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Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
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Acromioplasty: A Historical Perspective.

Andrew K Chow1, Sashrik Sribhashyam1, Suhas R Velichala1

  • 1Virginia Commonwealth University.

Orthopedic Reviews
|June 9, 2025
PubMed
Summary
This summary is machine-generated.

Arthroscopic acromioplasty offers quicker recovery and better outcomes for shoulder impingement syndrome compared to open surgery. This shift reflects advancements in surgical techniques and improved patient care.

Keywords:
Acromioplastyarthroscopyshoulder impingementsystematic review

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Surgical Innovation

Background:

  • Shoulder impingement syndrome often requires surgical intervention when conservative treatments fail.
  • Surgical techniques for acromioplasty have evolved significantly over time.
  • Understanding the comparative outcomes of different surgical approaches is crucial for optimizing patient care.

Purpose of the Study:

  • To review and compare the literature on arthroscopic versus open acromioplasty for shoulder impingement.
  • To analyze how evidence influences current surgical techniques and preferences.
  • To assess the impact of evolving technology on surgical outcomes.

Main Methods:

  • A systematic literature review adhering to PRISMA standards.
  • Searched Medline, Embase, Web of Science, Pubmed, and Cochrane databases up to October 2024.
  • Included studies comparing arthroscopic and open acromioplasty, focusing on operating time, hospital stay, range of motion, muscle strength, patient satisfaction, and UCLA shoulder score.

Main Results:

  • Seventeen studies involving 1,293 patients were analyzed.
  • Both arthroscopic and open acromioplasty demonstrated comparable improvements in range of motion, muscle strength, and patient satisfaction.
  • Arthroscopic acromioplasty showed faster recovery, shorter hospital stays, and reduced operative times, particularly with experienced surgeons, with generally higher outcome scores.

Conclusions:

  • The standard of care has increasingly shifted towards arthroscopic acromioplasty for shoulder impingement.
  • Arthroscopic acromioplasty provides advantages in recovery time and cosmetic results.
  • Continued research and innovation in surgical techniques are vital for enhancing patient outcomes in shoulder impingement syndrome management.