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      Descompresión subacromial por vía artroscópica Translated title: Arthroscopic subacromial decompression

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          Abstract

          Fundamento: la compresión subacromial constituye la causa más frecuente de dolor en el hombro, su tratamiento puede variar del conservador al quirúrgico, sin embargo, en relación al tratamiento quirúrgico, el realizado por la vía artroscópica es superior en resultados estéticos y funcionales. Objetivo: profundizar en la compresión subacromial y la importancia de la descompresión de este compartimiento mediante la vía artroscópica. Métodos: se realizó una revisión bibliográfica acerca del tema de un total de 570 artículos publicados en las bases de datos Pubmed, Hinari, SciELO y Medline mediante el gestor de búsqueda y administrador de referencias EndNote, de ellos se utilizaron 56 citas seleccionadas para realizar la revisión, 53 de ellas de los últimos cinco años donde se incluyeron tres libros. La búsqueda de la información se realizó en un período de dos meses del 1ro de febrero al 31 de marzo de 2016. Se emplearon las siguientes palabras: subacromial compression y arthroscopic subacromial decompression. Desarrollo: se abordan los factores participantes en la compresión subacromial divididos en intrínsecos, extrínsecos y secundarios. Se hace referencia al cuadro clínico de estos enfermos con especial énfasis en las maniobras más empleadas. En relación al tratamiento quirúrgico se describen las dos variedades de tratamiento por la vía artroscópica, así como las complicaciones más frecuentes. Conclusiones: la descompresión subacromial por la vía artroscópica es efectiva en pacientes con compresión subacromial, es un método factible con un mínimo de complicaciones.

          Translated abstract

          Background: subacromial compression is the most common cause of shoulder pain. Its treatment varies from conservative to surgical. However, surgical treatment by arthroscopy is better in regards to functional and cosmetic points of view. Objective: to deepen into the importance of subacromial decompression by arthroscopy in patients with subacromial compression. Methods: a search in the databases Pubmed, Hinari, SciELO and Medline was carried out through the management information software EndNote by using the words subacromial compression and arthroscopic subacromial decompression, resulting in a total of 570 articles, in which 56 of them were selected for review, 53 of them in the last five years, including three books. Development: important aspects related to subacromial compression causes were described and divided in intrinsic, extrinsic, and secondary. Specific maneuvers and clinical presentation were pointed. In regards to surgical treatment, a couple of arthroscopic surgical modalities were described as well as complications. Conclusions: arthroscopic subacromial decompression is an effective surgical modality in patients suffering from subacromial compression; it’s a safe procedure with few complications.

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          Most cited references 52

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          Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial.

          Good clinical results have been reported for both surgical and conservative treatment of rotator cuff tears. The primary aim of this randomized controlled trial was to compare functional and radiologic improvement after surgical and conservative treatment of degenerative rotator cuff tears.
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            Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report

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              Current trends in rotator cuff repair: surgical technique, setting, and cost.

              The purpose of this study was to evaluate national trends in the surgical setting and hospital costs of shoulder arthroscopy and rotator cuff repair (RCR) using the Florida State surgical database and national inpatient database.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                amc
                Revista Archivo Médico de Camagüey
                AMC
                Editorial Ciencias Médicas Camagüey (Camagüey, , Cuba )
                1025-0255
                October 2016
                : 579-588
                Affiliations
                Camagüey orgnameHospital Universitario Manuel Ascunce Domenech orgdiv1Universidad de Ciencias Médicas de Camagüey Cuba
                Camagüey orgnamePoliclínico Universitario Tula Aguilera orgdiv1Universidad de Ciencias Médicas de Camagüey Cuba
                Article
                S1025-02552016000500015

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 56, Pages: 10
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