- 期刊
Idiopathic Frozen Shoulder Treated by Arthroscopic Brisement
原發性冷凍肩的治療─利用關節鏡裂斷術
摘要
原發性冷凍肩有多種治療方法，也有不同的結果報告。高雄醫學大學骨科自民國82年到88年間共收集186個原發性冷凍肩。利用關節鏡斷裂術來治療。92%的冷凍肩被追蹤平均二年發現有滿意的結果，肩關節疼痛隨著關節活動度的增加而日漸減輕，大多數的病人於術後三個月完全恢復正常。我們認為利用關節鏡斷裂術來治療原發性冷凍肩，不僅可以洞悉肩關節內的病變，加上組織學的分析，更可以探查其病因及分類，也可以恢復正常的肩關節活動。
關鍵字
無資料並列摘要
Arthroscopic brisement serves as an useful procedure in the treatment of idiopathic frozen shoulder. This series included 186 shoulders with a diagnosis of idiopathic frozen shoulder who had symptoms for an average of8 months and failed conservative treatment of at least 12 weeks. Using the arthroscopic brisement (distension, debride, release and manipulation) to treat the idiopathic frozen shoulder, it is beneficial not only to detect the inside lesion but also a solution to the problem of stiffness. The average follow-up time was 23 months from 6 months to 5 years. One hundred and seventy(92%) of 186 shoulders had yielded overall satisfactory results in this series. There was no relationship between the end result and the initial pathologic condition. We believe that arthroscopic brisement is an effective way of shortening the course of frozen shoulder and should be considered when conservative treatment has failed.