Revision surgery after failed subacromial decompression

The purpose of this study was to assess the results of revision subacromial decompression and identify clinical and psychological factors that influen ce its outcome. Thirty-five patients with intact rotator cuffs who underwen t surgery for recurrent stage II impingement were studied at a mean follow- up time of 43 months post-surgery. Twenty-seven patients were satisfied wit h their surgery. The UCLA Scoring System rated 18 of 35 with good/excellent results and 17 of 35 poor/fair results, 22 patients had worker's compensat ion injuries, which correlated with poor outcome (P=0.0067). Patients with concomitant brachial plexopathy and/or compressive neuropathies were associ ated with unsatisfactory results (P=0.02).