Shoulder & Elbow
COA/ICORS2019: No difference between surgery and nonoperative treatment for shoulder impingement
12 randomized controlled trials were included in this meta-analysis comparing outcomes between surgical intervention and control groups, comprised of either nonoperative management or sham surgery, for patients with shoulder impingement. Results for pain demonstrated no significant differences between groups. Results for function in the short-term also demonstrated no significant difference between groups. Results for function in the long term demonstrated a small, statistically significant benefit of surgery, but the difference was deemed to not be clinically relevant.
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