Soren A, Fetto J F
New York University Medical Center, NY 10016, USA.
Arch Orthop Trauma Surg. 1996;115(5):270-2. doi: 10.1007/BF00439051.
The movements of the shoulder joint may sometimes be markedley limited due to posttraumatic or inflammatory changes in the shoulder joint or in adjacent organs, a condition designated as contracture of the shoulder joint or frozen shoulder. The routine treatment consists of positioning the arm as often as possible in abduction, and of diligent active and passive mobilization exercises. In those patients who started the treatment after a long delay so that the articular as well as the periarticular tissues were very shrunken, manipulation of the shoulder joint was carried out under general anesthesia this led to the return of full motion of the joint in the great majority of these patients. However, in those patients who did not benefit by manipulation, surgical revision of the joint and of periarticular structures was carried out for excision of all scarified tissues. The result was restoration of the mobility of the joint to an adequate although not total range.
由于肩关节或邻近器官的创伤后或炎症性改变，肩关节的活动有时可能会明显受限，这种情况被称为肩关节挛缩或肩周炎。常规治疗包括尽可能经常地将手臂外展，并进行积极和被动的勤勉活动锻炼。对于那些延迟很久才开始治疗以至于关节及关节周围组织严重萎缩的患者，在全身麻醉下对肩关节进行手法操作，这使得这些患者中的绝大多数关节恢复了完全活动。然而，对于那些手法操作无效的患者，则对关节和关节周围结构进行手术翻修，以切除所有瘢痕化组织。结果是关节活动度恢复到适当但不完全的范围。
