Purpose
This meta-analysis reviews the current literature comparing the patient-reported outcome
measures of patients who underwent rotator cuff repairs with and without acromioplasties.
Method
A comprehensive literature search was performed using PubMed, EMBASE, and Scopus databases,
obtaining 1,456 studies for the review. After the filtering process, 8 studies remained
for our meta-analysis, of which 7 were prospective trials. From the included studies,
the postoperative outcomes of 3,034 shoulders were studied. Data were analyzed using
Mantel-Haenszel statistics and random-effect models where appropriate.
Results
Our meta-analysis revealed that there was no significant difference in American Shoulder
and Elbow Surgeons scores (standardized mean difference [SMD], 0.09; 95% confidence
interval [CI], –0.10 to 0.28; I2 = 9%; P = .36), University of California at Los Angeles scores (SMD, 0.17; 95% CI, –0.07
to 0.40; I2 = 0%; P = .17), and rate of further surgery (odds ratio, 0.49; 95% CI, 0.04 to 5.66; I2 = 59%; P = .57) between the acromioplasty and nonacromioplasty groups. There was a statistical
difference in the Constant score (SMD, 0.25; 95% CI, 0.02 to 0.48; I2 = 0%; P = .03) of both groups. However, with the Constant score having an SMD of only 0.25,
the difference in Constant score was not clinically significant.
Conclusions
There were no clinically significant differences in postoperative functional scores
and pain scores for patients who underwent rotator cuff repairs with and without acromioplasties.
Level of Evidence
Level II, meta-analysis of Level I and II studies.
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References
- Evaluation of shoulder pain.J Fam Pract. 2002; 51: 605-611
- Do overhead sports increase risk of rotator cuff tears in wheelchair users?.Arch Phys Med Rehabil. 2015; 96: 484-488
- Rotator cuff tears in the elderly patients.Geriatr Orthop Surg Rehabil. 2015; 6: 220-224
- Diagnosis and treatment of cuff tear arthropathy.JAAPA. 2015; 28: 33-38
- Acromial apophysiolysis: Superior shoulder pain and acromial nonfusion in the young throwing athlete.Radiology. 2015; 274: 201-209
- Rotator cuff tears in the throwing athlete.Sports Med Arthrosc. 2014; 22: 101-109
- The role of subacromial decompression in patients undergoing arthroscopic repair of full-thickness tears of the rotator cuff: A systematic review and meta-analysis.Arthroscopy. 2012; 28: 720-727
- Arthroscopic cuff repair with and without acromioplasty in the treatment of full-thickness rotator cuff tears: A multicenter, randomized controlled trial.J Bone Joint Surg Am. 2011; 93: 1953-1960
- Impingement lesions.Clin Orthop. 1983; 173: 70-77
- The rising incidence of acromioplasty.J Bone Joint Surg Am. 2010; 92: 1842-1850
- Arthroscopic repair of full-thickness tears of the rotator cuff.J Bone Joint Surg Am. 1998; 80: 832-840
- Repair of full thickness rotator cuff tears: Gender, age, and other factors affecting outcome.Clin Orthop Relat Res. 1999; 367: 243-255
- Arthroscopic repair of full-thickness rotator cuff tears with and without acromioplasty: Randomized prospective trial with 2-year follow up.Am J Sports Med. 2014; 42: 1296-1303
- Optimizing the management of rotator cuff problems.AAOS Clin Guidelines. 2014; 6: 1-325
- Arthroscopic rotator cuff repair with and without subacromial decompression: A prospective randomized study.Arthroscopy. 2007; 23: 81-88
- Arthroscopic rotator cuff repair with and without arthroscopic subacromial decompression: a prospective, randomized study of one-year outcomes.J Shoulder Elbow Surg. 2004; 13: 424-426
- The efficacy of acromioplasty in the arthroscopic repair of small- to medium-sized rotator cuff tears without acromial spur: prospective comparative study.Arthroscopy. 2012; 28: 628-635
Tetteh E, Hussey KE, Abrams GD, et al. A prospective randomized trial of functional outcomes following rotator cuff repair with and without acromioplasty: Minimum 2-year follow-up. Orthop J Sports Med 2013;1(suppl):1.
- Rotator cuff repair: Is there any role for acromioplasty?.Phys Sportsmed. 2016; 44: 274-277
- The role of acromioplasty when repairing rotator cuff tears- no difference in pain or functional outcome at 24 months in a cohort of 2,441 patients.N Z Med J. 2017; 130: 13-20
- An international, multicentre cohort study comparing 6 shoulder clinical scores in an asymptomatic population.J Shoulder Elbow Surg. 2018; 27: 306-314
- Investigating minimal clinically important difference for Constant score in patients undergoing rotator cuff surgery.J Shoulder Elbow Surg. 2013; 22: 1650-1655
- Statistical Power Analysis for the Behavioral Sciences. 2nd ed.Erlbaum, New York, NY1988
- The role of acromioplasty for management of rotator cuff problems: Where is the evidence?.Adv Orthop. 2012; 2012: 467-571
- Arthroscopic rotator cuff debridement without decompression for the treatment of tendinosis.Arthroscopy. 2001; 21: 1081-1089
- Open rotator cuff repair without acromioplasty.J Bone Joint Surg Am. 2005; 87: 1278-1283
Article info
Publication history
Published online: January 27, 2021
Accepted:
January 5,
2021
Received:
June 14,
2020
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2021 by the Arthroscopy Association of North America
