지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.9
- 수록면
- 117 - 125 (9page)
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초록· 키워드
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Background: To compare the clinical outcomes of arthroscopic capsular release in patients with and without inferior capsular release for shoulder stiffness.
Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up.
Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery.
Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).
Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up.
Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery.
Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (27)
참고문헌 신청
[단행본] - Codman EA / 1934 / The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa / T. Todd Company : 216 ~ 224
[학술지(정기간행물)] - Watson L / 2000 / Frozen shoulder: a 12-month clinical outcome trial / J Shoulder Elbow Surg 9 (1) : 16 ~ 22
[학술지(정기간행물)] - Shaffer B / 1992 / A long-term follow-up / J Bone Joint Surg Am 74 (5) : 738 ~ 746
[학술지(정기간행물)] - Tauro JC / 2006 / Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results / Arthroscopy 22 (6) : 581 ~ 586
[학술지(정기간행물)] - Warner JJ / 1996 / Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder / J Bone Joint Surg Am 78 (12) : 1808 ~ 1816
[학술지(정기간행물)] - Watson L / 2000 / Frozen shoulder: a 12-month clinical outcome trial / J Shoulder Elbow Surg 9 (1) : 16 ~ 22
[학술지(정기간행물)] - Shaffer B / 1992 / A long-term follow-up / J Bone Joint Surg Am 74 (5) : 738 ~ 746
[학술지(정기간행물)] - Tauro JC / 2006 / Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results / Arthroscopy 22 (6) : 581 ~ 586
[학술지(정기간행물)] - Warner JJ / 1996 / Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder / J Bone Joint Surg Am 78 (12) : 1808 ~ 1816
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