clinical outcomes after arthroscopic release for recalcitrant frozen shoulder

نویسندگان

mohammad hosein ebrahimzadeh mashad university of medical sciences

ali moradi department of orthopedic surgery orthopedic research center mashhad university of medical sciences, iran hand fellow, mass general hospital, harvard medical school, boston, 02114 ma, us

mostafa khalili pour orthopedic surgeon, orthopedic research center mashhad university of medical sciences, iran

mohammad hallaj-moghaddam associated professor of orthopedics, orthopedic research center, pediatric orthopedic surgeon, mashhad university of medical science mashhad, iran

چکیده

background: to explain the role of arthroscopic release in intractable frozen shoulders. we used different questionnaires and measuring tools to understand whether arthroscopic release is the superior modality to treat patients with intractable frozen shoulders. methods: between 2007 and 2013, in a prospective study, we enrolled 80 patients (52 females and 28 males) with recalcitrant frozen shoulder, who underwent arthroscopic release at ghaem hospital, a tertiary referral center, in mashhad, iran. before operation, all patients filled out the disability of arm, shoulder and hand (dash), constant, university of california los angeles (ucla), rowe and visual analogue scale (vas) for pain questionnaires. we measured the difference in range of motion between both the normal and the frozen shoulders in each patient. results: the average age of the patients was 50.8±7.1 years. in 49 patients, the right shoulder was affected and in the remaining 31 the left side was affected. before surgery, the patients were suffering from this disease on average for 11.7±10.3 months.  the average time to follow-up was 47.2±6.8 months (14 to 60 months). diabetes mellitus (38%) and history of shoulder trauma (23%) were the most common comorbidities in our patients. we did not find any significant differences between baseline characteristics of diabetics patients with non-diabetics ones. after surgery, the average time to achieve maximum pain improvement and range of motion were 3.6±2.1 and 3.6±2 months, respectively. the vas score, constant shoulder score, rowe score, ucla shoulder score, and dash score showed significant improvement in shoulder function after surgery, and shoulder range of motion improved in all directions compared to pre-operation range of motion. conclusions: according to our results, arthroscopic release of recalcitrant frozen shoulder is a valuable modality in treating this disease. this method could decrease pain and improve both subjective and objective mid-term outcomes

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Clinical Outcomes after Arthroscopic Release for Recalcitrant Frozen Shoulder

Background: To explain the role of arthroscopic release in intractable frozen shoulders. We used different questionnaires and measuring tools to understand whether arthroscopic release is the superior modality to treat patients with intractable frozen shoulders. Methods: Between 2007 and 2013, in a prospective study, we enrolled 80 patients (52 females and 28 males) with recalcitrant frozen sho...

متن کامل

Clinical outcomes after arthroscopic release for recalcitrant frozen shoulder.

BACKGROUND To explain the role of arthroscopic release in intractable frozen shoulders. We used different questionnaires and measuring tools to understand whether arthroscopic release is the superior modality to treat patients with intractable frozen shoulders. METHODS Between 2007 and 2013, in a prospective study, we enrolled 80 patients (52 females and 28 males) with recalcitrant frozen sho...

متن کامل

Primary Frozen Shoulder Syndrome: Arthroscopic Capsular Release.

Idiopathic adhesive capsulitis, or primary frozen shoulder syndrome, is a fairly common orthopaedic problem characterized by shoulder pain and loss of motion. In most cases, conservative treatment (6-month physical therapy program and intra-articular steroid injections) improves symptoms and restores shoulder motion. In refractory cases, arthroscopic capsular release is indicated. This surgical...

متن کامل

Arthroscopic Coracohumeral Ligament Release for Patients With Frozen Shoulder

Arthroscopic pancapsular release has been recommended for recalcitrant frozen shoulder, but regaining range of motion has not been sufficient compared with the unaffected side. There is no consensus about the reasons for these remaining restrictions in range of motion, but residual capsular or connective tissue must be considered a candidate. A thickened coracohumeral ligament at the rotator in...

متن کامل

Clinical outcome of arthroscopic capsular release for frozen shoulder: essential technical points in 255 patients

BACKGROUND The purpose of this study was to investigate the long-term clinical outcome and its related factors regarding the severity of adhesion of CH ligament over long head of biceps (LHB) after shoulder arthroscopic capsular release for frozen shoulder with technical points in 255 patients. METHODS We performed arthroscopic capsular release for frozen shoulder in 267 shoulders of 255 pati...

متن کامل

The Impact of Arthroscopic Capsular Release in Patients with Primary Frozen Shoulder on Shoulder Muscular Strength

The aim of this study was to evaluate the impact of arthroscopic capsular release in patients with primary frozen shoulder on muscular strength of nonaffected and treated shoulder after at least two-year follow-up after the surgery. The assessment included twenty-seven patients, who underwent arthroscopic capsular release due to persistent limitation of range of passive and active motion, shoul...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
the archives of bone and joint surgery

جلد ۲، شماره ۳، صفحات ۲۲۰-۲۲۴

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023