Effects of arthroscopic release combined with rotator cuff repair in treatment of rotator cuff injury combined with frozen shoulder
Objective:To observe effects of arthroscopic release combined with rotator cuffrepair in treatment of patients with rotator cuff injury and frozen shoulder.Methods:A prospective study was conducted on 90 patients with rotator cuffinjury and frozen shoulder admitted to this hospital from May 2022 to May 2023.They were divided into control group and study group by using the random number table method,45 cases in each group.The control group was treated with rotator cuffrepair,while the study group was treated with arthroscopic release on the basis of that of the control group.The excellent and good rate of shoulder joint function recovery,the shoulder joint function[American shoulder and elbow society(ASES)]score,the active range of motion of shoulder joint,the pain factor index[substance P(SP),β-endorphin(β-EP),prostaglandin E2(PGE2)]levels,and the incidence of postoperative complications were compared between the two groups before and after the surgery.Results:The excellent and good rate of shoulder joint function recovery in the study group was 93.33%(42/45),which was higher than 73.33%(33/45)in the control group,and the difference was statistically significant(P<0.05).1 and 3 months after the surgery,the ASES scores of the two groups were higher than those before the surgery,those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the surgery,the active range of motion of shoulder joint such as external rotation,abduction,internal rotation,extension and flexion in the two groups were higher than those before the surgery,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the surgery,the levels of SP and PGE2 in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group;the levels of β-EP in the two groups were lower than those before the surgery,but that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Arthroscopic release combined with rotator cuffrepair in the treatment of the patients with rotator cuffinjury and frozen shoulder can improve the excellent and good rate of shoulder joint function recovery,the shoulder joint function scores,the shoulder joint active range of motion,and improve the levels of pain factors.Moreover,it is superior to simple rotator cuffrepair.
万方数据
维普
