Clinical Outcomes after Arthroscopic Release for Recalcitrant Frozen Shoulder | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 19، دوره 2، شماره 3، آذر 2014، صفحه 220-224 اصل مقاله (418.78 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2014.3360 | ||
| نویسندگان | ||
| Mohammad Hosein Ebrahimzadeh* 1؛ Ali Moradi* 2؛ Mostafa Khalili Pour3؛ Mohammad Hallaj-Moghaddam4؛ Amir Reza Kachooei5 | ||
| 1mashad university of medical sciences | ||
| 2Department of Orthopedic Surgery Orthopedic Research Center Mashhad University of Medical Sciences, Iran Hand Fellow, Mass General Hospital, Harvard Medical School, Boston, 02114 MA, US | ||
| 3Orthopedic Surgeon, Orthopedic Research Center Mashhad University of Medical Sciences, Iran | ||
| 4Associated professor of orthopedics, Orthopedic research Center, Pediatric Orthopedic surgeon, Mashhad University of Medical science Mashhad, Iran | ||
| 5Department of Orthopedic Surgery, Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, 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 | ||
| کلیدواژهها | ||
| Frozen shoulders؛ arthroscopic release؛ recalcitrant؛ Outcome | ||
| مراجع | ||
|
Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987; 214:160-4.
Bunker TD. Frozen shoulder: unravelling the enigma. Ann R Coll Surg Engl. 1997;79(3):210-3.
Goldberg BA, Scarlat MM, Harryman DT, 2nd. Management of the stiff shoulder. J Orthop Sci. 1999; 4(6):462-71.
Lundberg BJ. The frozen shoulder. Clinical and radiographical observations. The effect of manipulation under general anesthesia. Structure and glycosaminoglycan content of the joint capsule. Local bone metabolism. Acta Orthop Scand Suppl. 1969; 119:1-59.
Wolf JM, Green A. Influence of comorbidity on self-assessment instrument scores of patients with idiopathic adhesive capsulitis. J Bone Joint Surg Am. 2002; 84(7):1167-73.
Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995; 77(5):677-83.
Mohtadi NG, Bitar IJ, Sasyniuk TM, Hollinshead RM, Harper WP. Arthroscopic versus open repair for traumatic anterior shoulder instability: a meta-analysis. Arthroscopy. 2005; 21(6):652-8.
Simpson JK, Budge R. Treatment of frozen shoulder using distension arthrography (hydrodilatation): a case series. Australas Chiropr Osteopathy. 2004; 12(1):25-35.
Jurgel J, Rannama L, Gapeyeva H, Ereline J, Kolts I, Paasuke M. Shoulder function in patients with frozen shoulder before and after 4-week rehabilitation. Medicina (Kaunas). 2005; 41(1):30-8.
Vermeulen HM, Rozing PM, Obermann WR, le Cessie S, Vliet Vlieland TP. Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Ther. 2006; 86(3):355-68.
Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, et al. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003; 48(3):829-38.
Farrell CM, Sperling JW, Cofield RH. Manipulation for frozen shoulder: long-term results. J Shoulder Elbow Surg. 2005; 14(5):480-4.
Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? Acta Orthop Belg. 2007; 73(1):21-5.
Homsi C, Bordalo-Rodrigues M, da Silva JJ, Stump XM. Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool? Skeletal Radiol. 2006; 35(9):673-8.
Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996; 29(6):602-8.
Ellman H, Hanker G, Bayer M. Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am. 1986;68(8):1136-44.
Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am. 1978; 60(1):1-16.
Musil D, Sadovsky P, Stehlik J, Filip L, Vodicka Z. [Arthroscopic capsular release in frozen shoulder syndrome]. Acta Chir Orthop Traumatol Cech. 2009; 76(2):98-103.
Cinar M, Akpinar S, Derincek A, Circi E, Uysal M. Comparison of arthroscopic capsular release in diabetic and idiopathic frozen shoulder patients. Arch Orthop Trauma Surg. 2010; 130(3):401-6.
Sheridan MA, Hannafin JA. Upper extremity: emphasis on frozen shoulder. Orthop Clin North Am. 2006; 37(4):531-9.
Grant JA, Schroeder N, Miller BS, Carpenter JE. Comparison of manipulation and arthroscopic capsular release for adhesive capsulitis: a systematic review. Journal of Shoulder and Elbow Surgery. 2013; 22(8):1135-45.
Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg. 2004; 13(2):180-5.
Lafosse L, Boyle S, Kordasiewicz B, Guttierez-Arramberi M, Fritsch B, Meller R. Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2012; 28(7):916-23.
Snow M, Boutros I, Funk L. Posterior arthroscopic capsular release in frozen shoulder. Arthroscopy. 2009; 25(1):19-23.
Marquardt B, Witt KA, Liem D, Steinbeck J, Potzl W. Arthroscopic Bankart repair in traumatic anterior shoulder instability using a suture anchor technique. Arthroscopy. 2006; 22(9):931-6.
Kim SH, Ha KI. Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy. 2002; 18(7):755-63.
Ozbaydar MU, Bekmezci T, Tonbul M, Yurdoglu C. The results of arthroscopic repair in partial rotator cuff tears. Acta Orthop Traumatol Turc. 2006; 40(1):49-55.
Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy. 1993; 9(2):195-200.
Fuchs B, Gilbart MK, Hodler J, Gerber C. Clinical and structural results of open repair of an isolated one-tendon tear of the rotator cuff. J Bone Joint Surg Am. 2006; 88(2):309-16.
| ||
|
آمار تعداد مشاهده مقاله: 2,617 تعداد دریافت فایل اصل مقاله: 1,810 |
||