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Therapeutic observation of arthrolysis under brachial plexus anesthesia for adhesivecapsulitis of the shoulder

Journal of Acupuncture and Tuina Science 2020年第2期18卷 135-142页

作者： Fan Yuan-zhi Wu Yao-chi Hong Jue Department of Acupuncture Tuina and TraumatologyShanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai 200233China 不详

Objective:To objectively evaluate the short-term and long-term efficacies of arthrolysis under brachial plexus anesthesia in treating adhesive capsulitis of the shoulder(ACS).Methods:One hundred patients diagnosed with ACS were divided into two groups using the random number *** two groups both received same active rehabilitation ***,55 cases in the treatment group were given one session of arthrolysis under brachial plexus anesthesia,and 45 cases in the control group were given tuina *** in the visual analog scale(VAS)score,Melle score and pressure pain index were observed I month and 3 months after *** therapeutic efficacies were also ***:The total effective rate was 96.4%at the 1-month follow-up and 96.4%at the 3-month follow-up in the treatment *** total effective rate was 33.3%at the 1-month follow-up and 28.9%at the 3-month follow-up in the control *** were significant differences between the two groups comparing the total effective rate at the two time points(both P0.05).Conclusion:Based on the active rehabilitation exercises,one session of arthrolysis under brachial plexus anesthesia can release the adhesion and restore the range of motion and function of shoulder joint in ACS *** is superior to rehabilitation exercises plus tuina treatment comparing both short-term and long-term efficacies.

关键词： Tuina Massage arthrolysis Frozen Shoulder Shoulder Pain Periarthritis Brachial Plexus Anesthesia Range of Motion Articular

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Advances in wrist arthroscopic surgery in Indonesia

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World Journal of Orthopedics 2023年第3期14卷 103-112页

作者： Oryza Satria Seti Aji Hadinoto Irfan Fathurrahman Department of Orthopaedic and Traumatology Fatmawati Central General HospitalJakarta Selatan 12430Daerah Khusus Ibukota JakartaIndonesia Department of Orthopaedic and Traumatology Prof.Dr.Soeharso Orthopaedic HospitalFaculty of MedicineSebelas Maret UniversitySolo 57162Central JavaIndonesia

Since the 1990s,new insights in wrist arthroscopy have led to the introduction of numerous treatment ***,therapeutic procedures are no longer limited to resection as more specialized repair and functional reconstruc-tion methods,involving tissue replacement and essential structural augmentation,have been shown to be *** article discusses the most prevalent rea-sons and uses for wrist arthroscopy,with an emphasis on Indonesia’s most recent and major advances in reconstructive arthroscopic *** debridement,synovectomy,ganglionectomy,capsular release,and osteotomies are frequent resection *** repair and arthroscopy-aided reduction and fixation for fractures and nonunion are all examples of reconstructive surgery.

关键词： Arthroscopy Synovectomy Ganglionectomy arthrolysis Arthroscopic-assisted reduction and internal fixation Scaphoid fractures Carpal nonunion Triangular

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Frozen shoulder-A prospective randomized clinical trial

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World Journal of Orthopedics 2017年第5期8卷 394-399页

作者： Rudra Narayan Mukherjee R M Pandey Hira Lal Nag Ravi Mittal De-partment of Orthopaedics All India Institute of Medical Sciences Department of Biostatistics All India Institute of Medical Sciences

AIM To compare the results of arthroscopic capsular release with intra-articular steroid injections in patients of frozen *** Fifty-six patients with frozen shoulder were randomised to one of two treatment groups: Group 1, complete 360 degree arthroscopic capsular release and group 2, intra-articular corticosteroid injection(40 mg methyl prednisolone acetate). Both groups were put on active and passive range of motion exercises following the intervention. The outcome parameters were visual analogue scale(VAS) score for pain, range of motion and Constant score which were measured at baseline, 4, 8, 12, 16 and 20 wk after *** All the parameters improved in both the groups. The mean VAS score improved significantly more in the group 1 as compared to group 2 at 8 wk. This greater improvement was maintained at 20 wk with P value of 0.007 at 8 wk, 0.006 at 12 wk, 0.006 at 16 wk and 0.019 at 20 wk. The Constant score showed a more significant improvement in group 1 compared to group 2 at 4 wk, which was again maintained at 20 wk with P value of 0.01 at 4, 8, 12 and 16 wk. The gain in abduction movement was statistically significantly more in arthroscopy group with P value of 0.001 at 4, 8, 12, 16 wk and 0.005 at 20 wk. The gain in external rotation was statistically significantly more in arthroscopy group with P value of 0.007 at 4 wk, 0.001 at 8, 12, and 16 wk and 0.003 at 20 wk. There was no statistically significant difference in extension and internal rotation between the two groups at any time. CONCLUSION Arthroscopic capsular release provides subjective and objective improvement earlier than intra-articular steroid injection.

关键词： Adhesive capsulitis Frozen shoulder Capsular release Corticosteroid Idiopathic stiff shoulder Intra articular injection Steroid injection Arthroscopic arthrolysis Constant score

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Open versus Arthroscopic Treatment of Post-Traumatic Stiff Elbow

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Open Journal of Orthopedics 2014年第11期4卷 304-312页

作者： Ahmed Mohamed Ahmed Othman Department of Orthopedic Surgery El-Minia University El-Minia Egypt

Thirty three patients with post-traumatic stiff elbow were divided into two groups. The first group included 18 patients with an average age of 31.05 years treated by open arthrolysis. The second included 15 patients with an average age of 31.66 years treated by arthroscopic method. The results were evaluated using the Mayo clinic score and DASH score for elbow function. In the open group, after an average period of follow-up 19.33 months, the average range of flexion-extension movement improved from 51.11° to 103.94°. The average Mayo clinic score improved from 63.38 to 92.83 and the average DASH score improved from 68.1 to 40.23. There were 13 cases (72.22%) excellent, 4 cases (22.22%) good and 1 case (5.55%) with the poor result. In the arthroscopic group, after an average period of follow-up 17.73 months, the average range of flexion-extension movement improved from 59.46° to 101.53°. The average Mayo clinic score improved from 62.93 to 92.73 and the average DASH score improved from 69.25 to 46.4. There were 10 cases (66.66%) excellent, 3 cases (20%) good and 2 cases (13.33%) with the poor result. Both open and arthro-scopic treatment can be effective in treatment of post-traumatic stiff elbow. Arthroscopic treatment is associated with less post-operative pain and morbidity. However, open treatment provides better range of motion and marked improvement of elbow function.

关键词： Post-Traumatic Stiff Elbow Open arthrolysis Arthroscopic Treatment Mayo Clinic Performance Score DASH Score

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