Die „frozen shoulder“Arthroskopische, histologische und elektronenmikroskopische Untersuchungen

Kilián, O.; Kriegsmann, Joerg; Berghäuser, K. H.; Stahl, J.P.; Horas, U.; Heerdegen, R

doi:10.1007/s001040170036

Cited by 30 publications

(5 citation statements)

References 9 publications

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“…Several authors have reported that stiff shoulder in diabetics had a poorer outcome 616182429. Our study also showed that patients with shoulder stiffness and diabetes mellitus had a relatively poor outcome and unsatisfactory results.…”

Section: Discussionsupporting

confidence: 60%

Comparison of surgical outcome in impingement syndrome with and without stiff shoulder

Park

Pandher

Moon³

et al. 2008

Indian J Orthop

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Background:In impingment syndrome with associated stiff shoulder the general protocol of management is to conservatively treat the stiff shoulder followed by operative treatment of the impingement syndrome. This consecutive prospective study was carried out to evaluate the functional outcome of surgical management for impingement syndrome associated with stiff shoulder and to compare the results with surgical management of impingement syndrome alone.Materials and Methods:We evaluated a total of 100 patients with impingement syndrome, consisting of 76 patients with impingement syndrome alone (Group A) and 24 patients of stiff shoulder associated with impingement syndrome (Group B). Group A patients were treated by subacromial decompression alone and Group B patients were treated by closed manipulation under anesthesia followed by subacromial decompression.Results:According to the American Shoulder and Elbow Surgeons (ASES) evaluation score satisfactory results were obtained in 80% patients of Group A and 67% patients of Group B, while for patients with diabetes [(n = 18), Group A (n = 11), Group B (n = 7)] satisfactory results were achieved in 82% of patients of Group A(9/11) and 43% of Group B(3/7). Overall, Group B patients had a lower range of motion for external rotation postoperatively, thus indicating that procedures to improve the external rotation, such as a release of the rotator interval or anterior capsule, might be considered in conjunction with other surgical procedures in patients with impingement syndrome with associated stiffness to further improve functional outcome.Conclusion:Acromioplasty can be performed in stiff shoulder associated with impingement syndrome without fears of further worsening of stiffness from adhesions with the exposed raw undersurface of acromian. Patients with diabetes mellitus and shoulder stiffness tend to have poor clinical outcomes and must receive appropriate counseling preoperatively.

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Section: Discussionsupporting

confidence: 60%

Comparison of surgical outcome in impingement syndrome with and without stiff shoulder

Park

Pandher

Moon³

et al. 2008

Indian J Orthop

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“…Some more recent arthroscopic investigations of frozen shoulder patients report no distinct intraarticular adhesions of this type [ 6 - 9 ], and the role of such adhesions is unclear. The finding of contractions of the joint capsule is supported though, as the studies describe a marked reduction in joint volume [ 6 - 9 ] due to contraction of collagenous tissue surrounding the joint [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Hydrodilatation, corticosteroids and adhesive capsulitis: A randomized controlled trial

Tveitå

Tariq

Sesseng

et al. 2008

BMC Musculoskelet Disord

107

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Background: Hydrodilatation of the glenohumeral joint is by several authors reported to improve shoulder pain and range of motion for patients with adhesive capsulitis. Procedures described often involve the injection of corticosteroids, to which the reported treatment effects may be attributed. Any important contribution arising from the hydrodilatation procedure itself remains to be demonstrated.

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“…Mehrere Arbeiten fanden sich in den Literaturlisten der in Medline gefundenen Artikel (siehe Begrenzungen der Studie). Analysiert wurden 6 historische experimentelle kontrollierte Tierstudien [20,24,26,27,31,35], 2 beschreibende Studien am Menschen [15,22] [26] sowie Ushida und Willis [46], die auch die Ruhigstellung nach Gelenkfrakturen beobachteten. Die für die einzelnen Fragestellungen relevanten Ergebnisse werden nachfolgend dargestellt.…”

Section: Ergebnisseunclassified

“…Allgemein ist bei der Interpretation der Studien zu beachten, dass es sich bis auf die beschreibenden Studien am Menschen von Enneking und Horowitz [15] und Kilian et al [22] um Tieruntersuchungen handelt. Die Übertragbarkeit der Ergebnisse auf den Menschen bleibt unklar.…”

Section: Diskussionunclassified

Physiologie der Entstehung von Gelenkkontrakturen

Schomacher¹

2005

manuelletherapie

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EinleitungGelenkkontrakturen sind als Einschränkungen im passiven Bewegungsausmaß des betroffenen Gelenks definiert [45]. Sie entstehen bei mit Immobilisation verbundenen akuten und bei chronischen Erkrankungen, die mit Bewegungsminderung einhergehen [44]. Seit Hippokrates ist die Immobilisation die allgemeinste Behandlungsform für muskuloskelettale Störungen [4]. Ende des 19. Jahrhunderts galt sie als eines der wichtigsten Heilmittel der Chirurgie [26] und wird auch heute in der orthopädischen Behandlung allgemein eingesetzt [46].

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Die „frozen shoulder“Arthroskopische, histologische und elektronenmikroskopische Untersuchungen

Abstract: In stage of the primary frozen shoulder exclusive fibrosis of the joint capsule was found. Electronmicroscopic twists of collagen fibrills were marked.

Cited by 30 publications

References 9 publications

Comparison of surgical outcome in impingement syndrome with and without stiff shoulder

Comparison of surgical outcome in impingement syndrome with and without stiff shoulder

Hydrodilatation, corticosteroids and adhesive capsulitis: A randomized controlled trial

Physiologie der Entstehung von Gelenkkontrakturen

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