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Updated: Jul 24, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
[Intermediate-term results after arthroscopic subacromial decompression with special reference to ongoing disability
1Orthopädische Klinik, Universitätskliniken des Saarlandes, 66421 Homburg/Saar. stefan.rupp@med-rz.uni-sb.de
Arthroscopic subacromial decompression (ASD) showed improved functional outcomes. However, patients seeking disability pensions reported significantly worse results, indicating bias in outcome assessment for these individuals.
Area of Science:
- Orthopedic surgery
- Surgical outcomes research
Context:
- Arthroscopic subacromial decompression (ASD) is a common procedure for shoulder impingement.
- Assessing mid-term outcomes requires careful consideration of potential biases.
Purpose:
- To evaluate mid-term results of ASD for Stage II impingement.
- To investigate the influence of social insurance claims on patient outcomes.
Summary:
- Forty-two patients underwent ASD, with 39 followed for an average of 3.5 years.
- Patient satisfaction (VAS) averaged 6.4, and functional scores (Constant) improved significantly.
- Patients applying for disability pensions showed poorer VAS and Constant scores compared to others.
Impact:
- Social insurance claims significantly biased the reported outcomes of ASD.
- This highlights the need to account for socioeconomic factors in surgical outcome studies.
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