Wang Zhusha, Shi Yulong, Yang Xu, Ni Qubo, Tie Kai
Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Division of Joint Surgery and Sports Medicine, Department of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, China.
J Orthop Surg Res. 2025 Mar 25;20(1):311. doi: 10.1186/s13018-025-05734-y.
The aim of the current study is to investigate the efficacy and risk factors associated with arthroscopic adhesiolysis in treating elderly traumatic frozen shoulder.
One hundred and two elderly patients with post-traumatic frozen shoulder treated at our Hospital were selected. The patients were randomly divided into a study group and a control group, with 51 cases in each group. The study group was treated with arthroscopic adhesiolysis, and the control group received physical therapy combined with joint manipulation.
The operation time and intraoperative blood loss of the study group were (54.98 ± 5.94) min and (53.28 ± 4.93) ml, respectively. The Visual Analogue Scale (VAS) (0.87 ± 0.12, P = 0.021), Present Pain Intensity (PPI) (0.76 ± 0.07, P = 0.016), and Pain Rating Index (PRI) (5.32 ± 0.32, P < 0.001) scores were lower in the study group than the control group at 3 months post-treatment. Moreover, no significant differences were seen in terms of pain relief, daily living activities, shoulder joint function, and muscle strength between the two groups before the treatment; however, at 3 months post-treatment, the study group demonstrated better outcomes in these dimensions compared to the control group (all P ≤ 0.021), with notably improved shoulder joint mobility (all P < 0.001).
Arthroscopic adhesiolysis exerts beneficial outcomes for elderly patients with post-traumatic frozen shoulder. Age and fat infiltration are identified as risk factors influencing the efficacy of arthroscopic adhesiolysis in this patient population.
本研究旨在探讨关节镜下粘连松解术治疗老年创伤性肩周炎的疗效及相关危险因素。
选取我院收治的102例老年创伤性肩周炎患者。患者被随机分为研究组和对照组，每组51例。研究组采用关节镜下粘连松解术治疗，对照组采用物理治疗联合关节手法治疗。
研究组的手术时间和术中出血量分别为(54.98±5.94)分钟和(53.28±4.93)毫升。治疗后3个月，研究组的视觉模拟评分法(VAS)(0.87±0.12，P = 0.021)、当前疼痛强度(PPI)(0.76±0.07，P = 0.016)和疼痛评级指数(PRI)(5.32±0.32，P < 0.001)得分均低于对照组。此外，两组治疗前在疼痛缓解、日常生活活动、肩关节功能和肌肉力量方面无显著差异；然而，治疗后3个月，研究组在这些方面的结果优于对照组(所有P≤0.021)，肩关节活动度明显改善(所有P < 0.001)。
关节镜下粘连松解术对老年创伤性肩周炎患者有良好疗效。年龄和脂肪浸润被确定为影响该患者群体关节镜下粘连松解术疗效的危险因素。
