Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 2: Operative considerations and treatment of various c
9 hours ago
- #orthopedic guidelines
- #shoulder surgery
- #subacromial pain syndrome
- Updated guideline for subacromial pain syndrome (SAPS) by the Dutch Orthopedic Association, focusing on operative treatments.
- Key conditions addressed: supraspinatus tears, biceps tendon pathology, and calcific tendinosis.
- Recommendations include starting with exercise-based therapy for non-traumatic supraspinatus tears, considering surgery if no improvement in 3-6 months.
- Advises against biceps tenotomy/tenodesis on healthy tendons unless necessary during cuff repair.
- Suggests MRI for detailed assessment of tears and patient-specific factors.
- Barbotage recommended for calcific tendinosis, with surgery reserved for persistent large calcifications.
- Postoperative immobilization should not exceed 3 weeks.
- Multidisciplinary, evidence-based approach using AGREE and GRADE methods.