Axelns sjukdomar

The authors were requested to analyse the frequency of shoulder surgery at the different orthopaedic units of Sweden and to propose national indications according to evidence in literature.(nko.se) Three main groups of shoulder disorders were studied: subacromial pain, shoulder instability and pain caused by degenerative glenohumeral pathology. About 6500 shoulders were operatively treated in Sweden 2004. Since 1998 there has been an annual increase of about 10 per cent. Variations in incidences were seen between different parts of the country. The indications and techniques of shoulder surgery have improved during the last years - further knowledge of the disorders, new arthroscopic techniques, modern prosthetic design etc. The morbidity has decreased and ambulatory surgery has been more frequent.
The indications and techniques of modern shoulder surgery generally are evidence based according to literature but in some field further prospective, randomized studies are indicated.