Arthrolysis and sequential arthroperfusion for treatment of frozen shoulder in the pain stage

doi:10.3877/cma.j.issn.2095-5790.2021.02.005

Abstract

Abstract:

Background

The main manifestations of frozen shoulder are shoulder pain and limitation of movement, which can be divided into three stages: pain stage, stiffness stage and remission stage. Currently, conservative treatment is the main treatment method for frozen shoulder in pain stage, including oral non-steroidal anti-inflammatory drugs, physiotherapy, traditional Chinese medicine treatment, shoulder perfusion, etc. Shoulder perfusion can quickly and effectively relieve pain, but the improvement of range of motion is slow with long duration of treatment. Arthroscopic release can rapidly improve the range of motion of the shoulder joint. However, due to the limited effect of anti-inflammation, it is mainly applicable to frozen shoulder in the stiffness stage, and it is still controversial to treat frozen shoulder in the pain stage, which is prone to recurrence.

Objective

To investigate the clinical efficacy of arthrolysis and sequential arthroperfusion in the treatment of frozen shoulder in the pain stage.

Methods

From January 2018 to October 2019, 18 patients of frozen shoulder in the pain stage were treated with arthrolysis and sequential arthroperfusion in our hospital. The data of active and passive range of motion, VAS score, UCLA score, DASH score of before operation and 1st week, 4th week, 3rd month, and 6th month after operation were collected.

Results

There were significant differences in the above indexes among the groups (P<0.05) . At each time point 1 week after the operation, all other indicators except internal rotation were significantly improved compared with those before operation (P<0.05) . In the 4th week after operation, all the indicators were significantly improved compared with those before operation and 1 week after operation (P<0.05) .In the 3rd month after operation, all the indexes were significantly improved compared with those before operation and 1 week and 4 weeks after operation (P<0.05) . In the 6th month after operation, all the indexes were significantly improved compared with those before operation and 1 week, 4 weeks and 3 months after operation (P<0.05) . All patients were satisfied with the curative effect.

Conclusion

Arthrolysis and sequential arthroperfusion in the treatment of frozen shoulder during pain stage can quickly relieve pain, improve the range of motion of shoulder joint and restore the shoulder function.

Key words: Frozen shoulder of pain stage, Arthroscopy, Arthroperfusion, Arthrolysis

Quanhui Liu, Zhu Dai, Biao Wu, Wen Huang, Jian Li. Arthrolysis and sequential arthroperfusion for treatment of frozen shoulder in the pain stage[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2021, 09(02): 131-135.

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Figures/Tables 3

References 20

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时间	UCLA评分	DASH评分	VAS评分
术前	9.5±4.2	31.9±2.3	8.6±1.0
术后1周	16.4±3.6^a	27.3±2.2^a	4.5±0.3^a
术后4周	20.1±3.5^a	22.4±2.1^a	2.9±0.5^a
术后3个月	23.9±5.4^a	19.0±2.3^a	2.2±0.6^a
术后6个月	31.6±4.8^a	9.3±1.9^a	1.3±0.9^a
P值	<0.05	<0.05	<0.05

时间	UCLA评分	DASH评分	VAS评分
术前	9.5±4.2	31.9±2.3	8.6±1.0
术后1周	16.4±3.6^a	27.3±2.2^a	4.5±0.3^a
术后4周	20.1±3.5^a	22.4±2.1^a	2.9±0.5^a
术后3个月	23.9±5.4^a	19.0±2.3^a	2.2±0.6^a
术后6个月	31.6±4.8^a	9.3±1.9^a	1.3±0.9^a
P值	<0.05	<0.05	<0.05

时间	前屈	外展	外旋	内旋
术前	83.5±12.5	90.7±8.9	10.2±5.6	16.3±0.4
术后1周	129.8±13.4^a	121.8±12.6^a	25.6±8.2^a	15.2±0.8
术后4周	145.3±10.2^a	134.2±11.3^a	31.5±9.3^a	13.4±0.4^a
术后3个月	168.6±8.6^a	161.8±9.2^a	40.3±7.4^a	12.1±0.6^a
术后6个月	175.8±9.3^a	171.7±12.9^a	49.3±5.6^a	10.5±0.7^a
P值	<0.05	<0.05	<0.05	<0.05

时间	前屈	外展	外旋	内旋
术前	83.5±12.5	90.7±8.9	10.2±5.6	16.3±0.4
术后1周	129.8±13.4^a	121.8±12.6^a	25.6±8.2^a	15.2±0.8
术后4周	145.3±10.2^a	134.2±11.3^a	31.5±9.3^a	13.4±0.4^a
术后3个月	168.6±8.6^a	161.8±9.2^a	40.3±7.4^a	12.1±0.6^a
术后6个月	175.8±9.3^a	171.7±12.9^a	49.3±5.6^a	10.5±0.7^a
P值	<0.05	<0.05	<0.05	<0.05

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