关节镜下关节囊松解术治疗冻结期原发性冻结肩临床疗效评估

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Abstract Objective To assess the short-term effectiveness of arthroscopic capsular release in a cohort of patients with a precise diagnosis of idiopathic frozen shoulder at frozen stage.Methods Twenty patients (12 male，8 female) with frozen shoulder who were treated with joint capsule release under arthroscopy from Apr.2016 to Jan.2018 were prospectively enrolled in this study.All patients were clinically diagnosed as idiopathic frozen shoulder of frozen stage The patients’ ages ranged from 46 to 74 years(59.5±7.41 years)，and the duration from the onset of shoulder pain to the examination was 7 to 13 months (9.58±1.68 months).Outcome measures which including the Visual Analogue Scale (VAS)，range of motion (ROM)，and Constant-Murley Score (CMS) were evaluated pre-operative and at 1，2 and 6 months after operation.Results All patients were followed after operation，statistically significant improvement were found in VAS from (5.10±0.72) to (1.35±0.75) 6 months after operation，and CMS improved from (33.95±4.59) to(85.75±6.15) 6 months after operation.Conclusion Arthroscopy release for the frozen shoulders at frozen stage is a safe and effective procedure with rapid improvement in pain，function and range of motion.

Key words： arthroscopy release operation frozen shoulder frozen stage

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［1］Tsvieli O，Atoun E，Consigliere P，et al.Manipulation under anaesthetic for frozen shoulder using codman's paradox：A safe and early return of function［J］.Int Orthop，2018，42(2)：339-344.
［2］Bidwai AS，Mayne AI，Nielsen M，et al.Limited capsular release and controlled manipulation under anaesthesia for the treatment of frozen shoulder［J］.Shoulder Elbow，2016，8(1)：9-13.
［3］Cinar M，Akpinar S，Derincek A，et al.Comparison of arthroscopic capsular release in diabetic and idiopathic frozen shoulder patients［J］.Arch Orthop Trauma Surg，2010，130(3)：401-406.
［4］Sasanuma H，Sugimoto H，Kanaya Y，et al.Magnetic resonance imaging and short-term clinical results of severe frozen shoulder treated with manipulation under ultrasound-guided cervical nerve root block［J］.J Shoulder Elbow Surg，2016，25(1)：e13-20.
［5］Reed MD，Van Nostran W.Assessing pain intensity with the visual analog scale：A plea for uniformity［J］.J Clin Pharmacol，2014，54(3)：241-244.
［6］Constant CR，Murley AH.A clinical method of functional assessment of the shoulder［J］.Clin Orthop Relat Res，1987(214)：160-164.
［7］Hand GC，Athanasou NA，Matthews T，et al.The pathology of frozen shoulder［J］.J Bone Joint Surg (Br)，2007，89(7)：928-932.
［8］Bennett WF.Subscapularis，medial，and lateral head coracohumeral ligament insertion anatomy.Arthroscopic appearance and incidence of "hidden" rotator interval lesions［J］.Arthroscopy，2001，17(2)：173-180.
［9］Neer CS，2nd，Satterlee CC，Dalsey RM，et al.The anatomy and potential effects of contracture of the coracohumeral ligament［J］.Clin Orthop Relat Res，1992(280)：182-185.
［10］Mengiardi B，Pfirrmann CW，Gerber C，et al.Frozen shoulder：Mr arthrographic findings［J］.Radiology，2004，233(2)：486-492.
［11］Hannafin JA，Chiaia TA.Adhesive capsulitis.A treatment approach［J］.Clin Orthop Relat Res，2000(372)：95-109.
［12］Neviaser AS，Hannafin JA.Adhesive capsulitis：A review of current treatment［J］.Am J Sports Med，2010，38(11)：2346-2356.
［13］Smith CD，Hamer P，Bunker TD.Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation［J］.Ann R Coll Surg Engl，2014，96(1)：55-60.
［14］Tamai K，Akutsu M，Yano Y.Primary frozen shoulder：Brief review of pathology and imaging abnormalities［J］.J Orthop Sci，2014，19(1)：1-5.
［15］Sasanuma H，Sugimoto H，Fujita A，et al.Characteristics of dynamic magnetic resonance imaging of idiopathic severe frozen shoulder［J］.J Shoulder Elbow Surg，2017，26(2)：e52-e57.
［16］Park S，Lee DH，Yoon SH，et al.Evaluation of adhesive capsulitis of the shoulder with fat-suppressed t2-weighted mri：Association between clinical features and mri findings［J］.AJR Am J Roentgenol，2016，207(1)：135-141.
［17］Ovesen J，Nielsen S.Anterior and posterior shoulder instability.A cadaver study［J］.Acta Orthop Scand，1986，57(4)：324-327.
［18］Price MR，Tillett ED，Acland RD，et al.Determining the relationship of the axillary nerve to the shoulder joint capsule from an arthroscopic perspective［J］.J Bone Joint Surg (Am)，2004，86 (10)：2135-2142.

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