fa نتایج بالینی آزادسازی آرتروسکوپیک شانه منجمد اولیه ارتوپدی Orthopedics كاربردي Applicable <p dir="rtl" style="margin: 0cm 0cm 0.0001pt text-align: right line-height: 13pt direction: rtl unicode-bidi: embed"><font face="times new roman, times, serif"><strong><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">سابقه و هدف</span></strong><span dir="ltr"></span><strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="ltr"></span>:</span></strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)">بیماری شانه منجمد (</span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Frozen shoulder</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span>) یکی از بیماریهای شایع شانه است که مشخصه آن محدودیت حرکت در شانه و درد می باشد. در درمان این بیماران از روشهای مختلف درمانی غیر جراحی و جراحی استفاده می شود. با توجه به شیوع این مشکل در گروه فعال جامعه و نیاز به بازگشت سریعتر آنها به ورزش و فعالیت های روزمره و نیز نتایج بسیار متنوع ناشی از تحقیقات مشابه، این مطالعه به منظور بررسی نتایج بالینی آزادسازی آرتروسکوپیک شانه منجمد اولیه انجام شد.</span><span dir="ltr" style="font-size: 10pt color: rgb(51, 51, 51)"><o:p /></span></font></p><p dir="rtl" style="margin: 0cm 0cm 0.0001pt line-height: 13pt direction: rtl unicode-bidi: embed text-align: start"><font face="times new roman, times, serif"><strong><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">مواد و روشها</span></strong><span dir="ltr"></span><strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="ltr"></span>:</span></strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)">این مطالعه مقطعی بر روی کلیه بیماران مبتلا به شانه منجمد اولیه که به درمانگاه بیمارستان باهنر و شفا کرمان مراجعه نمودند، انجام شد. پس از اینکه درمان حمایتی اولیه ناموفق بود، کاندید عمل شدند. ابتدا فرمهای </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ASES</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> (امتیاز100-0) و </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Simple shoulder test</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> (پرسشنامه12سوالی) برای آنها پر شده سپس تحت عمل جراحی ریلیز آرتروسکوپیک قرار گرفتند. در مراجعات بعدی بیماران 3 ماه بعد و 12 ماه بعد مجددا تحت معاینه قرار گرفته و فرم های </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ASES</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> و</span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">Simple shoulder Test</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> برای آنها پر گردید.<o:p /></span></font></p><p dir="rtl" style="margin: 0cm 0cm 0.0001pt line-height: 13pt direction: rtl unicode-bidi: embed text-align: start"><font face="times new roman, times, serif"><strong><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">یافته</span></strong><strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">­</span></strong><strong><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ها</span></strong><span dir="ltr"></span><strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="ltr"></span>:</span></strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"> </span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)">در این مطالعه در نهایت 15 نفر با میانگین سنی 12/01±50/57 سال شرکت کردند که میانگین پرسشنامه </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">SST</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> بعد از جراحی (1/05±10/98) از میانگین نمره قبل از جراحی (0/98±10/21) به طور معنی داری بیشتر بود (0/034 </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span>) همچنین افراد دوازده ماه بعد از انجام جراحی عملکرد بهتری نسبت به سه ماه بعد از عمل داشتند (0/014 </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span>). میانگین نمره پرسشنامه </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ASES</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> بعد از انجام جراحی به طور معنی داری بیشتر از همان نمره قبل از جراحی بود ( 0/007 </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span>). همچنین میانگین </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">ASES</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span> دوازده ماه پس از جراحی به طور معنی داری بیشتر از سه ماه پس از جراحی بود (0/019 </span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">p=</span><span dir="rtl"></span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><span dir="rtl"></span>).<o:p /></span></font></p><p dir="rtl" style="margin: 0cm 0cm 0.0001pt line-height: 13pt direction: rtl unicode-bidi: embed text-align: start"><font face="times new roman, times, serif"><strong><span lang="AR-SA" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">نتیجه گیری</span></strong><span dir="ltr"></span><strong><span dir="ltr" style="font-size: 10pt color: blue background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="ltr"></span>:</span></strong><span dir="rtl"></span><strong><span style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="rtl"></span> </span></strong><span lang="AR-SA" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial">با توجه به نتایج انجام این روش جراحی در بهبود بخشدین درد ، بازگشت سریعتر به فعالیت روزانه، بهبود دامنه حرکات و به طور کلی بازگشت به فعالیت موثر و مولد موفقیت آمیز است. ضمن اینکه امکان تشخیص و در صورت امکان درمان همزمان مشکلات مفصل شانه را فراهم می کند</span><span dir="ltr"></span><span dir="ltr" style="font-size: 10pt background-image: initial background-attachment: initial background-size: initial background-origin: initial background-clip: initial background-position: initial background-repeat: initial"><span dir="ltr"></span>.</span><span lang="AR-SA" style="font-size: 10pt color: rgb(51, 51, 51)"><o:p /></span></font></p><p dir="rtl" style="color: rgb(51, 51, 51) font-size: 13px line-height: 20.7999992370605px text-align: start"> </p><!--stripped--><span style="font-size: 10pt line-height: 107%"><!--stripped--><font face="times new roman, times, serif"> </font><!--stripped--></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">BACKGROUND AND OBJECTIVE:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">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 </span><span style="font-size: 10pt">daily activities. Considering the contradictory results reported by previous research, further investigations are required in this area. Therefore, this study aimed to evaluate the </span><span style="font-size: 10pt">clinical findings of arthroscopic release in treatment of primary frozen shoulder.</span><span style="font-size: 10pt"><o:p /></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">METHODS:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">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 </span><span style="font-size: 10pt">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.</span><span style="font-size: 10pt"><o:p /></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">FINDINGS:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">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).</span><span style="font-size: 10pt"> Also, </span><span style="font-size: 10pt">the mean score of ASES test was higher at 12-month follow-up, compared to the three-month follow-up (p=0.019).<span dir="rtl"><o:p /></span></span></p> <p class="MsoNormal" style="line-height: 16pt direction: ltr unicode-bidi: embed"><b><span style="font-size: 10pt color: blue">CONCLUSION:</span></b><span style="font-size: 10pt"> </span><span style="font-size: 10pt">Overall, arthroscopic release could help relieve pain and </span><span style="font-size: 10pt">improve the range of shoulder movements in patients. Moreover, it could help patients </span><span style="font-size: 10pt">return to their </span><span style="font-size: 10pt">daily activities and regain their </span><span style="font-size: 10pt">productivity. In fact, this technique facilitates simultaneous diagnosis and treatment of shoulder joint problems.</span><b><span style="font-size: 10pt"><o:p /></span></b></p> شانه منجمد, آزادسازی آرتروسکوپیک, آژمون انجمن جراحان شانه وآرنج آمریکا, تست ساده شانه Frozen Shoulder, Arthroscopic Release, American Shoulder and Elbow Surgeons, Simple Shoulder Test‎ 19 23 http://jbums.org/browse.php?a_code=A-10-1867-1&slc_lang=fa&sid=1 A Sadeghifar امیررضا صادقی فر sadeghifar@kmu.ac.ir 100319475328460011287 100319475328460011287 Yes A Saeedi علی سعیدی 100319475328460011288 100319475328460011288 No M Daneshfar مرضیه دانشفر daneshfar@yahoo.com 100319475328460011289 100319475328460011289 No