XXXX . A review of late stage II and early stage III lesions.

@entity1 @entity5818 @entity425 @entity158
From 1980 to 1984, 72 @entity1 with @entity5818 were treated by anterior acromioplasty before they developed rotator cuff tears. Follow-up evaluations averaged 23 months (range, five to 48 months). The average age was 42 years (range, 23-61 years). Preoperatively, 80% of the @entity1 had @entity158 at rest; the other 20% complained of @entity158 during moderate activity. At the time of follow-up examination, 89% showed significant improvement, while 11% remained unchanged. Thirty-seven percent of the @entity1 had varying degrees of @entity425 preoperatively; of these, 71% were improved, 21% were unchanged, and 8% had a further decrease in the range of motion postoperatively. The results indicate that anterior acromioplasty is an excellent procedure for relief of @entity158 due to impingement. Additionally, beneficial results were obtained in range of motion and muscle strength. In only a few select cases was lateral clavicle excision or tenodesis of the long head of the biceps necessary. Caution is advised in allowing return to strenuous activity unless the @entity1 has recovered adequate strength in the cuff musculature.
