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. 2019 Jan 17;2019(1):CD005619. doi: 10.1002/14651858.CD005619.pub3

Paloneva 2008.

Trial name or title Operative versus non‐operative management of subacromial impingement
Methods Randomised trial
Participants Inclusion criteria
  • Age > 35 years

  • Duration of symptoms at ≥ 3 months despite non‐operative treatment

  • Accepts both treatment options (operative and physical therapy)

  • Must have pain in abduction of the shoulder

  • Must have painful arc

  • Must have pain in 2/3 isometric tests (0° and 30° of abduction, or external rotation)

  • A positive result in the impingement test (a subacromial injection of lidocaine reduces pain)


Exclusion criteria
  • Previous shoulder operations

  • Too high risk for operation

  • Any disease or social problem reducing the ability to co‐operate

  • Rheumatoid arthritis

  • Severe arthrosis of the GHJ or AC joint

  • A full‐thickness rotator cuff tear in MRI arthrography

  • A progressive malign disease

  • Adhesive capsulitis

  • High‐energy trauma before symptoms

  • Cervical syndrome

  • Shoulder instability


Age minimum: 35 Years
Age maximum: N/A
Gender: both
Interventions Acromioplasty
Physiotherapy
Outcomes Primary outcome
  • Pain at 24 months

  • Function (Constant score) at 24 months


Secondary outcomes
  • Change in pain (VAS) at 3, 6, 12 months and 5 years

  • Function (Constant score) at 3, 6, 12 months and 5 years

Starting date June 2008
Contact information Ilkka Kiviranta, MD, PhD
Helsinki University
Notes Target sample size: 100
Status: active, not recruiting
Above information copied from ClinicalTrials.gov database 18 June 2018. Last refreshed 7 September 2018

AC: acromioclavicular; GHJ: glenohumeral joint;MRI: magnetic resonance imaging; N/A: not applicable