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Coracoacromial ligament division.

J E Johansson, T W Barrington

    The American Journal of Sports Medicine
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Coracoacromial ligament division effectively treated persistent painful arc syndrome in 95% of patients. This surgical option provided satisfactory to excellent outcomes for chronic coracoacromial ligament inflammation when conservative treatments failed.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Shoulder Pathology

    Background:

    • Persistent painful arc syndrome often results from chronic coracoacromial ligament inflammation.
    • Nonoperative management is typically the initial treatment for this condition.

    Purpose of the Study:

    • To evaluate the efficacy of simple coracoacromial ligament division for persistent painful arc syndrome.
    • To assess outcomes in patients unresponsive to conservative care.

    Main Methods:

    • Retrospective study of 40 patients (41 shoulders) undergoing coracoacromial ligament division.
    • Exclusion of patients with significant osteophytes or associated shoulder pathologies.
    • Follow-up assessment using a defined rating system.

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    Main Results:

    • 95% of patients (39/41 shoulders) reported satisfactory to excellent outcomes.
    • Average return to work time was 5.7 weeks.
    • Only 5% (2/41 shoulders) had unsatisfactory results.

    Conclusions:

    • Simple coracoacromial ligament division is a highly effective surgical treatment for recalcitrant painful arc syndrome.
    • This procedure offers a reliable solution for impingement caused by coracoacromial ligament inflammation.