Evaluation of the results of management of frozen shoulder using the arthroscopic capsular release.
Evaluation of the results of management of frozen shoulder using the arthroscopic capsular release.
复制标题
DOI：
10.5604/15093492.1143530
复制
发表时间：
2015-01-01
期刊：
影响因子：
--
通讯作者：
Motawea, Bahaa A
中科院分区：
文献类型：
--
作者：
Mubark, Islam M;Ragab, Abdelaleem H;Motawea, Bahaa A
背景：治疗肩周炎的目的是恢复肩周炎的无痛和功能范围。在这项研究中，我们评估了在诊断为肩周炎的患者中使用关节镜技术释放肩关节囊的结果。材料和方法：该研究包括40例肩周炎患者。他们采用电灼术解除肩关节囊。研究对象包括29名女性和11名男性，平均年龄48.2岁（38-62岁）。结果：术前，Constant和Murly肩关节平均评分为36.35（范围21-51）。随访结束时，平均得分为85.8分（范围62 ~ 98）。术前和术后总得分均值差异有统计学意义（t =10.85, p=0.0001）。结果优良者22例（55%），良好者14例（35%），一般者4例（10%），无不良者。结果尚可的4例患者均为女性，均患有胰岛素依赖型糖尿病，年龄在50 ~ 50岁之间。结论:1。关节镜下关节囊松解术是治疗难治性肩周炎的一种安全有效的方法。2. 它能显著改善术后疼痛和运动，允许术后早期康复。
BACKGROUND: The aim of treatment of frozen shoulder is to regain a painless and functional shoulder range of shoulder motion. In this study we evaluated the results of using the arthroscopic technique for the release of the shoulder joint capsule in patients with a diagnosis of frozen shoulder.MATERIAL AND METHODS: The study included 40 patients with frozen shoulder. They were operated upon with the use of electrocautery for the release of the shoulder joint capsule. The group consisted of 29 women and 11 men with a mean age of 48.2 years (range 38-62).RESULTS: Preoperatively, the mean Constant and Murly shoulder score was 36.35 (range 21-51). At the end of the follow up period, the mean score was 85.8 (range 62 to 98). The difference between the means of pre- and postoperative total score was statistically significant (t =10.85 and p=0.0001). 22 patients (55%) had excellent results, 14 patients (35%) had good results, 4 patients (10%) had fair results and none had poor results. The 4 cases with fair results were all female, all had insulin-dependent diabetes mellitus and were > 50 years old.CONCLUSIONS: 1. Arthroscopic capsular release is an effective and safe method for the treatment of refractory frozen shoulder. 2. It achieves dramatic pain and motion improvement post-operatively, allowing very early postoperative rehabilitation.