Arthroscopic release for frozen shoulder: Does the timing of intervention and diabetes affect outcome?
Autoři:
Yu-De Su aff001; Tien-Ching Lee aff002; Yu-Chuan Lin aff001; Shen-Kai Chen aff001
Působiště autorů:
Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
aff001; Orthopaedic Research Center, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
aff002; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
aff003; Department of Orthopedics, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
aff004
Vyšlo v časopise:
PLoS ONE 14(11)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0224986
Souhrn
Purpose
To evaluate the effect of timing of arthroscopic release and manipulation under anesthesia for frozen shoulder in patients with diabetes and non-diabetes.
Methods
One hundred and twenty-seven patients with frozen shoulder were included in the study. Each patient was assigned to: 1) one of four groups according to the duration from symptom onset to surgery (group A: ≤3 months; group B: 3–6 months; group C: 6–12 months; group D: >12 months), 2) diabetic or nondiabetic group. The outcomes were measured by shoulder range of motion (ROM), Disabilities of the Arm, Shoulder, and Hand (DASH) score, American Shoulder and Elbow Surgeons (ASES) Shoulder score, the period of pain relief, overall duration of disease, and satisfaction.
Results
All the patients got great improvement in shoulder ROM (P < .0001) after arthroscopic surgery, but there was no statistical difference in the pre-operative and post-operative shoulder ROM between the four groups and between diabetic and nondiabetic groups. The overall duration of disease was mean 55.4~68.7 weeks, which demonstrated much shorter disease course compared with nature course.
Improvement were also seen in shoulder ROM at one week to one month, and the period of total pain relief was at a mean time of 3.7 to 3.8 weeks. There were higher ASES Shoulder score in group B than in group C (P = 0.02) and higher DASH score in diabetic group in short term follow-up.
Conclusions
Arthroscopic release provides effective and rapid improvements to shoulder motion and function, unrelated to the timing of surgery, in patients with frozen shoulder. The diabetic patients do not have functional outcomes as good as the nondiabetic patient at short-term follow-up.
Klíčová slova:
Disabilities – Surgical and invasive medical procedures – Anesthesia – Shoulders – Surgeons – Arthroscopy
Zdroje
1. Favejee MM, Huisstede BM, Koes BW. Frozen shoulder: the effectiveness of conservative and surgical interventions—systematic review. Br J Sports Med 2011; 45(1): 49–56 doi: 10.1136/bjsm.2010.071431 20647296
2. Mukherjee RN, Pandey RM, Nag HL, Mittal R. Frozen shoulder—A prospective randomized clinical trial. World J Orthop 2017;5:394–399.
3. Hand GCR, Athanasou NA, Matthews T, Carr AJ. The pathology of frozen shoulder. J Bone Joint Surg Br 2007;89(7): 928–932. doi: 10.1302/0301-620X.89B7.19097 17673588
4. Robinson CM, M Seah KT, Chee YH, Hindle P, Murray IR. Frozen shoulder. J Bone Joint Surg Br 2012;94(1): 1–9 doi: 10.1302/0301-620X.94B1.27093 22219239
5. Wong PL, Tan HC. A review on frozen shoulder. Singapore Med J 2010;51(9): 694–697 20938608
6. Hsu JE, Anakwenze OA, Warrender WJ, Abboud JA. Current review of adhesive capsulitis. J Shoulder Elbow Surg 2011;20(3): 502–514. doi: 10.1016/j.jse.2010.08.023 21167743
7. Chambler A. F. and Carr A. J. The role of surgery in frozen shoulder. J Bone Joint Surg Br 2003;85(6): 789–95 12931793
8. Sunil Sharma. Management of frozen shoulder—conservative vs surgical? Ann R Coll Surg Engl 2011;93(5): 343–344; discussion 345–346. doi: 10.1308/147870811X582080 21943454
9. Cho CH, Kim DH, Lee YK. Serial Comparison of Clinical Outcomes after Arthroscopic Capsular Release for Refractory Frozen Shoulder With and Without Diabetes. J. Arthroscopy. 2016,Vol 32, No 8(August);1515–1520
10. Mehta SS, Singh HP, Pandey R. Comparative outcome of arthroscopic release for frozen shoulder in patients with and without diabetes. J Bone Joint Surg Br 2014;96-B: 1355–8
11. Massoud SN, Pearse EO, Levy O, Copeland SA.Operative management of the frozen shoulder in patients with diabetes. J. Shoulder Elbow Surg 2002;11:609–13 doi: 10.1067/mse.2002.127301 12469088
12. Thomas WJ, Jenkins EF, Owen JM, Sangster MJ, Kirubanandan R, Beynon C, et al. Treatment of frozen shoulder by manipulation under anaesthetic and injection: does the timing of treatment affect the outcome? J Bone Joint Surg Br 2011;93(10):1377–1381. doi: 10.1302/0301-620X.93B10.27224 21969438
13. Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg 2004;13(2): 180–185. doi: 10.1016/S1058274603003094 14997096
14. Chen SK, Chou PH, Lue YJ, Lu YM. Treatment for frozen shoulder combined with calcific tendinitis of the supraspinatus. Kaohsiung J Med Sci 2008;24(2): 78–84. doi: 10.1016/S1607-551X(08)70101-3 18281224
15. Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, et al. A standardized method for the assessment of shoulder function. J. Shoulder Elbow Surg 1994;3:347–52 doi: 10.1016/S1058-2746(09)80019-0 22958838
16. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 2008;17(2):231–6. doi: 10.1016/j.jse.2007.05.009 17993282
17. Dattani R, Ramasamy V, Parker R, Patel VR. Improvement in quality of life after arthroscopic capsular release for contracture of the shoulder. Bone Joint J 2013;95:942–946. doi: 10.1302/0301-620X.95B7.31197 23814247
18. Le Lievre HM. and Murrell GA. Long-term outcomes after arthroscopic capsular release for idiopathic adhesive capsulitis. J Bone Joint Surg Am 2012;94(13): 1208–1216. doi: 10.2106/JBJS.J.00952 22760389
19. Baums MH, Spahn G, Nozaki M, Steckel H, Schultz W, Klinger HM. Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Knee Surg Sports Traumatol Arthrosc 2007;15: 638–644 doi: 10.1007/s00167-006-0203-x 17031613
20. Smith CD, Hamer P, Bunker TD. Arthroscopic capsular release for idiopathic frozen shoulder with intra-articular injection and a controlled manipulation. Ann R Coll Surg Engl 2014;96(1) 55–60. doi: 10.1308/003588414X13824511650452 24417832
Článok vyšiel v časopise
PLOS One
2019 Číslo 11
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Dlouhodobá recidiva a komplikace spojené s elektivní operací břišní kýly
Najčítanejšie v tomto čísle
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- A 3’ UTR SNP rs885863, a cis-eQTL for the circadian gene VIPR2 and lincRNA 689, is associated with opioid addiction
- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
- Molecular validation of clinical Pantoea isolates identified by MALDI-TOF