Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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관절경하 관절낭 유리술과 강압교정술을 병용한 동결견의 치료

Treatment of Frozen Shoulder under the Arthroscopic Capsular Release Combined with Manipulation

  • 유연식 (포항성모병원 정형외과) ;
  • 이영현 (포항성모병원 정형외과) ;
  • 이상수 (포항성모병원 정형외과) ;
  • 남일현 (포항성모병원 정형외과)
  • You Yeun-Sik (Department of Orthopedic Surgery, Po-Hang St Marry's General Hospital) ;
  • Lee Young-Hyun (Department of Orthopedic Surgery, Po-Hang St Marry's General Hospital) ;
  • Lee Sang-Soo (Department of Orthopedic Surgery, Po-Hang St Marry's General Hospital) ;
  • Nam I1-Hyun (Department of Orthopedic Surgery, Po-Hang St Marry's General Hospital)
  • 발행 : 2001.12.01
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초록

동결견의 치료에 있어 관절경하 관절낭 유리술과 더불어 강압교정술을 겸용한 적극적인 치료방법은 견관절부 동통 완화와 견관절 운동 범위 회복에 있어 양호한 결과를 얻을 수 있으며 강압교정이나 관절경하 관절낭 유리술의 단독 시행에서 보일수 있는 합병증을 현저히 줄일 수 있고 특히, 심한 동통 및 관절 운동 제한을 보이는 환자에서 이환 기간 단축 및 관절 운동 범위 회복에 있어 보존적 치료에 비해 우수한 방법으로 사료된다.

Purpose: To evaluate effectiveness of arthroscopic capsular release combined with manipulation in frozen shoulder. Material and Method: 15 patient who had failed to respond to physical therapy were evaluated, which were treated with arthroscopic capsular release combined with manipulation, from July 1998 to March 2000. Result: At a mean of fifteen months(range, six to twenty four) after the combined procedure, the improvement in the score of Constant and Murley averaged 45 points. The mean improvement in motion was 76 degrees for abduction; 40 degrees and 65 degrees for external rotation in adduction and abduction. Conclusion : Arthroscopic capsular release with manipulation is useful method to treatment the frozen shoulder which was not respond to conservative treatment.

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