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
- 2020.12
- 수록면
- 169 - 177 (9page)
이용수
초록· 키워드
오류제보하기
Background: We evaluated the need for arthroscopic capsular release (ACR) in refractory primary frozen shoulder (FS) by comparing clinical outcomes of patients treated with ACR and manipulation under anesthesia (MUA).
Methods: We assessed patients with refractory primary FS, 57 patients (group A) who were treated with MUA and 22 patients (group B) who were treated with ACR. In group A, manipulation including a backside arm-curl maneuver was performed under interscalene brachial block. In group B, manipulation was performed only to release the inferior capsule before arthroscopic circumferential capsular release, which was carried out for the unreleased capsule after manipulation. Pain, range of shoulder motion, and American Shoulder and Elbow Surgeons score were recorded at 1 week, 3 months, 6 months, and 1 year after surgery. We compared outcome variables between treatment groups and between diabetics and non-diabetics and also evaluated the numbers of patients receiving additional intra-articular steroid injection.
Results: Outcome variables at 3 months after surgery and improvements in outcome variables did not differ between groups. Group A showed significantly better results than group B in the evaluation of pain and range of motion at 1 week. Diabetics showed comparable outcomes to non-diabetics for most variables. Eleven patients required additional steroid injections between 8 to 16 weeks after surgery: 12.2% in group A, 18.2% in group B. Additional injections were given three times more often in diabetics compared to non-diabetics.
Conclusions: MUA alone can yield similar clinical outcomes to ACR in refractory FS.
Methods: We assessed patients with refractory primary FS, 57 patients (group A) who were treated with MUA and 22 patients (group B) who were treated with ACR. In group A, manipulation including a backside arm-curl maneuver was performed under interscalene brachial block. In group B, manipulation was performed only to release the inferior capsule before arthroscopic circumferential capsular release, which was carried out for the unreleased capsule after manipulation. Pain, range of shoulder motion, and American Shoulder and Elbow Surgeons score were recorded at 1 week, 3 months, 6 months, and 1 year after surgery. We compared outcome variables between treatment groups and between diabetics and non-diabetics and also evaluated the numbers of patients receiving additional intra-articular steroid injection.
Results: Outcome variables at 3 months after surgery and improvements in outcome variables did not differ between groups. Group A showed significantly better results than group B in the evaluation of pain and range of motion at 1 week. Diabetics showed comparable outcomes to non-diabetics for most variables. Eleven patients required additional steroid injections between 8 to 16 weeks after surgery: 12.2% in group A, 18.2% in group B. Additional injections were given three times more often in diabetics compared to non-diabetics.
Conclusions: MUA alone can yield similar clinical outcomes to ACR in refractory FS.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (38)
참고문헌 신청
Reeves B / 1975 / The natural history of the frozen shoulder syndrome / Scand J Rheumatol 4:193~196
Shaffer B / 1992 / Frozen shoulder : a long-term follow-up / J Bone Joint Surg Am 74:738~746
Hsu JE / 2011 / Current review of adhesive capsulitis / J Shoulder Elbow Surg 20:502~514
Cvetanovich GL / 2018 / Clinical outcomes of arthroscopic 360° capsular release for idiopathic adhesive capsulitis in the lateral decubitus position / Arthroscopy 34:764~770
Gallacher S / 2018 / A randomized controlled trial of arthroscopic capsular release versus hydrodilatation in the treatment of primary frozen shoulder / J Shoulder Elbow Surg 27:1401~1406
Shaffer B / 1992 / Frozen shoulder : a long-term follow-up / J Bone Joint Surg Am 74:738~746
Hsu JE / 2011 / Current review of adhesive capsulitis / J Shoulder Elbow Surg 20:502~514
Cvetanovich GL / 2018 / Clinical outcomes of arthroscopic 360° capsular release for idiopathic adhesive capsulitis in the lateral decubitus position / Arthroscopy 34:764~770
Gallacher S / 2018 / A randomized controlled trial of arthroscopic capsular release versus hydrodilatation in the treatment of primary frozen shoulder / J Shoulder Elbow Surg 27:1401~1406
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Arthroscopic capsular release versus manipulation under anesthesia for primary frozen shoulder
대한견주관절의학회지
2020 .12
-
Can manipulation under anesthesia(MUA) alone provide a similar clinical outcomes with arthroscopic circumferential capsular release when patients complained still painful stiffness even after enough conservative management in primary adhesive capsulitis?
대한견주관절의학회 학술대회논문집
2019 .03
-
A Randomized Comparative Study of a Standard Anterior Capsular Release versus Inferior Extended Release for the Treatment of Shoulder Stiffness
대한견주관절의학회지
2017 .09
-
Clinical Outcomes of Arthroscopic Superior Capsular Reconstruction
대한견주관절의학회 학술대회논문집
2019 .03
-
Arthroscopic release in adhesive capsulitis of the shoulder: a retrospective study with 2 to 6 years of follow-up
대한견주관절의학회지
2021 .09
-
Clinical Outcome after Arthroscopic Capsular Release for Adhesive Capsulitis of the Shoulder
대한견주관절의학회지
2018 .09
-
Is Pancapsular Release More Effective than Selective Capsular Release for the Treatment of Adhesive Capsulitis?
대한견주관절의학회지
2015 .03
-
Safety arthroscopic capsular release technique for posttraumatic elbow stiffness
대한견주관절의학회 학술대회논문집
2015 .04
-
Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It’s Correlation with Surgical Outcome : A Quantitative Assessment with Computed Tomography Arthrography
대한견주관절의학회지
2016 .09
-
Clinical outcome and arthroscopic findings of anterior shoulder stabilization in patients older than 40 years
대한견주관절의학회 학술대회논문집
2015 .04
-
Clinical outcomes of rotator cuff repair with arthroscopic capsular release and manipulation for rotator cuff tear with stiffness : A matched-pair comparative study
대한견주관절의학회 학술대회논문집
2015 .04
-
The course and clinical impact of articular MRI findings at 6 months after shoulder manipulation under ultrasound-guided cervical nerve root block for frozen shoulder
대한견주관절의학회 학술대회논문집
2019 .03
-
Improved abnormal blood flow after shoulder manipulation for severe frozen shoulder: evaluation by dynamic MRI
대한견주관절의학회 학술대회논문집
2019 .03
-
When and how much does the muscle strength recover after arthroscopic superior capsular reconstruction?
대한견주관절의학회 학술대회논문집
2022 .04
-
The Clinical Results of Conservative Treatment of Frozen Shoulder Using Continuous Passive Motion
대한견주관절의학회지
2015 .12
-
Three-dimensional Capsular Volume Measurements in Multidirectional Shoulder Instability
대한견주관절의학회지
2018 .09
-
Demographic and Clinical Characteristics of Primary Frozen Shoulder in a Korean Population : A Retrospective Analysis of 1,373 Cases
대한견주관절의학회지
2015 .09
-
The Net Promoter Score with Friends and Family Test applied to arthroscopic shoulder surgery
대한견주관절의학회지
2023 .03
-
관절낭 패턴의 임상적 적용과 한계
한국전문물리치료학회지
2021 .01
-
Frozen shoulder – What is it?
대한견주관절의학회 학술대회논문집
2017 .03
이 논문의 저자 정보
이 논문과 함께 이용한 논문
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2021-514-000054296