镜下270°关节囊松解术治疗原发性冻结肩  

Arthroscopic 270°capsular release for primary frozen shoulder

作　　者：王俊 刘红飞 柯荣军 朱骏 WANG Jun;LIU Hong-fei;KE Rong-jun;ZHU Jun(Depart-ment of Orthopedics,Zhenjiang Hospital of Integrated Chinese and Western Medicine,Zhenjiang 212000,China)

机构地区：[1]镇江市中西医结合医院骨科,江苏镇江212000

出　　处：《中国矫形外科杂志》2024年第23期2205-2208,共4页Orthopedic Journal of China

摘　　要：【目的】探讨镜下270°关节囊松解治疗原发性冻结肩的疗效。【方法】回顾性分析本院2019年1月--2021年7月行关节镜下270°松解术治疗的36例原发性冻结肩患者的临床资料,评价临床结果。【结果】所有患者均顺利完成手术,术中未发生血管、神经损伤等并发症。患者均获得随访,随访时间平均(17.0±3.6)个月;与术前相比,术后1、6个月、末次随访时中国人肩关节功能评分【(35.1±2.8),(58.4±3.8),(64.2±3.7),(67.4±5.3),P<0.001】、Constant评分【(38.2±5.5),(59.1±4.5),(77.4±3.5),(82.8±5.4),P<0.001】、肩前屈ROM【(64.1±8.6),(111.8±7.8),(114.8±9.5),(153.6±6.3)°,P<0.001】、外展ROM【(59.3±5.3)°,(110.6±6.0)(144.4±6.5),(149.2±6.3),P<0.001】、体侧外旋ROM【(13.6±4.1)(29.5±5.9),(40.1±5.3),(48.8±6.3),P<0.001】均显著改善(P<0.05)。【结论】镜下270°关节囊松解术治疗原发性冻结肩术后患者疼痛改善明显,并可有效改善肩关节活动度,临床效果满意。【Objective】To investigate the clinical outcome of arthroscopic 270°capsular release in the treatment of frozen shoulder.【Methods】A retrospective study was conducted on 36 patients who received arthroscopic 270°capsular release for primary frozen shoulder in our hospital from January 2019 to July 2021.The clinical documentations were evaluated.【Results】All patients had operation performed successfully,with no complications of vascular and nerve injury occurred during the operation.All patients were followed up for an average of(17.0+3.6)months.As time elapsed from that before surgery to 1 month,6 months postoperatively and the latest follow-up,the Chinese shoulder score【(35.1±2.8),(58.4±3.8),(64.2±3.7),(67.4±5.3),P<0.001】,Constant-Murley score【(38.2±5.5),(59.1±4.5),(77.4±3.5),(82.8±5.4),P<0.001】,forward flexion R0M【(64.1±8.6)°,(111.8±7.8),(114.8±9.5)°,(153.6±6.3)°,P<0.001】,abduction ROM【(59.3±5.3)°,(110.6±6.0),(144.4±6.5),(149.2±6.3),P<0.001】,body side external rotation R0M【(13.6±4.1)°,(29.5±5.9)°,(40.1±5.3)°,(48.8±6.3)°,P<0.001】were significantly improved.【Conclusion】Arthroscopic 270°capsular release for the treatment of primary frozen shoulder does significantly relief pain,and effectively improve shoulder joint motion,with satisfactory clinical results.

关 键 词：原发性冻结肩 关节镜 松解术 

分 类 号：R687[医药卫生—骨科学]