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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Effectiveness of hydroplasty and therapeutic exercise for treatment of frozen shoulder.
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Effectiveness of hydroplasty and therapeutic exercise for treatment of frozen shoulder.

机译：椎体成形术和冷冻疗法治疗肩周炎的有效性。

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摘要

The purpose of this retrospective review was to evaluate the effectiveness of a hydraulic distention technique (hydroplasty) combined with a therapy program for treatment of idiopathic frozen shoulder. Over a two-year period, 60 patients with idiopathic frozen shoulder were identified as having undergone the hydroplasty procedure and therapy protocol at the authors' hand center. Distention of the glenohumeral joint was achieved by an injection of a 10-mL combination of bupivacaine (Marcaine), lidocaine (Xylocaine), and corticosteroid followed by injection of 30 mL of chilled sterile normal saline. Therapy was initiated immediately after the surgeon had completed the hydroplasty. The mean active range of motion improvement was as follows: flexion 28 degrees, abduction 42 degrees, internal rotation 22 degrees, and external rotation 26 degrees. There was no significant difference in outcomes between diabetics and nondiabetics or subjects with symptoms less than six months' duration compared with subjects with symptom duration greater than six months. At discharge, only two (3%) of the subjects reported persistent pain during sleep. The hydroplasty procedure combined with a therapy program is a successful treatment for idiopathic frozen shoulder.
机译：这项回顾性研究的目的是评估液压扩张技术（水体成形术）结合治疗特发性肩周炎的治疗方案的有效性。在两年的时间里，在作者的手部中心确认了60例特发性肩周炎患者接受了水肿术和治疗方案。通过注射10 mL布比卡因（Marcaine），利多卡因（Xylocaine）和皮质类固醇的组合，然后注入30 mL的冷冻无菌生理盐水，可以达到盂肱关节的扩张。在外科医生完成水成形术之后立即开始治疗。平均运动改善范围如下：屈曲28度，外展42度，内部旋转22度和外部旋转26度。与症状持续时间大于六个月的受试者相比，糖尿病患者与非糖尿病患者或症状持续时间少于六个月的受试者之间的结局无显着差异。出院时，只有两个（3％）受试者报告睡眠期间持续疼痛。水肿手术与治疗程序相结合是特发性肩周炎的成功治疗方法。

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