Andersen N H, Søjbjerg J O, Johannsen H V, Sneppen O
Department of Orthopaedics, University Hospital of Aarhus, Denmark.
J Shoulder Elbow Surg. 1998 May-Jun;7(3):218-22. doi: 10.1016/s1058-2746(98)90048-9.
During a 15-month period, 24 patients with arthroscopically verified frozen shoulders were treated with manipulation while under general anesthesia and early passive motion. The minimum follow-up was 12 months, and the average duration from onset of the disease until treatment was 8 months. All patients had moderate to severe pain, and the average range of motion was less than 40% of the opposite shoulder. During the follow-up period, 75% of the patients obtained normal or almost full range of motion, and 79% had slight pain or no pain at all. Eighteen (75%) patients returned to work 9 weeks (mean) after treatment. There was no relationship between the end result and the initial pathologic condition. We believe that manipulation combined with arthroscopy is an effective way of shortening the course of an apparently self-limiting disease and should be considered when conservative treatment has failed.
在15个月的时间里，对24例经关节镜证实为肩周炎的患者在全身麻醉下进行手法治疗并早期进行被动活动。最短随访时间为12个月，从疾病发作到治疗的平均时长为8个月。所有患者均有中度至重度疼痛，平均活动范围小于对侧肩部的40%。在随访期间，75%的患者获得了正常或几乎完全的活动范围，79%的患者仅有轻微疼痛或无疼痛。18例（75%）患者在治疗后9周（平均）恢复工作。最终结果与初始病理状况之间没有关联。我们认为，手法治疗结合关节镜检查是缩短一种明显自限性疾病病程的有效方法，在保守治疗失败时应予以考虑。
