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P H Staff - One of the best experts on this subject based on the ideXlab platform.
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Arthroscopic Surgery versus supervised exercises in patients with rotator cuff disease stage ii impingement syndrome a prospective randomized controlled study in 125 patients with a 2 1 2 year follow up
Journal of Shoulder and Elbow Surgery, 1999Co-Authors: Jens Ivar Brox, Anne Elisabeth Ljunggren, John Ivar Brevik, Erling Gjengedal, Gisle Uppheim, Audhild S Bohmer, P H StaffAbstract:The effectiveness of Arthroscopic Surgery, supervised exercises, and placebo was compared in 125 patients with rotator cuff disease (impingement syndrome stage II) in a randomized clinical trial. The median age was 48 years, and the median duration of complications was 1 to 2 years. The treatments were Arthroscopic subacromial decompression performed by 2 experienced surgeons, an exercise regimen supervised for 3 to 6 months by 1 experienced physiotherapist, or 12 sessions of detuned soft laser (placebo) for 6 weeks. The criterion for success was a Neer shoulder score >80. Fifteen (50%) and 11 (22%) of the patients randomized to placebo and exercises, respectively, had Surgery during the 212-year follow-up period and were classified as having failure with the treatments. The success rate was higher (P < .01) for patients randomized to Surgery (26 of 38) and exercises (27 of 44) compared with the placebo group (7 of 28). The odds ratio for success after Surgery compared with exercises was 1.5 (95% confidence interval 0.6 to 3.7; P = .49). Including all patients who underwent operation, the success rate in those not on sick leave (19 of 21) before Surgery was higher compared with those on sick leave (18 of 36) (adjusted odds ratio 5.6 [1.2 to 29.2]). Similar results were observed for patients not receiving versus those receiving regular pain medication before Surgery (adjusted odds ratio 4.2 [1.2 to 15.8]).
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Arthroscopic Surgery compared with supervised exercises in patients with rotator cuff disease stage ii impingement syndrome
BMJ, 1993Co-Authors: Jens Ivar Brox, P H Staff, Anne Elisabeth Ljunggren, John Ivar BrevikAbstract:OBJECTIVE--To compare the effectiveness of Arthroscopic Surgery, a supervised exercise regimen, and placebo soft laser treatment in patients with rotator cuff disease (stage II impingement syndrome). DESIGN--Randomised clinical trial. SETTING--Hospital departments of orthopaedics and of physical medicine and rehabilitation. PATIENTS--125 patients aged 18-66 who had had rotator cuff disease for at least three months and whose condition was resistant to treatment. INTERVENTIONS--Arthroscopic subacromial decompression performed by two experienced surgeons; exercise regimen over three to six months supervised by one experienced physiotherapist; or 12 sessions of detuned soft laser treatment over six weeks. MAIN OUTCOME MEASURES--Change in the overall Neer shoulder score (pain during previous week and blinded evaluation of function and range of movement by one clinician) after six months. RESULTS--No differences were found between the three groups in duration of sick leave and daily intake of analgesics. After six months the difference in improvement in overall Neer score between Surgery and supervised exercises was 4.0 (95% confidence interval -2 to 11) and 2.0 (-1.4 to 5.4) after adjustment for sex. The condition improved significantly compared with placebo in both groups given the active treatments. Treatment costs were higher for those given Surgery (720 pounds v 390 pounds). CONCLUSIONS--Surgery or a supervised exercise regimen significantly, and equally, improved rotator cuff disease compared with placebo.
Jens Ivar Brox - One of the best experts on this subject based on the ideXlab platform.
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Arthroscopic Surgery versus supervised exercises in patients with rotator cuff disease stage ii impingement syndrome a prospective randomized controlled study in 125 patients with a 2 1 2 year follow up
Journal of Shoulder and Elbow Surgery, 1999Co-Authors: Jens Ivar Brox, Anne Elisabeth Ljunggren, John Ivar Brevik, Erling Gjengedal, Gisle Uppheim, Audhild S Bohmer, P H StaffAbstract:The effectiveness of Arthroscopic Surgery, supervised exercises, and placebo was compared in 125 patients with rotator cuff disease (impingement syndrome stage II) in a randomized clinical trial. The median age was 48 years, and the median duration of complications was 1 to 2 years. The treatments were Arthroscopic subacromial decompression performed by 2 experienced surgeons, an exercise regimen supervised for 3 to 6 months by 1 experienced physiotherapist, or 12 sessions of detuned soft laser (placebo) for 6 weeks. The criterion for success was a Neer shoulder score >80. Fifteen (50%) and 11 (22%) of the patients randomized to placebo and exercises, respectively, had Surgery during the 212-year follow-up period and were classified as having failure with the treatments. The success rate was higher (P < .01) for patients randomized to Surgery (26 of 38) and exercises (27 of 44) compared with the placebo group (7 of 28). The odds ratio for success after Surgery compared with exercises was 1.5 (95% confidence interval 0.6 to 3.7; P = .49). Including all patients who underwent operation, the success rate in those not on sick leave (19 of 21) before Surgery was higher compared with those on sick leave (18 of 36) (adjusted odds ratio 5.6 [1.2 to 29.2]). Similar results were observed for patients not receiving versus those receiving regular pain medication before Surgery (adjusted odds ratio 4.2 [1.2 to 15.8]).
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Arthroscopic Surgery compared with supervised exercises in patients with rotator cuff disease stage ii impingement syndrome
BMJ, 1993Co-Authors: Jens Ivar Brox, P H Staff, Anne Elisabeth Ljunggren, John Ivar BrevikAbstract:OBJECTIVE--To compare the effectiveness of Arthroscopic Surgery, a supervised exercise regimen, and placebo soft laser treatment in patients with rotator cuff disease (stage II impingement syndrome). DESIGN--Randomised clinical trial. SETTING--Hospital departments of orthopaedics and of physical medicine and rehabilitation. PATIENTS--125 patients aged 18-66 who had had rotator cuff disease for at least three months and whose condition was resistant to treatment. INTERVENTIONS--Arthroscopic subacromial decompression performed by two experienced surgeons; exercise regimen over three to six months supervised by one experienced physiotherapist; or 12 sessions of detuned soft laser treatment over six weeks. MAIN OUTCOME MEASURES--Change in the overall Neer shoulder score (pain during previous week and blinded evaluation of function and range of movement by one clinician) after six months. RESULTS--No differences were found between the three groups in duration of sick leave and daily intake of analgesics. After six months the difference in improvement in overall Neer score between Surgery and supervised exercises was 4.0 (95% confidence interval -2 to 11) and 2.0 (-1.4 to 5.4) after adjustment for sex. The condition improved significantly compared with placebo in both groups given the active treatments. Treatment costs were higher for those given Surgery (720 pounds v 390 pounds). CONCLUSIONS--Surgery or a supervised exercise regimen significantly, and equally, improved rotator cuff disease compared with placebo.
John Ivar Brevik - One of the best experts on this subject based on the ideXlab platform.
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Arthroscopic Surgery versus supervised exercises in patients with rotator cuff disease stage ii impingement syndrome a prospective randomized controlled study in 125 patients with a 2 1 2 year follow up
Journal of Shoulder and Elbow Surgery, 1999Co-Authors: Jens Ivar Brox, Anne Elisabeth Ljunggren, John Ivar Brevik, Erling Gjengedal, Gisle Uppheim, Audhild S Bohmer, P H StaffAbstract:The effectiveness of Arthroscopic Surgery, supervised exercises, and placebo was compared in 125 patients with rotator cuff disease (impingement syndrome stage II) in a randomized clinical trial. The median age was 48 years, and the median duration of complications was 1 to 2 years. The treatments were Arthroscopic subacromial decompression performed by 2 experienced surgeons, an exercise regimen supervised for 3 to 6 months by 1 experienced physiotherapist, or 12 sessions of detuned soft laser (placebo) for 6 weeks. The criterion for success was a Neer shoulder score >80. Fifteen (50%) and 11 (22%) of the patients randomized to placebo and exercises, respectively, had Surgery during the 212-year follow-up period and were classified as having failure with the treatments. The success rate was higher (P < .01) for patients randomized to Surgery (26 of 38) and exercises (27 of 44) compared with the placebo group (7 of 28). The odds ratio for success after Surgery compared with exercises was 1.5 (95% confidence interval 0.6 to 3.7; P = .49). Including all patients who underwent operation, the success rate in those not on sick leave (19 of 21) before Surgery was higher compared with those on sick leave (18 of 36) (adjusted odds ratio 5.6 [1.2 to 29.2]). Similar results were observed for patients not receiving versus those receiving regular pain medication before Surgery (adjusted odds ratio 4.2 [1.2 to 15.8]).
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Arthroscopic Surgery compared with supervised exercises in patients with rotator cuff disease stage ii impingement syndrome
BMJ, 1993Co-Authors: Jens Ivar Brox, P H Staff, Anne Elisabeth Ljunggren, John Ivar BrevikAbstract:OBJECTIVE--To compare the effectiveness of Arthroscopic Surgery, a supervised exercise regimen, and placebo soft laser treatment in patients with rotator cuff disease (stage II impingement syndrome). DESIGN--Randomised clinical trial. SETTING--Hospital departments of orthopaedics and of physical medicine and rehabilitation. PATIENTS--125 patients aged 18-66 who had had rotator cuff disease for at least three months and whose condition was resistant to treatment. INTERVENTIONS--Arthroscopic subacromial decompression performed by two experienced surgeons; exercise regimen over three to six months supervised by one experienced physiotherapist; or 12 sessions of detuned soft laser treatment over six weeks. MAIN OUTCOME MEASURES--Change in the overall Neer shoulder score (pain during previous week and blinded evaluation of function and range of movement by one clinician) after six months. RESULTS--No differences were found between the three groups in duration of sick leave and daily intake of analgesics. After six months the difference in improvement in overall Neer score between Surgery and supervised exercises was 4.0 (95% confidence interval -2 to 11) and 2.0 (-1.4 to 5.4) after adjustment for sex. The condition improved significantly compared with placebo in both groups given the active treatments. Treatment costs were higher for those given Surgery (720 pounds v 390 pounds). CONCLUSIONS--Surgery or a supervised exercise regimen significantly, and equally, improved rotator cuff disease compared with placebo.
Anne Elisabeth Ljunggren - One of the best experts on this subject based on the ideXlab platform.
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Arthroscopic Surgery versus supervised exercises in patients with rotator cuff disease stage ii impingement syndrome a prospective randomized controlled study in 125 patients with a 2 1 2 year follow up
Journal of Shoulder and Elbow Surgery, 1999Co-Authors: Jens Ivar Brox, Anne Elisabeth Ljunggren, John Ivar Brevik, Erling Gjengedal, Gisle Uppheim, Audhild S Bohmer, P H StaffAbstract:The effectiveness of Arthroscopic Surgery, supervised exercises, and placebo was compared in 125 patients with rotator cuff disease (impingement syndrome stage II) in a randomized clinical trial. The median age was 48 years, and the median duration of complications was 1 to 2 years. The treatments were Arthroscopic subacromial decompression performed by 2 experienced surgeons, an exercise regimen supervised for 3 to 6 months by 1 experienced physiotherapist, or 12 sessions of detuned soft laser (placebo) for 6 weeks. The criterion for success was a Neer shoulder score >80. Fifteen (50%) and 11 (22%) of the patients randomized to placebo and exercises, respectively, had Surgery during the 212-year follow-up period and were classified as having failure with the treatments. The success rate was higher (P < .01) for patients randomized to Surgery (26 of 38) and exercises (27 of 44) compared with the placebo group (7 of 28). The odds ratio for success after Surgery compared with exercises was 1.5 (95% confidence interval 0.6 to 3.7; P = .49). Including all patients who underwent operation, the success rate in those not on sick leave (19 of 21) before Surgery was higher compared with those on sick leave (18 of 36) (adjusted odds ratio 5.6 [1.2 to 29.2]). Similar results were observed for patients not receiving versus those receiving regular pain medication before Surgery (adjusted odds ratio 4.2 [1.2 to 15.8]).
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Arthroscopic Surgery compared with supervised exercises in patients with rotator cuff disease stage ii impingement syndrome
BMJ, 1993Co-Authors: Jens Ivar Brox, P H Staff, Anne Elisabeth Ljunggren, John Ivar BrevikAbstract:OBJECTIVE--To compare the effectiveness of Arthroscopic Surgery, a supervised exercise regimen, and placebo soft laser treatment in patients with rotator cuff disease (stage II impingement syndrome). DESIGN--Randomised clinical trial. SETTING--Hospital departments of orthopaedics and of physical medicine and rehabilitation. PATIENTS--125 patients aged 18-66 who had had rotator cuff disease for at least three months and whose condition was resistant to treatment. INTERVENTIONS--Arthroscopic subacromial decompression performed by two experienced surgeons; exercise regimen over three to six months supervised by one experienced physiotherapist; or 12 sessions of detuned soft laser treatment over six weeks. MAIN OUTCOME MEASURES--Change in the overall Neer shoulder score (pain during previous week and blinded evaluation of function and range of movement by one clinician) after six months. RESULTS--No differences were found between the three groups in duration of sick leave and daily intake of analgesics. After six months the difference in improvement in overall Neer score between Surgery and supervised exercises was 4.0 (95% confidence interval -2 to 11) and 2.0 (-1.4 to 5.4) after adjustment for sex. The condition improved significantly compared with placebo in both groups given the active treatments. Treatment costs were higher for those given Surgery (720 pounds v 390 pounds). CONCLUSIONS--Surgery or a supervised exercise regimen significantly, and equally, improved rotator cuff disease compared with placebo.
Michael J Salata - One of the best experts on this subject based on the ideXlab platform.
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the influence of body mass index on outcomes after hip Arthroscopic Surgery with capsular plication for the treatment of femoroacetabular impingement
American Journal of Sports Medicine, 2017Co-Authors: Bryan M Saltzman, Benjamin D Kuhns, Bryce A Basques, Timothy Leroux, Jennifer Alter, Richard C Mather, Michael J Salata, Shane J NhoAbstract:Background:It remains unknown how variations in body mass index (BMI) influence outcomes after primary hip Arthroscopic Surgery with capsular plication for femoroacetabular impingement (FAI).Purpose:To evaluate the effect that abnormal BMI (namely, overweight, obese, morbidly obese, and underweight) versus normal weight has on patient-reported clinical outcomes more than 2 years postoperatively from primary hip Arthroscopic Surgery with capsular plication by a single surgeon.Study Design:Cohort study; Level of evidence, 3.Methods:A clinical repository containing patients undergoing primary hip Arthroscopic Surgery for FAI between January 1, 2012, and January 1, 2014, with a minimum 2-year follow-up was queried. Outcome measures included the Hip Outcome Score (HOS)–Activities of Daily Living (ADL), HOS-Sports, modified Harris Hip Score (mHHS), visual analog scale (VAS) for pain; satisfaction, and Patient Acceptable Symptomatic State (PASS) for the HOS-ADL; scores were collected preoperatively and at 3 mont...
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do patients with borderline dysplasia have inferior outcomes after hip Arthroscopic Surgery for femoroacetabular impingement compared with patients with normal acetabular coverage
American Journal of Sports Medicine, 2017Co-Authors: Gregory L Cvetanovich, Benjamin D Kuhns, Richard C Mather, Michael J Salata, David M Levy, Alexander E Weber, Shane J NhoAbstract:Background:The literature contains conflicting reports regarding whether outcomes of hip Arthroscopic Surgery for patients with borderline dysplasia are inferior to outcomes in patients with normal...
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improved outcomes after hip Arthroscopic Surgery in patients undergoing t capsulotomy with complete repair versus partial repair for femoroacetabular impingement a comparative matched pair analysis
American Journal of Sports Medicine, 2014Co-Authors: Rachel M Frank, Bryan T Kelly, Charles A Bushjoseph, Michael J SalataAbstract:Background:Hip capsular management after hip Arthroscopic Surgery for femoroacetabular impingement (FAI) is controversial.Purpose/Hypothesis:To compare the clinical outcomes of patients undergoing hip Arthroscopic Surgery for FAI with T-capsulotomy with partial capsular repair (PR; closed vertical incision, open interportal incision) versus complete capsular repair (CR; full closure of both incisions). The hypothesis was that there would be improved clinical outcomes in patients undergoing CR compared with those undergoing PR.Study Design:Cohort study; Level of evidence, 3.Methods:Consecutive patients undergoing hip Arthroscopic Surgery for FAI by a single fellowship-trained surgeon from January 2011 to January 2012 were prospectively collected and analyzed. Inclusion criteria included all patients between ages 16 and 65 years with physical examination and radiographic findings consistent with symptomatic FAI, with a minimum 2-year follow-up. For analysis, patients were matched according to sex and age ±2...
