- 作者：Callum P. Barnes ; Patrick H. Lam ; PhD ; George A.C. Murrell ; MD ; DPhil ; murrell.g@ori.org.au" class="auth_mail" title="E-mail the corresponding author
- 关键词：Level IV ; Case Series ; Treatment Study
- 刊名：Journal of Shoulder and Elbow Surgery
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：25
- 期：9
- 页码：e256-e264
- 全文大小：812 K
absSec_2">Methods
The study included 140 shoulders in 133 patients with idiopathic adhesive capsulitis who underwent a complete arthroscopic release of the shoulder capsule, performed by a single surgeon in a day surgery setting. Patient-reported pain and shoulder function were evaluated with the use of Likert scales, and an independent examiner assessed shoulder strength and range of motion preoperatively and at 1 week, 6 weeks, 12 weeks, and 24 weeks postoperatively.
absSec_3">Results
Arthroscopic capsular release resulted in immediate improvements in pain, functional outcomes, and range of motion (P < .0001). External rotation increased from 21° ± 17° (mean ± standard deviation) to 76° ± 17° at 1 week. Passive range of shoulder motion improved at 1 week, deteriorated slightly at 6 weeks, and then continued to improve at 12 and 24 weeks. Before surgery, 38% of patients reported that they “always” experienced extreme pain. This proportion reduced to 30% (P < .0001) at 1 week postoperatively and 2% (P < .0001) at 24 weeks postoperatively. There were no complications.
absSec_4">Conclusions
Patients who underwent an arthroscopic capsular release for idiopathic adhesive capsulitis experienced significant reductions in pain, improvements in range of motion, and improvements in overall shoulder function in the first postoperative week. These immediate improvements in pain and function continue to improve at 6, 12, and 24 weeks postoperatively.