Weber M, Prim J, Bugglin R, Michel B A, Gerber H
Department of Rheumatology, City Hospital Triemli, Zürich Switzerland.
Clin Rheumatol. 1995 Nov;14(6):686-91. doi: 10.1007/BF02207937.
In order to evaluate the efficacy of mobilization under anesthesia as a therapy for frozen shoulder, 43 patients with a mean age of 52.8 years were examined after an average time of 4.7 years. Since some authors have been concerned about rotator cuff tears, special attention--using sonography--was paid to rotator cuff lesions.
Clinical and sonographic examinations were very similar and showed a perfect recovery in 27 of 37 patients (73.0%). The average time off work after mobilization was 6.2 weeks compared with expected spontaneous recovery of about 30 months. Outcome was worse in patients with previous trauma to their shoulder. In 2 patients (5.4%) the sonography revealed a slight rotator cuff tear, which is not uncommon in 60-year-old persons. Two additional patients (5.4%) underwent shoulder surgery two years after mobilization due to a persistent impingement syndrome and to a supraspinatus-tear. We conclude, that mobilization under anesthesia for frozen shoulder is an effective treatment modality causing little harm.
为了评估麻醉下手法松解治疗肩周炎的疗效，对平均年龄52.8岁的43例患者进行了平均4.7年的随访检查。由于一些作者担心肩袖撕裂，因此特别关注——通过超声检查——肩袖损伤情况。
临床和超声检查结果非常相似，37例患者中有27例（73.0%）完全康复。手法松解后平均误工时间为6.2周，而预期的自然恢复时间约为30个月。既往有肩部创伤的患者预后较差。超声检查发现2例患者（5.4%）有轻微肩袖撕裂，这在60岁人群中并不少见。另外2例患者（5.4%）在手法松解两年后因持续性撞击综合征和冈上肌撕裂接受了肩部手术。我们得出结论，麻醉下手法松解治疗肩周炎是一种有效的治疗方式，危害较小。
