Valdés-Martínez ML, Torres-Roldán F, Carriedo-Rico EG, Abrego-Ayala C

Language: Spanish
References: 18
Page: 151-154
PDF size: 51.27 Kb.

ABSTRACT

Objective. To evaluate our experience in arthroscopy for treatment of arthrofibrosis of the shoulder joint, in particular in those cases in whom symptoms have been resistant to conservative treatment. Material and methods. From April 1996 through October 1998, a series of 12 cases of arthrofibrosis of the shoulder, out of a whole 52 arthroscopic procedures is reported. Age in average was 59.5 years (36 to 78). Sex ratio was 2:1 with 8 women and 4 men. Right shoulder was more commonly affected with 8 cases. Open surgery had been performed in 4 and diabetes mellitus non insulin dependant was present in 2. Results. Pain, which was present before surgery in all cases, only improved in 5 (42%) after the arthroscopic surgery (p=0.06), while significant movement improvement occurred in 10 cases (83%), (p=0.03). Other injuries repaired as found through the arthroscopic examination were: achromio-clavicular arthrosis in 5 cases (41%), sub-achromial impingement in 7 (58%) and supraspinatus muscle tears in 4 (33%). Average operating time was 71 min (45 to 120). Conclusion. Conclusions from this short series treatment are that arthroscopic release for arthrofibrosis of the shoulder and the repair for coexisting periarticular injuries is considered as a rather safe alternate procedure, since it has a reasonable predicting figures of improvement expectancy.

REFERENCES

1. Beaufils P, Boyer T, Allard M, Dorfmann H, Frank A, Kelberine F. Glenohumeral arthroscopic srthrolysis for shoulder stiffness. Apropos 26 cases. Societe Francaise D’ Athroscopie 1996; 82(7): 608-14.

2. Bridgeman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Reum Dis 1972; 3169-71.

3. Burkhart SS. Shoulder arthroscopy, new concepts. Clin Sports Med 1996; 15(4): 635-53.

4. Engleman RM. Shoulder pain as a presenting complaint in upper lobe bronchogenic carcinomas, report of 21 cases. Conn Med 1966; 30: 273-276.

5. Haeri GB, Maitland A. Arthroscopic findings in the frozen shoulder. J Rheumatol 1981; 8: 149-152.

6. Lequesne M, Dang N, Bensasson M, Mery C. Increased association of diabetes mellitus and Capsulitis of the shoulder and shoulder hand sindrome. Scand J Rheumatol 1977; 6: 53-56.

7. Murnalian JP. Frozen shoulder. In: Rokwood CA and Matsan FA. The shoulder. Philadelphia WB Saunders 1991: 837-862.

8. Neviaser RJ. Painful conditions, affecting the shoulder. Clin Orthop 1983; 173: 63-69.

9. Navaisier TJ. Arthroscopy of the shoulder. Orthop Clin North Am 1987; 18: 361-372.

10. Navasier TJ. Adhesive capsulitis. Orthop Clin North Am 1987; 18: 439-443.

11. Ogilvie-Harris DJ, Wiley AM. Arthroscopic surgery of the shoulder. J Bone Joint Surg 1986; 68: 201-207.

12. Ogilvie-Harris DJ, Myerthall S. The diabetic frozen shoulder: Arthroscopic release 1997; 13(1): 1-8.

13. Ogilvie-Harris DJ, Biggs DJ, Fitsialos DP, MacKay M. The resistaint frozen shoulder. Manipulation versus arthroscopic release. Clin Orthop 1995; (319): 238-48.

14. Pollock RG, Duralde XA, Flatow EL, Bigliani LU. The use of arthroscopy in the treatment of resistant frozen shoulder. 1994; (304): 30-6.

15. Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res 1997; 15(3): 427-36.

16. Segmuller HE, Taylor DE, Hogan CS, Saies AD, Hayes MG. J Shoulder Elbow Surg 1995; 4(6): 403-8.

17. Warner JJ, Allen A, Marks PH, Wong P. Arthroscopic release for chronic adhesive capsulitis of the shoulder. J Bone Joint Surg AM 1996; 78(12): 1808-16.

18. Zarins B. Principios de artroscopía y cirugía artroscópica. Barcelona SP. Springer-Verlag. Ibérica 1993.