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
- 2014.1
- 수록면
- 360 - 368 (9page)
이용수
초록· 키워드
오류제보하기
Objective To find the most effective procedure to treat adhesive capsulitis of the shoulder, we evaluated the clinical effects of an ultrasonographic-guided anterior approach capsular distension and a fluoroscopy-guided posterolateral approach capsular distension. We expected the anterior approach to be better than the posterolateral approach because the rotator interval, a triangular anatomic area in the anterosuperior aspect of the shoulder, which is considered an important component of the pathology of adhesive capsulitis.Methods Participants were randomly assigned to two groups: 27 patients in group A were injected by an anterior approach with 2% lidocaine (5 mL), contrast dye (5 mL), triamcinolone (40 mg), and normal saline (9 mL) under fluoroscopic guidance in the operating room. Twenty-seven patients in group B were injected using a posterolateral approach with 2% lidocaine (5 mL), triamcinolone (40 mg), and normal saline (14 mL) under ultrasonographic guidance. After injection, all patients received physiotherapy four times in the first postoperative week and then two times each week for eight more weeks. Treatment effects were assessed using the shoulder pain and disability index (SPADI), visual numeric scale (VNS), passive range of motion (PROM), hand power (grip and pinch) at baseline and at one week, five and nine weeks after injection. Results SPADI, VNS, PROM, and hand power improved in one week, five and nine weeks in both groups. Statistically significant differences were not observed in SPADI, VNS, PROM, or hand power between groups. Conclusion Ultrasonography-guided capsular distension by a posterolateral approach has similar effects to fluoroscopy-guided capsular distension by an anterior approach.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Andren L / 1965 / treatment of rigid shoulders by joint distension during arthrography / Acta Orthop Scand 36 : 45 ~ 53
Chen HS / 2011 / Treatment of frozen shoulder with intra-articular injection of botulinum toxin in shoulder joints / Med Hypotheses 77 : 305 ~ 307
Dupeyron A / 2010 / Heterogeneous assessment of shoulder disorders: validation of the Stan
Ewald A / 2011 / Adhesive capsulitis: a review / Am Fam Physician 83 : 417 ~ 422
Gaskill TR / 2011 / The rotator interval: pathology and management / Arthroscopy 27 : 556 ~ 567
Chen HS / 2011 / Treatment of frozen shoulder with intra-articular injection of botulinum toxin in shoulder joints / Med Hypotheses 77 : 305 ~ 307
Dupeyron A / 2010 / Heterogeneous assessment of shoulder disorders: validation of the Stan
Ewald A / 2011 / Adhesive capsulitis: a review / Am Fam Physician 83 : 417 ~ 422
Gaskill TR / 2011 / The rotator interval: pathology and management / Arthroscopy 27 : 556 ~ 567
이 논문의 저자 정보
최근 본 자료
댓글(0)
0