|Published (Last):||18 February 2011|
|PDF File Size:||4.70 Mb|
|ePub File Size:||5.24 Mb|
|Price:||Free* [*Free Regsitration Required]|
To evaluate the results of arthroscopic releases performed in patients with adhesive capsulitis refractory to conservative treatment. Trabalho retrospectivo feito entre ecom 56 ombros 52 pacientes submetidos a cirurgia; 38 eram adesiiva sexo feminino e 28 tinham o lado dominante acometido.
The group successfully treated nonoperatively had an average of 5. There was a significant difference between initial forward elevation and external rotation between the nonoperative and operative groups. The criteria for adeskva in the study were 1 diagnosis of adhesive capsulitis and 2 treatment by 1 of 4 shoulder surgeons at our institution from to Charts of patients treated at our institution for adhesive capsulitis were reviewed retrospectively.
This treatment includes benign neglect,10,23 oral nonsteroidalantiinflammatorydrugs NASIDs ,oralcorticosteroids,5,7 glenohumeral intraarticular corticosteroid injections,2,8,30 and physical therapy. Bak, MD, Christopher Capsuulite.
One of the 15 received surgical treatment with an outside physician; the remaining 14 were successfully treated nonoperatively. Symptoms resolved in 94 A value of P.
The average age of all patients was 5 years range, years.
Younger patients may have higher expectations of function for their affected shoulder after treatment completion and may hope to regain more range of motion than older patients. Additional studies should be conducted to evaluate this factor further.
CAPSULITE ADESIVA PDF
Statistical analysis was performed with the independent t test and the Pearson 2 test. Adhesive capsulitis is a common painful condition of the shoulder of addesiva etiology.
Patients in the surgical group were treated for an average of The average age of patients who went on to surgery was 51 years, whereas the average age of patients treated nonoperatively was significantly higher at Traditionally, nonoperative management of adhesive capsulitis is recommended for a minimum of 6 months before operative intervention.
A significant change occurred between the initial and final range of motion for forward elevation and external rotation, but not internal rotation, in the 2 nonoperative treatment groups. Patients treated operatively averaged 9.
capsulite adesiva – Wiktionary
Tags capsulite adesiva ombro. On the basis of these results, consideration should be given to operative intervention in patients who fail to respond within the first 4 months of treatment. Length of treatment for patients receiving physical therapy only was an average of 3.
The end range of motion for patients treated nonoperatively is listed in Table I and compared with the initial range of motion of the unaffected shoulder. Operative group Patients who received aedsiva treatment for their adhesive capsulitis were treated nonoperatively for an average of None of them reported recurrent symptoms of adhesive capsulitis at the time of the follow-up phone call.
There was a problem providing the content you requested
Health comorbidities, including diabetes mellitus, thyroid capsullite, and cardiovascular disease, were determined, and a history of any previous shoulder disorders was ascertained. This study examined patient characteristics, treatment patterns, and response to treatment of the disease in a large series of patients with this condition.
Patients who received surgical treatment for their adhesive capsulitis were treated nonoperatively for an average of Average length of treatment for all patients was 4. Levine, MD, Christine P. Pain was also assessed using the Visual Analogue Scale pain score.
This demonstrates that indications for surgical treatment may include either worse initial range of motion or progressively worsening range of motion through treatment. Xdesiva was a significant difference P. A subscapularis tenotomy was performed when necessary. It is a disorder frequently encountered by most orthopedic surgeons, but literature about its natural history is limited.
Adhesive capsulitis is a common adrsiva condition of the shoulder of unknown etiology. Supplemental Content Full text links. These phone calls occurred between 15 and months after they were initially evaluated by the physicians in this study. This difference was not significant P.
At the initial evaluation, patient range of motion, function, and pain were assessed. Durationof treatmentin successfully nonoperativelytreatedpatientsaveraged3. Arthroscopic appearance of frozen shoulder. Zuckerman J, Cuomo F. The use of the interscalene infusion catheter reduces the number of re-approaches.
This study evaluated patient characteristics, treatment patterns, and resolution of symptoms in a large series of patients with adhesive capsulitis. Zuckerman J, Rokito A. There was a significant difference between the end range axesiva motion of the affected shoulder and the contralateral shoulder range of motion for forward elevation, external adesiiva, and internal rotation P. In addition, the youngestpatient in this study had type 1 diabetesmellitus and was affected bilaterally.
Manipulation for frozen shoulder: Adhesive capsulitis of the shoulder is a common disorder, yet literature on its natural history is limited. The end range of motion for patients treated nonoperatively is listed in Table I and compared with the initial range of motion of the unaffected shoulder.