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在肩部粘合性囊炎中,水分扩张的功能结果
Sree Shangamithra1, K V Arun Kumar1, E Pradeep1
1Department of Orthopaedics, Chettinad Hospital And Research Institute, Chettinad Academy of Research and Education ,Kelambakkam-603103, Tamil Nadu, India.
Journal of orthopaedic case reports
|May 12, 2025
概括
水分扩展有效地治疗结的肩膀 (粘合性囊炎),显著改善运动范围和功能长达一年. 这种微创手术为患有这种致残的肩部疾病的患者提供了持续的好处.
科学领域:
- 整形外科 整形外科 整形外科
- 物理医学和康复 康复
背景情况:
- 粘着性囊炎,通常被称为冷的肩膀,引起显著的疼痛和限制的肩膀运动.
- 作为这种情况的治疗方法,正在探索一种关节膨胀程序 - - 水分膨胀.
研究的目的:
- 为了评估粘合性囊炎患者在水解后的功能结果和运动范围的改善.
- 为了评估在手术后长达一年的水分扩张的长期疗效.
主要方法:
- 一项前性观察性研究,涉及30名被诊断患有粘合性囊炎的患者,这些患者接受了水分扩张.
- 在多个时间点评估功能评分 (ASES和CMS) 和运动范围 (ROM):基线,后程序以及1,3,6和12个月.
- 使用配对t测试进行统计分析,以确定显著改善 (P < 0.05).
主要成果:
- 活动和被动的肩部运动范围 (绑架,引,曲,外部旋转) 显著改善 (P < 0.001).
- 内部旋转限制显著下降 (P < 0.001).
- 在1年后的随访中,ASES和CMS的功能评分均呈现出渐进且具有统计学意义的改善 (P < 0.001).
结论:
- 水分扩张是一种安全有效的粘合性囊炎治疗方法,可显著恢复功能.
- 对于冷的肩膀,水分扩张的好处持续到干预后的一年.
- 建议进行进一步的研究,以标准化方案,并完善患者选择的水分扩张.
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