Meta-analysis of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome

LIU Shujing; YU Yingying; LU Yao; WANG Bo; WANG Hao

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Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (10) : 889-894.

Meta-analysis of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome

LIU Shujing¹, YU Yingying², LU Yao¹, WANG Bo¹, WANG Hao³

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Abstract

Objective To compare the eficiency of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome. Methods PubMed, Embase, Cochrane Library, CNKI, Wanfang and other databases were searched by computer (search time was from the establishment of the database to 2021-05-02) for clinical randomized controlled studies comparing non-surgical treatment with arthroscopic acromial decompression in the treatment of early acromial impaction syndrome. Meta-analysis was performed by using Review Manager 5.3 software after rigorous quality evaluation. The evaluation indexes were shoulder pain score and shoulder function score, and the results of meta-analysis were divided into short-term subgroup (<2 years) and long-term subgroup (≥2 years). Results Seven randomized controlled trials (RCTs) were included, involving a total of 607 patients. There were no significant differences in shoulder function scores between arthroscopic decompression and non-surgical treatment whether in long-term group(SMD=0.30;95%CI:－0.06--0.66;P=0.10) or short-term follow-up subgroup(SMD= 0.12;95%CI:－0.18-0.43;P=0.42). There were no significant differences in shoulder pain scores either whether in long-term group(SMD= －0.12;95% CI:－0.39-0.15;P=0.38) or short-term follow-up subgroup(SMD= －0.06;95%CI:－0.28-0.17;P=0.62). Conclusions No significant difference is demonstrated in the treatment of early stage shoulder impingement syndrome between arthroscopic decompression and non-surgical treatment in the Meta-analysis, thus non-surgical treatment should be chosen firstly for patients with early stage shoulder impingement syndrome.

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LIU Shujing, YU Yingying, LU Yao, WANG Bo, WANG Hao. Meta-analysis of arthroscopic decompression and non-surgical treatment for early stage shoulder impingement syndrome[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(10): 889-894

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