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关节镜下肩峰下减压术后的工作恢复率及驾驶情况

Rate of return to work and driving following arthroscopic subacromial decompression.

作者信息

McClelland Damian, Paxinos Anastasios, Dodenhoff Ronald M

机构信息

Upper Limb Unit, Princess Royal Hospital NHS Trust, Apley Castle, Telford, Shropshire, United Kingdom.

出版信息

ANZ J Surg. 2005 Sep;75(9):747-9. doi: 10.1111/j.1445-2197.2005.03529.x.

Abstract

BACKGROUND

The aim of the present paper was to evaluate the return to work and return to driving of a cohort of patients undergoing arthroscopic subacromial decompressions +/- arthroscopic acromioclavicular joint excision.

METHODS

Arthroscopic subacromial decompressions +/- arthroscopic acromioclavicular joint excision were performed in 68 patients between February 2000 and November 2000. All patients had symptoms of subacromial impingement +/- acromioclavicular joint arthrosis for more than 6 months that had not settled with conservative treatment. All had positive local anaesthetic injection tests. All patients were followed up at 3 weeks and 3 months postoperatively. Their Constant-Murley score was measured preoperatively and at 3 weeks and 3 months postoperatively. Patients were asked to record when they had returned to work and when they had returned to driving.

RESULTS

Only one non-manual worker did not return to work within 6 weeks. Eighty-five per cent of manual workers returned to manual work within 3 months. Fifty-one patients held driving licences. The average time to return to driving was 28.9 days. Average preoperative Constant-Murley scores were 47.5 (20-67). At 3 weeks postoperation average Constant-Murley scores were 66.8 (40-92), and at 3 months 76.5 (48-99).

摘要

背景

本文旨在评估一组接受关节镜下肩峰下减压术+/-关节镜下肩锁关节切除术患者的重返工作岗位及恢复驾驶的情况。

方法

2000年2月至2000年11月期间,对68例患者实施了关节镜下肩峰下减压术+/-关节镜下肩锁关节切除术。所有患者均有肩峰下撞击征+/-肩锁关节关节炎症状超过6个月,且保守治疗无效。所有患者局部麻醉注射试验均为阳性。所有患者在术后3周和3个月进行随访。术前及术后3周和3个月测量他们的Constant-Murley评分。要求患者记录他们何时重返工作岗位以及何时恢复驾驶。

结果

只有一名非体力劳动者在6周内未重返工作岗位。85%的体力劳动者在3个月内重返体力工作。51例患者持有驾驶执照。恢复驾驶的平均时间为28.9天。术前Constant-Murley评分平均为47.5(20 - 67)。术后3周时,Constant-Murley评分平均为66.8(40 - 92),3个月时为76.5(48 - 99)。

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