Placzek Jeffrey D, Roubal Paul J, Kulig Kornelia, Pagett Brian T, Wiater J Michael
Washington University, Department of Orthopaedic Surgery, St. Louis, Missouri, USA.
Am J Orthop (Belle Mead NJ). 2004 Apr;33(4):173-9.
Manipulation of the glenohumeral joint with the patient under anesthesia has long been used as a treatment modality for refractory shoulder stiffness. Recently, translational manipulation of the glenohumeral joint under interscalene brachial plexus regional block has been shown to be efficacious in the treatment of adhesive capsulitis and to present a low risk of iatrogenic injury. The theory and technique of glenohumeral translational manipulation for the treatment of adhesive capsulitis are presented here.
在麻醉状态下对患者的盂肱关节进行手法操作,长期以来一直被用作治疗难治性肩部僵硬的一种治疗方式。最近,在肌间沟臂丛神经区域阻滞下对盂肱关节进行平移手法操作已被证明在治疗粘连性关节囊炎方面有效,且医源性损伤风险较低。本文介绍了用于治疗粘连性关节囊炎的盂肱关节平移手法操作的理论和技术。