Declining incidence of acromioplasty in Finland

Figures & data

Figure 1. Incidence rates of acromioplasty in Finland, by year. Randomized controlled trials showing equal outcomes for operative and nonoperative treatment of stage-II impingement syndrome were reported by (a) Brox et al. (1999), (b) Haahr et al. (2005), (c) Ketola et al. (2005), (d) Haahr Andersen (2006), and (e) Ketola et al. (2009).

Figure 2. Incidence rates of acromioplasty in Finland by year, according to patient age.

Figure 3. Incidence rates of acromioplasty in Finland by year, in non-profit and profit healthcare organizations.

Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, Staff PH. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): A prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg 1999; 8 (2): 102-11.

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Haahr JP, Ostergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH. Exercises versus arthroscopic decompression in patients with subacromial impingement: A randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis 2005; 64 (5): 760-4.

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Ketola S, Lehtinen J, Westenius H, Arnala I, Nissinen M, Malmivaara A, Rousi T. Olkanivelen kiertäjäkalvosimen hankausoireyhtymän (impingement)leikkaushoidon satunnaistettu vertaileva vaikuttavuustutkimus. Suomen Ortopedia Ja Traumatologia 2005; 28 (3): 348-50.

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Ketola S, Lehtinen J, Arnala I, Nissinen M, Westenius H, Sintonen H, Aronen P, Konttinen YT, Malmivaara A, Rousi T. Does arthroscopic acromioplasty provide any additional value in the treatment of shoulder impingement syndrome? A two-year randomised controlled trial. J Bone Joint Surg Br 2009; 91 (10): 1326-34.

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