Naslov
Comparison of postoperative results after arthroscopic capsular release in primary frozen shoulder and posttraumatic shoulder stiffness

Autori
Klobučar, Hrvoje ; Žunac, Martina ; Šarićc, Marijan ; Čičak, Nikola

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts of the 24th Congress of European Society for Surgery of the Shoulder and Elbow / - , 2012, 151-151

Skup
Congress of European Society for Surgery of the Shoulder and Elbow (24 ; 2012)

Mjesto i datum
Dubrovnik, Hrvatska, 19.09.2012. - 22.09.2012

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
frozen shoulder; posttraumatic shoulder stiffness; capsular release

Sažetak
INTRODUCTION Arthroscopic capsulotomy and manipulation is a treatment of choice after unsucessfull nonoperative treatment of stiff shoulder. AIM To compare results of arthroscopic treatment of primary and secundary shoulder stiffness. METHODS We have operated 30 patients with primary shoulder stiffness and 13 patients with posttraumatic stiffness. In all cases arthroscopic capsulotomy and manipulation under OEA was performed. We have measured pasive ROM prior surgery, 24 hours after surgery (under continuous regional analgesia) , a month after and three months after surgery. RESULTS In primary group results are presented respectively ; preoperatively/24 hours after surgery/a month after surgery/3 months after surgery. Flexion ranged from 101±23(60-150) / 165±21(100-180) / 148±20(110-170) / 142±25(100-180). External rotation was ; 12±11(-10-30) / 64±20(20-90) / 33±7(20-45) / 38±23(0-80). Internal rotation ranged ; sacrum/Th12/L3/L2. In secondary group results are also presented respectively. Flexion ranged from 105±20(80-150) / 170±13(140-180) / 155±19(130-170) / 167±12(150-180). External rotation was ; 14±12(0-40) / 60±16(25-80) / 30±14(20-50) / 53±19(20-70). Internal rotation ranged ; L5/Th12/Th11/Th9. CONCLUSION First day after surgery ROM was improved in both groups, and than it decreases during first month when it reaches final values. Although there were no significance in ROM between two tested groups prior and after surgery, inside both groups there was significant improvement in all movements after surgery. The authors emphasize the importance of immediate postoperative rehabilitation, especially during the first month after surgery.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA