Clinical Findings of Arthroscopic Release in Treatment of Primary Frozen Shoulder
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A Sadeghifar * , A Saeedi , M Daneshfar |
, sadeghifar@kmu.ac.ir |
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Abstract: (6016 Views) |
BACKGROUND AND OBJECTIVE: Frozen shoulder
is a common condition, characterized by pain and restrictions in shoulder
movements. Different non-surgical and surgical methods are used to overcome
this condition. Given the high prevalence of frozen shoulder among the working
class in communities, re-empowerment is essential for individuals’ return to daily activities. Considering the contradictory results reported by
previous research, further investigations are required in this area. Therefore,
this study aimed to evaluate the clinical findings of arthroscopic release in treatment
of primary frozen shoulder.
METHODS: This cross-sectional study was
performed on all patients with primary frozen shoulder, referring to Bahonar
and Shafa Hospitals of Kerman, Iran. These patients were candidates for surgery
due to unsuccessful supportive treatment. First, American Shoulder and Elbow
Surgeons (ASES) assessment form (score: 0-100) and Simple Shoulder
Test (a 12-item questionnaire) were completed before surgery. Then, all
patients underwent arthroscopic release and examinations. The assessment forms
were completed again within 3 and 12 months after surgery.
FINDINGS: Overall, 15
patients with the mean age of 50.57±12.01 years were included in this study.
There was a significant difference in the mean score of SST before (10.21±0.98)
and after (10.98±1.05) surgery (p=0.034). Also, patients’ performance at
12-month follow-up significantly improved, compared to the three-month
follow-up (p=0.014). There was a significant difference in the mean scores of
ASES test before and after surgery (p=0.007). Also, the mean score
of ASES test was higher at 12-month follow-up, compared to the three-month
follow-up (p=0.019).
CONCLUSION: Overall,
arthroscopic release could help relieve pain and improve
the range of shoulder movements in patients. Moreover, it could help patients return to their daily activities and regain their productivity. In fact, this technique facilitates
simultaneous diagnosis and treatment of shoulder joint problems. |
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Keywords: Frozen Shoulder, Arthroscopic Release, American Shoulder and Elbow Surgeons, Simple Shoulder Test |
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Full-Text [PDF 399 kb]
(1787 Downloads)
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Type of Study: Applicable |
Subject:
Orthopedics Received: 2015/04/1 | Accepted: 2015/07/20 | Published: 2015/08/18
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