Outcome in Impingement Syndrome with and without Stiff Shoulder

Authors: Jin-Young Park et al.

References: ICSS, Washington, 2004

Abstract
Purpose: The purpose of this study is to determine the outcome of the impingement syndrome with and without the stiff shoulder  Material and Method: Seventy-eight patients who had the impingement syndrome with mild stiffness or without stiffness were evaluated, were treated with the subacromial decompression & partial bursectomy and the 23 patients who had the impingement syndrome with severe stiffness, were treated with the subacromial decompression & partial bursectomy combined the manipulation.  Result: In the impingement syndrome with mild stiffness or without stiffness the preoperative pain score was 7.1, ASES score was 34.1 and the postoperative pain score was 1.1, ASES score was 90.4. In the impingement syndrome with severe stiffness the preoperative pain was 8.0, ASES score was 23.9 and the postoperative pain score was 1.0, ASES score was 90.6.  Conclusion: Although patients with the impingement syndrome and stiffness may not regain the full range of motion, the technique of manipulation followed by arthroscopic sub-acromial decompression offers good pain relief and satisfactory functional recovery for impingement syndrome with resistant stiff shoulder.