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麻醉下手法松解术治疗伴有和不伴有非胰岛素依赖型糖尿病的冻结肩。

Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus.

机构信息

Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital and National Yang-Ming University, Taiwan, Republic of China.

出版信息

Int Orthop. 2010 Dec;34(8):1227-32. doi: 10.1007/s00264-010-0968-x. Epub 2010 Feb 17.

Abstract

Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the short- and long-term outcomes for treatment of frozen shoulders by MUA and compared these results in patients with and without non-insulin dependent DM by adjusted Constant score. The scores showed no significant differences between the two groups at both early and late follow-ups. Our results revealed that MUA for frozen shoulders is a simple and noninvasive procedure to improve symptoms and shoulder function within a short period of time. Even though DM is a predisposing factor to frozen shoulder, non-insulin dependent DM alone does not influence both the short- and long-term outcomes of frozen shoulder.

摘要

在麻醉下进行手法松解(MUA)已被用于加速康复。然而,过去对于糖尿病患者在 MUA 后出现冻结肩的结果并没有很好地记录。糖尿病患者中冻结肩的发病率更高。在这项研究中,我们揭示了 MUA 治疗冻结肩的短期和长期结果,并通过调整 Constant 评分比较了伴有和不伴有非胰岛素依赖型糖尿病的患者的结果。评分显示两组在早期和晚期随访时均无显著差异。我们的结果表明,MUA 治疗冻结肩是一种简单且无创的方法,可以在短时间内改善症状和肩部功能。尽管糖尿病是冻结肩的一个易感因素,但非胰岛素依赖型糖尿病本身并不影响冻结肩的短期和长期结果。

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