Arthroscopic capsular release for refractory shoulder stiffness

Revista da Associação Médica Brasileira

Marcos Rassi Fernandes¹ 

[1] ,Universidade Federal de Goiás Medical School Department of Ortopedics and TraumatologyGoiânia Go ,Brazil

关键词: Frozen shoulder;    Capsular release;    Arthroscopy;    Passive range of motion;    Glenohumeral joint;    Shoulder pain;    Ombro congelado;    Liberação capsular;    Artroscopia;    Amplitude de movimento articular;    Articulação do ombro;    Dor de ombro;   

DOI  :  10.1016/j.ramb.2013.02.004

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the results of the arthroscopic treatment of refractory adhesive capsulitis of the shoulder with two to nine years of follow-up, comparing the pre-and postoperative range of motion. METHODS: This was an observational study (case series) of 18 patients who underwent arthroscopic capsular release for refractory shoulder stiffness. The mean age was of 53.6 years (range: 39 to 68), with female predominance (77.77%) and nine cases left shoulders. There were 6 primary (33.33%) and 12 secondary cases (66.67%). Arthroscopic capsular release was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a minimum follow-up of two years (range: 26 to 110 months). RESULTS: The mean active and passive forward flexion, external rotation and internal rotation increased from 94.4º/103.3º, 11.9º/21.9º, and S1/L5 vertebral level, respectively, to 151.1º/153.8º, 57.2º/64.4º, and T12/T10 vertebral level, respectively. There was a significant difference between the pre-and postoperative range of motion (p < 0.001). according to the constant-murley functional score (rom), the value increased from 14 (preoperative mean) to 30 points (postoperative mean). postoperatively, all patients showed diminished shoulder pain (none or mild/15 or 10 points in the constant-murley score). CONCLUSION: arthroscopic treatment is an effective treatment for refractory shoulder stiffness.

【 授权许可】

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