Patients perception of outcome in arthroscopic subacromial decompression using proms scores

Author(s): Arpit Jariwala and Mir Zia Ur Rahman Ali

Abstract: Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain, with higher incidence in middle age and elderly population; this will have an impact upon their activities of daily living and quality of life. Aim was to assess the outcome of Arthroscopic subacromial decompression (ASAD) based on patient’s perception of their outcome using patient reported outcome measure scores (PROMs). 50 patients with SIS, who underwent ASAD from April 2015 to January 2017 at NHS Tayside, who were part of Tayside Upper Limb Evaluation Programme (TULEP) were included in this study. Improvement in mean postoperative PROMs scores at 6 months and 1 year postoperative was observed, with maximum improvement at 6 month postoperative period, however, less improvement was noted from 6 months to 1 year postoperatively which was statistically significant. Improvement in PROMs postoperatively was better appreciated inpatients aged less than 50 years, females, low BMI, and left shoulder pathology. Patients who were dissatisfied at 6 months postoperatively had continued to score less at 1 year postoperative. Pain was the most common reason for dissatisfaction. This study suggested that ASAD for impingement gives a high patient satisfaction with significant improvement in function and quality of life.

DOI: https://doi.org/10.22271/ortho.2018.v4.i1o.146