PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the effect of arthroscopic triple release combined with rotator cuff repair in the treatment of rotator cuff injury combined with frozen shoulder and its influence on the range of motion and pain score of shoulder joint, and the levels of serum pain mediators.
UNASSIGNED: This was prospective study. A total of 132 patients with rotator cuff injury combined with frozen shoulder admitted to The Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine from December 2020 to December 2022 were prospectively selected and divided into two groups according to the random number table method: control group (n=67) and observation group (n=65). Patients in the control group were treated with arthroscopic rotator cuff repair alone, while those in the observation group were treated with arthroscopic triple release combined with rotator cuff repair, and the surgical effects of the two groups were compared.
UNASSIGNED: Three months after treatment, the external rotation, internal rotation, abduction, forward flexion, β-endorphin(β-EP), prostagranin E2 (PGE2) and substance P(SP)in the observation group were better than those in the control group (P<0.05), while the weight-bearing strength of the affected limb in internal rotation, external rotation and forward flexion was higher than that of the control group(P<0.05). Meanwhile, the Visual Analogue Scale (VAS) score of the observation group was lower than that of the control group at one month and three months after treatment, while the University of California at Los Angeles shoulder rating scale (UCLA) score and Constant-Murley Score (CMS) were higher than those of the control group (P< 0.05).
UNASSIGNED: Arthroscopic triple release combined with rotator cuff repair improves various effects for patients with rotator cuff injury combined with frozen shoulder, such as ameliorating the muscle strength of the affected limb and improving the level of pain mediators.
UNASSIGNED: This was prospective study. A total of 132 patients with rotator cuff injury combined with frozen shoulder admitted to The Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine from December 2020 to December 2022 were prospectively selected and divided into two groups according to the random number table method: control group (n=67) and observation group (n=65). Patients in the control group were treated with arthroscopic rotator cuff repair alone, while those in the observation group were treated with arthroscopic triple release combined with rotator cuff repair, and the surgical effects of the two groups were compared.
UNASSIGNED: Three months after treatment, the external rotation, internal rotation, abduction, forward flexion, β-endorphin(β-EP), prostagranin E2 (PGE2) and substance P(SP)in the observation group were better than those in the control group (P<0.05), while the weight-bearing strength of the affected limb in internal rotation, external rotation and forward flexion was higher than that of the control group(P<0.05). Meanwhile, the Visual Analogue Scale (VAS) score of the observation group was lower than that of the control group at one month and three months after treatment, while the University of California at Los Angeles shoulder rating scale (UCLA) score and Constant-Murley Score (CMS) were higher than those of the control group (P< 0.05).
UNASSIGNED: Arthroscopic triple release combined with rotator cuff repair improves various effects for patients with rotator cuff injury combined with frozen shoulder, such as ameliorating the muscle strength of the affected limb and improving the level of pain mediators.
摘要：
■探讨关节镜下三联松解术联合肩袖修补术治疗肩袖损伤合并冻结肩的效果及对肩关节活动范围和疼痛评分的影响。和血清疼痛介质的水平。
■这是前瞻性研究。前瞻性选取2020年12月至2022年12月甘肃中医药大学第三附属医院收治的肩袖损伤合并肩周炎患者132例,按照随机数字表法分为对照组(n=67)和观察组(n=65)。对照组患者采用单纯关节镜下肩袖修补术,观察组采用关节镜下三联松解术联合肩袖修补术,比较两组的手术效果。
■治疗后三个月，外部旋转，内部旋转,绑架,前屈,β-内啡肽（β-EP），观察组前列腺素E2(PGE2)和P物质(SP)均优于对照组(P<0.05),而受影响的肢体在内部旋转中的负重强度，外旋和前屈均高于对照组(P<0.05)。同时,治疗后1个月和3个月,观察组视觉模拟评分(VAS)评分低于对照组,而加州大学洛杉矶分校肩关节评定量表(UCLA)评分和Constant-Murley评分(CMS)均高于对照组(P<0.05)。
■关节镜下三联松解术结合肩袖修复可改善肩袖损伤合并肩周炎患者的各种效果，例如改善患肢的肌肉力量和改善疼痛介质的水平。
■这是前瞻性研究。前瞻性选取2020年12月至2022年12月甘肃中医药大学第三附属医院收治的肩袖损伤合并肩周炎患者132例,按照随机数字表法分为对照组(n=67)和观察组(n=65)。对照组患者采用单纯关节镜下肩袖修补术,观察组采用关节镜下三联松解术联合肩袖修补术,比较两组的手术效果。
■治疗后三个月，外部旋转，内部旋转,绑架,前屈,β-内啡肽（β-EP），观察组前列腺素E2(PGE2)和P物质(SP)均优于对照组(P<0.05),而受影响的肢体在内部旋转中的负重强度，外旋和前屈均高于对照组(P<0.05)。同时,治疗后1个月和3个月,观察组视觉模拟评分(VAS)评分低于对照组,而加州大学洛杉矶分校肩关节评定量表(UCLA)评分和Constant-Murley评分(CMS)均高于对照组(P<0.05)。
■关节镜下三联松解术结合肩袖修复可改善肩袖损伤合并肩周炎患者的各种效果，例如改善患肢的肌肉力量和改善疼痛介质的水平。
