Pap G, Liebau C, Meyer M, Merk H
Orthopädische Universitätsklinik Magdeburg.
Z Orthop Ihre Grenzgeb. 1998 Jan-Feb;136(1):13-7. doi: 10.1055/s-2008-1044644.
Mobilisation under anaesthesia is a well approved method for the treatment of idiopathic adhesive capsulitis, the best time to perform the mobilisation, however, is difficult to define.
Thirty-nine patients who had been treated with mobilisation under anaesthesia for idiopathic adhesive capsulitis stage II or III were examined at an average follow-up time of 3.4 years.
This therapy failed in 10.3% of the patients. There were no differences in the follow-up results between both groups of patients, limitations in the range of motion remained in 20% of all patients. At follow up the average CONSTANT Score of the stage II patients was 86.8, that of the stage III patients was 89.9 points. However, manipulation under anaesthesia showed a significantly better influence on the course of the disease in patients with stage III than in patients with stage II adhesive capsulitis.
Mobilisation under anaesthesia is a successful therapy in adhesive capsulitis stage III, but should be performed in adhesive capsulitis stage II only in cases of decreasing pain in which the limitation in the range of motion is the main symptom.
麻醉下手法松解是治疗特发性粘连性肩周炎的一种广泛认可的方法，然而，进行手法松解的最佳时机却难以确定。
对39例接受麻醉下手法松解治疗的II期或III期特发性粘连性肩周炎患者进行了平均3.4年的随访检查。
该治疗方法在10.3%的患者中失败。两组患者的随访结果无差异，所有患者中有20%仍存在活动范围受限。随访时，II期患者的平均Constant评分是86.8分，III期患者是89.9分。然而，与II期粘连性肩周炎患者相比，麻醉下手法松解对III期患者疾病进程的影响明显更好。
麻醉下手法松解在III期粘连性肩周炎中是一种成功的治疗方法，但仅在疼痛减轻且活动范围受限为主要症状的II期粘连性肩周炎病例中进行。
