PDF(Pubmed)
Abstract：
UNASSIGNED: Adhesive capsulitis of the shoulder is a painful and debilitating condition. While the majority of patients improve with conservative treatment, those who do not improve require surgery such as arthroscopic capsular release (ACR) for symptom relief. However, there is limited literature regarding the optimal timeframe to proceed with surgery.
UNASSIGNED: This retrospective cohort evaluated 134 Hispanic patients who underwent ACR for the treatment of adhesive capsulitis. Patients were divided into an early and a delayed treatment group that included all patients. Patients were then divided into diabetic and idiopathic subgroups. Early vs. delayed treatment outcomes (forward flexion, external rotation, Visual Analog Scale pain scores, and recurrence requiring reoperation) were assessed in all patients and in each subgroup.
UNASSIGNED: No statistically significant differences were found between the early and delayed release groups in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month, 3 months, and 6 months of follow-up in the all-patient group. In the idiopathic frozen shoulder subgroup, no significant differences were observed in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month, 3 months, and 6 months of follow-up. In the diabetic frozen shoulder subgroup, no significant differences were observed in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month and 6 months of follow-up visits.
UNASSIGNED: There was no difference in outcomes following ACR for adhesive capsulitis between patients who underwent early release vs. delayed release. There were no significant differences in outcomes between early and delayed arthroscopic release in patients with a history of diabetes mellitus.
UNASSIGNED: This retrospective cohort evaluated 134 Hispanic patients who underwent ACR for the treatment of adhesive capsulitis. Patients were divided into an early and a delayed treatment group that included all patients. Patients were then divided into diabetic and idiopathic subgroups. Early vs. delayed treatment outcomes (forward flexion, external rotation, Visual Analog Scale pain scores, and recurrence requiring reoperation) were assessed in all patients and in each subgroup.
UNASSIGNED: No statistically significant differences were found between the early and delayed release groups in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month, 3 months, and 6 months of follow-up in the all-patient group. In the idiopathic frozen shoulder subgroup, no significant differences were observed in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month, 3 months, and 6 months of follow-up. In the diabetic frozen shoulder subgroup, no significant differences were observed in postoperative forward flexion, external rotation, pain intensity scores, and recurrence requiring reoperation at 1 month and 6 months of follow-up visits.
UNASSIGNED: There was no difference in outcomes following ACR for adhesive capsulitis between patients who underwent early release vs. delayed release. There were no significant differences in outcomes between early and delayed arthroscopic release in patients with a history of diabetes mellitus.
摘要：
■肩部粘连性囊炎是一种痛苦和衰弱的疾病。虽然大多数患者通过保守治疗得到改善，那些没有改善的患者需要手术如关节镜囊松解术(ACR)以缓解症状.然而,关于进行手术的最佳时间框架的文献有限.
■本回顾性队列评估了134名接受ACR治疗粘连性囊炎的西班牙裔患者。患者分为早期和延迟治疗组，包括所有患者。然后将患者分为糖尿病和特发性亚组。早期vs.延迟治疗结果(前屈，外部旋转,视觉模拟量表疼痛评分，和需要再次手术的复发）在所有患者和每个亚组中进行评估。
■在术后前屈方面，早期释放组和延迟释放组之间没有统计学上的显着差异，外部旋转,疼痛强度评分,复发需要在1个月时再次手术，3个月,全组随访6个月。在特发性肩周炎亚组中，术后前屈无显著差异，外部旋转,疼痛强度评分,复发需要在1个月时再次手术，3个月,6个月的随访。在糖尿病性肩周炎亚组中，术后前屈无显著差异，外部旋转,疼痛强度评分,和复发需要在1个月和6个月的随访时再次手术。
■接受早期释放的患者与接受ACR治疗粘连性囊炎的患者之间的结局没有差异延迟释放。在有糖尿病病史的患者中，早期和延迟关节镜释放之间的结果没有显着差异。
■本回顾性队列评估了134名接受ACR治疗粘连性囊炎的西班牙裔患者。患者分为早期和延迟治疗组，包括所有患者。然后将患者分为糖尿病和特发性亚组。早期vs.延迟治疗结果(前屈，外部旋转,视觉模拟量表疼痛评分，和需要再次手术的复发）在所有患者和每个亚组中进行评估。
■在术后前屈方面，早期释放组和延迟释放组之间没有统计学上的显着差异，外部旋转,疼痛强度评分,复发需要在1个月时再次手术，3个月,全组随访6个月。在特发性肩周炎亚组中，术后前屈无显著差异，外部旋转,疼痛强度评分,复发需要在1个月时再次手术，3个月,6个月的随访。在糖尿病性肩周炎亚组中，术后前屈无显著差异，外部旋转,疼痛强度评分,和复发需要在1个月和6个月的随访时再次手术。
■接受早期释放的患者与接受ACR治疗粘连性囊炎的患者之间的结局没有差异延迟释放。在有糖尿病病史的患者中，早期和延迟关节镜释放之间的结果没有显着差异。
