Evaluation of Functional Outcome of Arthroscopic Capsular Release in Adhesive Capsulitis (Frozen Shoulder)- A Research Study from North India

Altaf Hussain, M. Farooq, Sharat Agarwal
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Abstract

Introduction: Frozen shoulder is a disabling and painful condition that is commonly managed in the primary care setting. Frozen shoulder has a protracted natural history that usually ends in resolution. It is a condition characterised by functional restriction of both active and passive shoulder motion for which radiographs of the glenohumeral joint are essentially unremarkable except for the possible presence of osteopenia or calcific tendonitis. Aims and Objectives: To evaluate the functional outcome of arthroscopic release of capsule in adhesive capsulitis (frozen shoulder). Materials and Methods: A prospective study conducted on patients diagnosed as having frozen shoulder. A total of 25 patients were taken who underwent Arthroscopic capsular release. Results: The mean forward elevation improved from 100.52 to 156.60 at final follow up. Mean abduction improved from 97.12 to 156.36 at final follow up. Mean external rotation 32.76 to 38.96 at final follow up. Mean internal rotation 18.88 to 37.0 at final follow up. The mean UCLA score improved from 13.16 to 32.16 at final follow. Excellent results were seen in 12 patients (48%), Good in 8 patients (32%), Fair in 4 patients (16%) and Poor in 1 patient (4%). Conclusion: Arthroscopic release of capsule in frozen shoulder (adhesive capsulitis) is a safe and effective procedure with very few complications. It gives further advantage of evaluating any glenohumeral joint and subacromial pathology & rapid rehabilitation is possible in comparison to open procedures.
粘连性肩关节囊炎(冻结肩)关节镜下肩关节囊松解术的功能效果评估--一项来自北印度的调查研究
引言肩周炎是一种致残性和疼痛性疾病,通常在初级医疗机构接受治疗。肩周炎的自然病程较长,通常以治愈告终。肩周炎的特点是肩部主动和被动运动功能受限,除了可能存在骨质增生或钙化性肌腱炎外,盂肱关节的X光片基本无异常。目的和目标:评估关节镜下粘连性肩关节囊炎(肩周炎)关节囊松解术的功能效果。材料与方法:对确诊为肩周炎的患者进行前瞻性研究。共有 25 名患者接受了关节镜下关节囊松解术。研究结果在最后的随访中,平均前抬度从 100.52 提高到 156.60。最后随访时,平均外展度从97.12提高到156.36。最后随访时,平均外旋从 32.76 提高到 38.96。内旋的平均值从 18.88 提高到最后随访时的 37.0。UCLA 平均得分从 13.16 分提高到最后随访时的 32.16 分。12名患者(48%)疗效极佳,8名患者(32%)疗效良好,4名患者(16%)疗效一般,1名患者(4%)疗效较差。结论肩周炎(粘连性囊炎)的关节镜关节囊松解术是一种安全有效的手术,并发症极少。与开放手术相比,该手术还具有评估任何盂肱关节和肩峰下病变以及快速康复的优势。
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