Wiley A M, Older M W
Am J Sports Med. 1980 Jan-Feb;8(1):31-8. doi: 10.1177/036354658000800106.
Ten patients with frozen shoulders and 13 other patients with derangements of the shoulder were examined by arthroscopy. The procedures were performed under anesthesia. A fibreoptic instrument was introduced posteriorly. All patients with frozen shoulders were relieved of their symptoms by the combined procedure of joint distention (with as much as 60 ml of saline) and arthroscopy, with or without manipulation of the shoulder. Three of the 13 cases of imprecisely diagnosed shoulder derangement are described in detail to illustrate refinements in the diagnosis which determined surgical repair in 2 cases and precise local treatment in the other one. All patients, whose shoulders were not manipulated, were discharged to their homes on the day of the procedures. A sling was worn for the first 24 hr and then the patient was placed on a regimen of supervised physical therapy. There was no significant morbidity in these patients. Additional refinements in arthroscopy for the shoulder and increasing expertise in using the techniques will firmly establish arthroscopy as a means for establishing precise diagnoses fro shoulder conditions.
对10例肩周炎患者和13例其他肩部紊乱患者进行了关节镜检查。手术在麻醉下进行。通过后方插入光纤器械。所有肩周炎患者通过关节扩张（注入多达60毫升生理盐水）联合关节镜检查（无论是否进行肩部手法操作）症状均得到缓解。详细描述了13例诊断不明确的肩部紊乱病例中的3例，以说明诊断的细化情况，其中2例据此确定了手术修复方案，另一例确定了精确的局部治疗方案。所有未进行肩部手法操作的患者在手术当天即可出院回家。最初24小时需佩戴吊带，之后患者开始接受有监督的物理治疗方案。这些患者未出现明显的并发症。肩部关节镜检查的进一步改进以及使用这些技术的专业知识不断增加，将使关节镜检查作为一种用于准确诊断肩部疾病的手段得以稳固确立。
