关节镜下关节囊松解清理术治疗原发性冻结肩的早期临床疗效

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。

Early clinical outcomes of arthroscopic capsular release for idiopathic frozen shoulder

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＆amp;nbsp;and effective surgical procedure in the management of idiopathic frozen shoulder.It has the advantage of minimally invasive incision, better recovery and less complications.