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GuidelineActa orthopaedica · 2026

Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 2: Operative considerations and treatment of various conditions related to subacromial pain syndrome.

Frederik O Lambers Heerspink, Egbert J D Veen, Oscar Dorrestijn … Jos J A M Van Raaij

OrthopedicsGuideline

Postoperative immobilization for subacromial pain syndrome should not exceed 3 weeks.

Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 2: Operative considerations and treatment of various conditions related to subacromial pain syndrome.

Frederik O Lambers Heerspink et al. · Acta orthopaedica · 2026

Background

In 2013, the first clinical practice guideline for subacromial pain syndrome (SAPS) was developed in the Netherlands to support healthcare professionals.

Purpose

Using a multidisciplinary, evidence-based approach, the guideline aims to answer key clinical questions around SAPS.

Methods

Initiated by the Dutch Orthopedic Society, the guideline committee identified knowledge gaps through group sessions.

n = 50,000 patients

3

Results

weeks

the maximum time to keep your arm still after shoulder pain surgery

n = 50,000 patients

More results

(i) Start with exercise-based therapy (with corticosteroid injection) for isolated, symptomatic, non-traumatic supraspinatus tears.

(ii) Avoid biceps tenotomy/tenodesis on a healthy tendon unless at risk during cuff repair.

(iii) Evaluate patient- and tear-specific factors; use MRI for detailed assessment.

More results

(iv) Consider barbotage for calcific tendinosis; repeat once if needed.

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Conclusion

The updated guideline provides multidisciplinary recommendations for surgical management.

Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 2: Operative considerations and treatment of various conditions related to subacromial pain syndrome.

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