CAJ | 학술논문

目的：探讨关节镜下关节囊松解清理术治疗冻结肩的临床疗效。方法2010年3月至2012年3月收治38例冻结肩患者，男16例，女22例，年龄49～65岁（平均56.8岁）。按照视觉模拟评分（ Visual analogue scale， VAS）、肩关节的Constant评分及肩关节活动度评估临床疗效。结果38例手术均安全完成，术后无关节不稳、继发出血、感染等并发症，术后平均随访12.2个月（6～18个月）。术前、术后3个月及末次随访时VAS评分、肩关节前屈角度、肩关节外展角度及Constant评分术后3个月及末次随访与术前比较差异均具有统计学意义（P＜0.05），四组数据术后3个与末次随访时比较差异无统计学意义（ P＞0.05）。结论关节镜松解清理术治疗冻结肩是一种安全有效、微创的手术方法。
목적：탐토관절경하관절낭송해청리술치료동결견적림상료효。방법2010년3월지2012년3월수치38례동결견환자，남16례，녀22례，년령49～65세（평균56.8세）。안조시각모의평분（ Visual analogue scale， VAS）、견관절적Constant평분급견관절활동도평고림상료효。결과38례수술균안전완성，술후무관절불은、계발출혈、감염등병발증，술후평균수방12.2개월（6～18개월）。술전、술후3개월급말차수방시VAS평분、견관절전굴각도、견관절외전각도급Constant평분술후3개월급말차수방여술전비교차이균구유통계학의의（P＜0.05），사조수거술후3개여말차수방시비교차이무통계학의의（ P＞0.05）。결론관절경송해청리술치료동결견시일충안전유효、미창적수술방법。
Objective To evaluate the clinical efficacy of arthroscopic capsular release in the treatment of idiopathic frozen shoulder.Methods A retrospective analysis of 38 patients who underwent arthroscopic capsular release for the idiopathic frozen shoulder between March 2010 and March 2012 in our hospital was carried out.The visual analogue scale ( VAS) scores, Constant score, and the shoulder range of motion were recorded before and after the operation, as well as at the final follow-up.Results All 38 cases underwent the operation successfully without any severe complications.The mean follow-up duration was 12.2 months (range, six to 18 months).The differences of the VAS scores, Constant score, and the shoulder range of motion between the pre-operative ones and the post-operative ones were statistically significant ( P<0.05 ) , while there was no significant differences between the data of the post-operative period and the data of the final follow-up (P>0.05).Conclusion Arthroscopic capsular release is a safe and effective surgical procedure in the management of idiopathic frozen shoulder.It has the advantage of minimally invasive incision, better recovery and less complications.