Waszczykowski Michał, Fabiś Jarosław
Department of Arthroscopy, Minimally Invasive Surgery and Sports Traumatology, Medical University of Łódź.
Ortop Traumatol Rehabil. 2010 May-Jun;12(3):216-24.
The term frozen shoulder refers to an inflammatory condition characterized by pain and reduced range of passive and active motion of the shoulder. Initial management is mostly conservative. In some cases, however, invasive treatment is necessary. Given the dearth of available data on long-term operative outcomes, it appears interesting to present a comprehensive discussion of this issue. The aim of this study was to evaluate the improvement of range of motion and function of the affected shoulder after a minimum of two-year follow-up following arthroscopic capsular release of idiopathic and posttraumatic frozen shoulder.
The study enrolled 30 patients with frozen shoulder, including 16 patients with idiopathic FS and 14 patients with posttraumatic frozen shoulder. All patients had an anteroinferior capsular release and three additionally had a posterior capsulotomy. After a minimum of two-years of follow-up, the shoulder's range of motion and limb function were evaluated according to a modified version of the Constant-Murley Score (0-75), the ASES (American Shoulder and Elbow Surgeons) score and a subjective scale designed by the authors.
The improvement in the range of motion after arthroscopic capsular release was considerable and statistically significant (p<0.05) compared to pre-operative values both intraoperatively and after a minimum of two years of follow-up in both groups and across all planes of movement tested. The improvement of function of the shoulder after a minimum two years following arthroscopic capsular release was significant (p<0.05) according to the Constant-Murley score (from 19.3 preoperatively to 65.9 postoperatively, 0-75) and the ASES score (from 22.8 preoperatively to 92.7 postoperatively, 0-100).
Arthroscopic capsular release significantly improved the range of motion and function in idiopathic and posttraumatic frozen shoulder.
“肩周炎”一词指的是一种炎症性疾病，其特征为肩部疼痛以及被动和主动活动范围受限。初始治疗大多采用保守疗法。然而，在某些情况下，有必要进行侵入性治疗。鉴于关于长期手术效果的可用数据匮乏，对这一问题进行全面讨论似乎很有意义。本研究的目的是评估在对特发性和创伤后肩周炎进行关节镜下关节囊松解术后至少两年的随访中，患侧肩部活动范围和功能的改善情况。
本研究纳入了30例肩周炎患者，其中16例为特发性肩周炎患者，14例为创伤后肩周炎患者。所有患者均接受了前下关节囊松解术，另外3例还进行了后关节囊切开术。在至少两年的随访后，根据改良的Constant-Murley评分（0 - 75分）、美国肩肘外科医师学会（ASES）评分以及作者设计的主观量表，对肩部的活动范围和肢体功能进行评估。
与术前值相比，关节镜下关节囊松解术后两组在所有测试的运动平面上，术中及至少两年随访后，活动范围的改善均相当显著且具有统计学意义（p < 0.05）。根据Constant-Murley评分（从术前的19.3分提高到术后的65.9分，0 - 75分）和ASES评分（从术前 的22.8分提高到术后的92.7分，0 - 100分），关节镜下关节囊松解术后至少两年，肩部功能的改善具有显著意义（p < 0.05）。
关节镜下关节囊松解术显著改善了特发性和创伤后肩周炎的活动范围和功能。
