Arthroscopic capsular release for refractory shoulder stiffness
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302013000400013 |
Resumo: | OBJECTIVE: To evaluate the results of the arthroscopic treatment of refractory adhesive capsulitis of the shoulder with two to nine years of follow-up, comparing the pre-and postoperative range of motion. METHODS: This was an observational study (case series) of 18 patients who underwent arthroscopic capsular release for refractory shoulder stiffness. The mean age was of 53.6 years (range: 39 to 68), with female predominance (77.77%) and nine cases left shoulders. There were 6 primary (33.33%) and 12 secondary cases (66.67%). Arthroscopic capsular release was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a minimum follow-up of two years (range: 26 to 110 months). RESULTS: The mean active and passive forward flexion, external rotation and internal rotation increased from 94.4º/103.3º, 11.9º/21.9º, and S1/L5 vertebral level, respectively, to 151.1º/153.8º, 57.2º/64.4º, and T12/T10 vertebral level, respectively. There was a significant difference between the pre-and postoperative range of motion (p < 0.001). according to the constant-murley functional score (rom), the value increased from 14 (preoperative mean) to 30 points (postoperative mean). postoperatively, all patients showed diminished shoulder pain (none or mild/15 or 10 points in the constant-murley score). CONCLUSION: arthroscopic treatment is an effective treatment for refractory shoulder stiffness. |
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Arthroscopic capsular release for refractory shoulder stiffnessFrozen shoulderCapsular releaseArthroscopyPassive range of motionGlenohumeral jointShoulder painOBJECTIVE: To evaluate the results of the arthroscopic treatment of refractory adhesive capsulitis of the shoulder with two to nine years of follow-up, comparing the pre-and postoperative range of motion. METHODS: This was an observational study (case series) of 18 patients who underwent arthroscopic capsular release for refractory shoulder stiffness. The mean age was of 53.6 years (range: 39 to 68), with female predominance (77.77%) and nine cases left shoulders. There were 6 primary (33.33%) and 12 secondary cases (66.67%). Arthroscopic capsular release was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a minimum follow-up of two years (range: 26 to 110 months). RESULTS: The mean active and passive forward flexion, external rotation and internal rotation increased from 94.4º/103.3º, 11.9º/21.9º, and S1/L5 vertebral level, respectively, to 151.1º/153.8º, 57.2º/64.4º, and T12/T10 vertebral level, respectively. There was a significant difference between the pre-and postoperative range of motion (p < 0.001). according to the constant-murley functional score (rom), the value increased from 14 (preoperative mean) to 30 points (postoperative mean). postoperatively, all patients showed diminished shoulder pain (none or mild/15 or 10 points in the constant-murley score). CONCLUSION: arthroscopic treatment is an effective treatment for refractory shoulder stiffness.Associação Médica Brasileira2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302013000400013Revista da Associação Médica Brasileira v.59 n.4 2013reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1016/j.ramb.2013.02.004info:eu-repo/semantics/openAccessFernandes,Marcos Rassieng2015-07-28T00:00:00Zoai:scielo:S0104-42302013000400013Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2015-07-28T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Arthroscopic capsular release for refractory shoulder stiffness |
title |
Arthroscopic capsular release for refractory shoulder stiffness |
spellingShingle |
Arthroscopic capsular release for refractory shoulder stiffness Fernandes,Marcos Rassi Frozen shoulder Capsular release Arthroscopy Passive range of motion Glenohumeral joint Shoulder pain |
title_short |
Arthroscopic capsular release for refractory shoulder stiffness |
title_full |
Arthroscopic capsular release for refractory shoulder stiffness |
title_fullStr |
Arthroscopic capsular release for refractory shoulder stiffness |
title_full_unstemmed |
Arthroscopic capsular release for refractory shoulder stiffness |
title_sort |
Arthroscopic capsular release for refractory shoulder stiffness |
author |
Fernandes,Marcos Rassi |
author_facet |
Fernandes,Marcos Rassi |
author_role |
author |
dc.contributor.author.fl_str_mv |
Fernandes,Marcos Rassi |
dc.subject.por.fl_str_mv |
Frozen shoulder Capsular release Arthroscopy Passive range of motion Glenohumeral joint Shoulder pain |
topic |
Frozen shoulder Capsular release Arthroscopy Passive range of motion Glenohumeral joint Shoulder pain |
description |
OBJECTIVE: To evaluate the results of the arthroscopic treatment of refractory adhesive capsulitis of the shoulder with two to nine years of follow-up, comparing the pre-and postoperative range of motion. METHODS: This was an observational study (case series) of 18 patients who underwent arthroscopic capsular release for refractory shoulder stiffness. The mean age was of 53.6 years (range: 39 to 68), with female predominance (77.77%) and nine cases left shoulders. There were 6 primary (33.33%) and 12 secondary cases (66.67%). Arthroscopic capsular release was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a minimum follow-up of two years (range: 26 to 110 months). RESULTS: The mean active and passive forward flexion, external rotation and internal rotation increased from 94.4º/103.3º, 11.9º/21.9º, and S1/L5 vertebral level, respectively, to 151.1º/153.8º, 57.2º/64.4º, and T12/T10 vertebral level, respectively. There was a significant difference between the pre-and postoperative range of motion (p < 0.001). according to the constant-murley functional score (rom), the value increased from 14 (preoperative mean) to 30 points (postoperative mean). postoperatively, all patients showed diminished shoulder pain (none or mild/15 or 10 points in the constant-murley score). CONCLUSION: arthroscopic treatment is an effective treatment for refractory shoulder stiffness. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302013000400013 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302013000400013 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.ramb.2013.02.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.59 n.4 2013 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
_version_ |
1754212830760927232 |