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肩周炎的手术率:英国的一项经验。

Rates of surgery for frozen shoulder: an experience in England.

作者信息

Kwaees Tariq A, Charalambous Charalambos P

机构信息

Department of Trauma & Orthopedics, Blackpool Victoria Hospital, UK.

Department of Orthopaedics, Blackpool Victoria Hospital; School of Medicine and Dentistry, University of Central Lancashire; Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, UK.

出版信息

Muscles Ligaments Tendons J. 2016 Feb 13;5(4):276-9. doi: 10.11138/mltj/2015.5.4.276. eCollection 2015 Oct-Dec.

DOI:10.11138/mltj/2015.5.4.276
PMID:26958535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4762638/
Abstract

AIM

the aim of this study was to identify the incidence of surgical treatment for frozen shoulder in a western population.

METHODS

patients included in this study all resided within a well-defined area in the North West of England, all had surgery for frozen shoulder over a 3-year period and were identified from theatre logbooks of two local hospitals. Cases having surgery for shoulder stiffness other than frozen shoulder were excluded. Local and national population size estimates were based on data obtained from the UK Office for National Statistics.

RESULTS

117 patients underwent surgery for frozen shoulder during the period examined; of these 101 had arthroscopic arthrolysis and 16 had manipulation under anaesthesia. The overall incidence of frozen shoulder surgery was calculated at 2.67 procedures per 10,000 general population per year, and at 7.55 for those aged 40-60.

CONCLUSION

surgical intervention for frozen shoulder is common, estimated at over 14,180 cases per year in England. Given the variation in costs associated with arthroscopic arthrolysis and manipulation under anaesthesia, comparative studies of the cost effectiveness of the two procedures would be of great value.

LEVEL OF EVIDENCE

2C (outcome research).

摘要

目的

本研究旨在确定西方人群中肩周炎手术治疗的发生率。

方法

本研究纳入的患者均居住在英格兰西北部一个明确界定的区域内,在3年期间均接受了肩周炎手术,且是从两家当地医院的手术记录中识别出来的。排除因非肩周炎导致的肩部僵硬而进行手术的病例。当地和全国人口规模估计基于从英国国家统计局获得的数据。

结果

在所研究的期间内,117例患者接受了肩周炎手术;其中101例行关节镜下松解术,16例行麻醉下手法松解。肩周炎手术的总体发生率计算为每年每10000名普通人群中有2.67例手术,40 - 60岁人群中为7.55例。

结论

肩周炎的手术干预很常见,据估计在英格兰每年超过14180例。鉴于关节镜下松解术和麻醉下手法松解的相关成本存在差异,对这两种手术的成本效益进行比较研究将具有很大价值。

证据水平

2C(结果研究)。

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本文引用的文献

1
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Muscles Ligaments Tendons J. 2015 Feb 5;4(4):420-4. eCollection 2014 Oct-Dec.
2
Muscle, Ligaments and Tendons Journal. Basic principles and recommendations in clinical and field science research.《肌肉、韧带与肌腱杂志》。临床与现场科学研究的基本原理及建议。
Muscles Ligaments Tendons J. 2014 Feb 24;3(4):250-2. eCollection 2013 Oct.
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Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation.关节镜下关节囊松解术治疗特发性冻结肩并关节内注射及控制性手法松解
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Treatment of adhesive capsulitis: a review.粘连性关节囊炎的治疗:综述
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Mid-term results following arthroscopic capsular release in patients with primary and secondary adhesive shoulder capsulitis.关节镜下囊松解治疗原发性和继发性黏连性肩囊炎的中期疗效。
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