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Se ha realizado una actualización sobre el tratamiento del síndrome subacromial en el hombro comparando la cirugía abierta, la cirugía artroscópica y técnicas combinadas para realizar la acromioplastia anterior.
El artículo se ha centrado en los estadios II y III de Neer, y en las roturas parciales del manguito rotador, que no impliquen una disminución de fuerza de la extremidad y se objetive una causa extrínseca de la rotura parcial (acromion II-III). También se incluye la tendinitis calcificante del manguito.
La elección de la técnica quirúrgica debe tener en cuenta la edad, los requerimientos del hombro a tratar, la bóveda subacromial, la patología lesional del manguito rotador y el estadio evolutivo de la misma.
Palabras clave:
síndrome subacromial
acromion
artroscopia
manguito rotador
hombro
The treatment of subacromial impingement syndrome of the shoulder by open surgery, arthroscopic surgery, and combined techniques for anterior acromioplasty is reviewed.
The article centers on Neer stages II and III and on partial rotator cuff tears that do not produce a loss of limb strength and are due to an extrinsic cause (acromion II-III).
Calcifying tendinitis of the cuff was also included. The choice of surgical procedure should take into account age, the requirements of the shoulder to be treated, the subacromial space, rotator cuff pathology, and its stage of evolution.
Key words:
subacromial syndrome
acromion
arthroscopy
rotator cuff
shoulder
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