镜下270°关节囊松解术治疗原发性冻结肩
Arthroscopic 270° capsular release for primary frozen shoulder
王俊 1刘红飞 1柯荣军 1朱骏1
作者信息
- 1. 镇江市中西医结合医院骨科,江苏镇江 212000
- 折叠
摘要
[目的]探讨镜下270°关节囊松解治疗原发性冻结肩的疗效.[方法]回顾性分析本院2019年1月-2021年7月行关节镜下270°松解术治疗的36例原发性冻结肩患者的临床资料,评价临床结果.[结果]所有患者均顺利完成手术,术中未发生血管、神经损伤等并发症.患者均获得随访,随访时间平均(17.0±3.6)个月;与术前相比,术后1、6个月、末次随访时中国人肩关节功能评分[(35.1±2.8),(58.4±3.8),(64.2±3.7),(67.4±5.3),P＜0.001]、Constant 评分[(38.2±5.5),(59.1±4.5),(77.4±3.5),(82.8±5.4),P＜0.001]、肩前屈 ROM[(64.1±8.6)°,(111.8±7.8)°,(114.8±9.5)°,(153.6±6.3)°,P＜0.001]、外展 ROM[(59.3±5.3)°,(110.6±6.0)°,(144.4±6.5)°,(149.2±6.3)°,P＜0.001]、体侧外旋 ROM[(13.6±4.1)°,(29.5±5.9)°,(40.1±5.3)°,(48.8±6.3)°,P＜0.001]均显著改善(P＜0.05).[结论]镜下270°关节囊松解术治疗原发性冻结肩术后患者疼痛改善明显,并可有效改善肩关节活动度,临床效果满意.
Abstract
[Objective]To investigate the clinical outcome of arthroscopic 270° capsular release in the treatment of frozen shoulder.[Methods]A retrospective study was conducted on 36 patients who received arthroscopic 270° capsular release for primary frozen shoulder in our hospital from January 2019 to July 2021.The clinical documentations were evaluated.[Results]All patients had operation performed successfully,with no complications of vascular and nerve injury occurred during the operation.All patients were followed up for an average of(17.0±3.6)months.As time elapsed from that before surgery to 1 month,6 months postoperatively and the latest follow-up,the Chinese shoulder score[(35.1±2.8),(58.4±3.8),(64.2±3.7),(67.4±5.3),P＜0.001],Constant-Murley score[(38.2±5.5),(59.1±4.5),(77.4±3.5),(82.8±5.4),P＜0.001],forward flexion ROM[(64.1±8.6)°,(111.8±7.8)°,(114.8±9.5)°,(153.6±6.3)°,P＜0.001],abduction ROM[(59.3±5.3)°,(110.6±6.0)°,(144.4±6.5)°,(149.2±6.3)°,P＜0.001],body side external rotation ROM[(13.6±4.1)°,(29.5±5.9)°,(40.1±5.3)°,(48.8±6.3)°,P＜0.001]were significantly improved.[Conclusion]Arthroscopic 270° capsular release for the treatment of primary frozen shoulder does significant-ly relief pain,and effectively improve shoulder joint motion,with satisfactory clinical results.
关键词
原发性冻结肩/关节镜/松解术Key words
primary frozen shoulder/arthroscopy/release引用本文复制引用
出版年
2024
NETL
NSTL
万方数据