shirkey, Jenny L Donovan, Stephen Gwilym, Julian Savulescu, Jane Moser, Alastair Gray, Marcus Jepson, Irene Tracey, Andrew Judge, Karolina Wartolowska, Andrew J Carr, Philip Ahrens, Cheryl Baldwick, Mark Brinsden, Harry Brownlow, David Burton, Muhammad Sohail Butt, Andrew Carr, Charalambos P Charalambous, Veronica Conboy, Lucy Dennell, Oliver Donaldson, Steven Drew, Amitabh Dwyer, David Gidden, Peter Hallam, Socrates Kalogrianitis, Cormac Kelly, Rohit Kulkarni, Tim Matthews, Julie McBirnie, Vipul Patel, Chris Peach, Chris Roberts, David Robinson, Philip Rosell, Dan Rossouw, Colin Senior, Bijayendra Singh, Soren Sjolin, Geoffrey Taylor, Balachandran Venkateswaran, David Woods
发表日期
2018/1/27
期刊
The Lancet
卷号
391
期号
10118
页码范围
329-338
出版商
Elsevier
简介
Background
Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its effectiveness and to investigate the mechanism for surgical decompression.
Methods
We did a multicentre, randomised, pragmatic, parallel group, placebo-controlled, three-group trial at 32 hospitals in the UK with 51 surgeons. Participants were patients who had subacromial pain for at least 3 months with intact rotator cuff tendons, were eligible for arthroscopic surgery, and had previously completed a non-operative management programme that included exercise therapy and at least one steroid injection. Exclusion criteria included a full-thickness torn rotator cuff. We randomly assigned participants (1:1:1) to arthroscopic subacromial decompression …
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DJ Beard, JL Rees, JA Cook, I Rombach, C Cooper… - The Lancet, 2018