麻醉下手法松解联合关节镜技术治疗冻结肩合并肩袖损伤的临床疗效
Clinical Effect of Manual Release Combined with Arthroscopic Technique Under Anesthesia in Treatment of Frozen Shoulder Combined with Rotator Cuff Injury
钱文杰 1梅凯 1诸磊 1恽常军1
作者信息
- 1. 江苏大学附属武进医院 骨科,江苏 常州 213002;徐州医科大学武进临床学院 骨科,江苏 常州 213002
- 折叠
摘要
目的 探讨麻醉下手法松解联合关节镜技术治疗冻结肩合并肩袖损伤的临床疗效.方法 回顾性分析2017年1月—2021年12月本院收治的25例冻结肩合并肩袖损伤的患者资料,接受麻醉下手法松解后行关节镜下关节囊松解术联合肩袖修补术治疗.术后3个月、6个月、12个月及末次随访时评估患者的肩关节疼痛、功能评分以及活动度.主要观察指标:疼痛视觉模拟评分(visual analogue scale,VAS)、Constant-Murley评分、美国肩肘协会评分(American Shoulder and Elbow Surgeon,ASES)和肩关节的活动度.结果 所有患者均接受至少1年的随访,末次随访时,患者肩关节疼痛、功能评分和活动度均较术前明显改善,差异有统计学意义(P<0.01).结论 麻醉下手法松解联合关节镜技术治疗冻结肩合并肩袖损伤能使患者获得快速康复以及持久良好的活动度.
Abstract
Objective To explore clinical effect of manual release combined with arthroscopic technique under anesthesia in treatment of frozen shoulder combined with rotator cuff injury.Methods The paper reviewed and analyzed data of 25 patients with frozen shoulder combined with rotator cuff injury from January 2017 and December 2021,treated with arthroscopic joint capsule release surgery combined with rotator cuff repair surgery after manual release under anesthesia.Shoulder joint pain,functional scores,and range of motion of patients at 3,6,and 12 months were evaluated after surgery and at the last follow-up.Main outcome measures:Visual Analog Scale(VAS)of pains,Constant Murley scores,American Shoulder and Elbow Surgery(ASES)scores,and shoulder joint range of motion.Results All patients were treated with at least one year of follow-up.At the last follow-up,shoulder joint pain,functional scores and range of motion were significantly better than before sugery,with statistically significant difference(P<0.01).Conclusion Combination of manual release under anesthesia and arthroscopic technique can achieve fast recovery and long-lasting good mobility for frozen shoulder combined with rotator cuff injury.
关键词
冻结肩/肩袖损伤/关节镜/松解Key words
Frozen shoulder/Rotator cuff injury/Arthroscopy/Release引用本文复制引用
基金项目
江苏省常州市科技计划(CJ20220011)
出版年
2024
NETL
NSTL
万方数据