Melzer C, Wallny T, Wirth C J, Hoffmann S
Orthopädische Klinik, Justus-Liebig-Universität, Giessen, Germany.
Arch Orthop Trauma Surg. 1995;114(2):87-91. doi: 10.1007/BF00422832.
Even today the aetiology of the frozen shoulder is still under discussion. At the Orthopaedic Department of the Medizinische Hochschule Hannover, 118 persons with a frozen shoulder were treated as in- or outpatients between 1980 and 1988. We investigated the results of two different specific therapy concepts. Most of the patients received a mixture of drug therapy and physical rehabilitation under the guidance of a physiotherapist. In a smaller group of patients, the frozen shoulder was mobilized under anaesthesia (mobilisation force). After an average follow-up time of 3.8 years from the start of treatment, 93% of the patients was examined by means of an individual subjective rating (score). In addition, a clinical examination was performed in 69% of the cases. According to the subjective personal rating (score) as well as the improvement in range of motion, moderate mobilisation led to better results than the mobilisation under anaesthesia.
即使在今天，肩周炎的病因仍在讨论之中。1980年至1988年间，汉诺威医学院骨科门诊及住院收治了118例肩周炎患者。我们研究了两种不同特效疗法的结果。大多数患者在理疗师的指导下接受药物治疗与物理康复相结合的疗法。一小部分患者在麻醉状态下进行肩周炎松解术（松解力度）。自治疗开始起平均随访3.8年后，93%的患者接受了个人主观评分检查。此外，69%的病例进行了临床检查。根据主观个人评分以及活动范围的改善情况，适度松解术比麻醉下松解术效果更佳。
