Peer-reviewedCC BYSICOT-J21 Oct 2026

3D-assisted arthroscopic management of subacromial impingement: A clinical outcome study.

Quyet Tran¹
Dung Trung Tran²
Thuong Van Pham³
Hiep Dai Tran⁴
Trung Quoc Nguyen⁴

4 affiliations

¹Center of Orthopaedic and Sport Medicine, Vinmec Healthcare System, Hanoi, Vietnam - College of Health Sciences, VinUniversity, Hanoi, Vietnam.
²Center of Orthopaedic and Sport Medicine, Vinmec Healthcare System, Hanoi, Vietnam - College of Health Sciences, VinUniversity, Hanoi, Vietnam - Vinmec - VinUni Institute of 3D Technology in Medicine, Hanoi, Vietnam.
³Hai Phong University of Medicine and Pharmacy, Haiphong, Vietnam.
⁴College of Health Sciences, VinUniversity, Hanoi, Vietnam.

Abstract

Introduction

The clinical value of three-dimensional (3D)-assisted planning in arthroscopic acromioplasty remains unclear, particularly regarding its ability to optimize subacromial decompression and improve clinically meaningful outcomes.Purpose

To evaluate whether 3D-assisted preoperative planning can improve radiologic parameters and functional outcomes in patients undergoing arthroscopic treatment for subacromial impingement syndrome.Study design

Descriptive observational study (combined retrospective and prospective).Methods

Fifty patients with subacromial impingement syndrome underwent arthroscopic acromioplasty with 3D-assisted preoperative planning. Clinical outcomes were assessed using the UCLA score. Radiologic parameters, including acromial index (AI), critical shoulder angle (CSA), lateral acromial angle (LAA), and acromiohumeral distance (AHD), were evaluated using static and dynamic 3D computed tomography preoperatively and postoperatively.Results

Postoperatively, AI and CSA significantly decreased toward normal ranges, while LAA improved. Both static and dynamic AHD increased significantly, indicating enhanced subacromial space. The mean UCLA score improved from 21.54 ± 2.66 to 33.22 ± 1.75 (p < 0.01).Conclusion

3D-assisted arthroscopic acromioplasty was associated with significant improvements in both radiologic parameters and functional outcomes. The ability to evaluate subacromial space dynamically and localize impingement sites may facilitate more precise and individualized decompression, potentially enhancing surgical effectiveness.

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Cite

BibTeX RIS

BibTeX

@article{tran20263dassisted,
  title = {{3D-assisted arthroscopic management of subacromial impingement: A clinical outcome study.}},
  author = {Quyet Tran and Dung Trung Tran and Thuong Van Pham and Hiep Dai Tran and Trung Quoc Nguyen},
  journal = {SICOT-J},
  year = {2026},
  month = oct,
  doi = {10.1051/sicotj/2026065},
  url = {https://europepmc.org/article/MED/42905990},
  note = {CC BY},
}

RIS

TY  - JOUR
TI  - 3D-assisted arthroscopic management of subacromial impingement: A clinical outcome study.
AU  - Quyet Tran
AU  - Dung Trung Tran
AU  - Thuong Van Pham
AU  - Hiep Dai Tran
AU  - Trung Quoc Nguyen
PY  - 2026
DA  - 2026/10/21
JO  - SICOT-J
DO  - 10.1051/sicotj/2026065
UR  - https://europepmc.org/article/MED/42905990
AB  - Introduction  The clinical value of three-dimensional (3D)-assisted planning in arthroscopic acromioplasty remains unclear, particularly regarding its ability to optimize subacromial decompression and improve clinically meaningful outcomes.Purpose  To evaluate whether 3D-assisted preoperative planning can improve radiologic parameters and functional outcomes in patients undergoing arthroscopic treatment for subacromial impingement syndrome.Study design  Descriptive observational study (combined retrospective and prospective).Methods  Fifty patients with subacromial impingement syndrome underwent arthroscopic acromioplasty with 3D-assisted preoperative planning. Clinical outcomes were assessed using the UCLA score. Radiologic parameters, including acromial index (AI), critical shoulder angle (CSA), lateral acromial angle (LAA), and acromiohumeral distance (AHD), were evaluated using static and dynamic 3D computed tomography preoperatively and postoperatively.Results  Postoperatively, AI and CSA significantly decreased toward normal ranges, while LAA improved. Both static and dynamic AHD increased significantly, indicating enhanced subacromial space. The mean UCLA score improved from 21.54 ± 2.66 to 33.22 ± 1.75 (p < 0.01).Conclusion  3D-assisted arthroscopic acromioplasty was associated with significant improvements in both radiologic parameters and functional outcomes. The ability to evaluate subacromial space dynamically and localize impingement sites may facilitate more precise and individualized decompression, potentially enhancing surgical effectiveness.
SN  - 2426-8887
ER  -

Abstract

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