Scores improved significantly in each group over time (p < 0.001). There were no differences in scores between the groups that had arthroscopic cuff repair with or without acromioplasty at any time point. There were no differences in scores on the basis of acromion type, nor were any interaction effects identified between group and acromion type. Four participants (9%) in the group that had arthroscopic cuff repair alone, one with a Type-2 and three with a Type-3 acromion, required additional surgery by the twenty-four-month time point. The number of patients who required additional surgery was greater (p = 0.05) in the group that had arthroscopic cuff repair alone than in the group that had arthroscopic cuff repair and acromioplasty. The reasons for this difference is not clear. Possibly it could be related to increased surgical exposure offered by acromioplasty.
These results are consistent with the result of research pointing to the lack of level I or level II evidence in support of the 'impingement syndrome' and the use of acromioplasty to manage it.
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