동결견 환자의 관절낭 팽창술 시 수동관절운동의 부가적인 파열 효과
The Additional Effect of Tear after Passive Exercise during Distension Arthrography in Patients with Frozen Shoulder
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Objective: To evaluate the effect of tear after passive ROM exercise during distension arthrography in patients with frozen shoulder.Method: Fifteen patients (male: 7, female: 8, mean 57.5 years old) who had complained of shoulder pain with decreased ROM at least 3 months prior were enrolled. Distension arthrogrphy of 35 ml of fluid which contained 10 ml of 1% lidocaine, 1 ml of depomedrol (40 mg), 19 ml of normal saline, and 5 ml of radiocontrast material was injected by a single physician. Then if there was no capsular tear, passive ROM exercise was performed for two minutes. Results: In seven of the thirteen patients, the occurrence of capsular tear was observed after only distension arthrography. In five of the six patients without capsular rupture, the occurrence of capsular tear was observed by passive ROM exercise after distension arthrography. Two patients were interrupted because of severe pain. Clinical outcomes of occurrence of capsular tear by conventional distension arthrography and by passive ROM exercise after distension arthrography were similar.Conclusion: Passive ROM exercise after distension arthrography could serve as an effective method of capsular tear in patients with frozen shoulder.
Abstract
Objective: To evaluate the effect of tear after passive ROM exercise during distension arthrography in patients with frozen shoulder.Method: Fifteen patients (male: 7, female: 8, mean 57.5 years old) who had complained of shoulder pain with decreased ROM at least 3 months prior were enrolled. Distension arthrogrphy of 35 ml of fluid which contained 10 ml of 1% lidocaine, 1 ml of depomedrol (40 mg), 19 ml of normal saline, and 5 ml of radiocontrast material was injected by a single physician. Then if there was no capsular tear, passive ROM exercise was performed for two minutes. Results: In seven of the thirteen patients, the occurrence of capsular tear was observed after only distension arthrography. In five of the six patients without capsular rupture, the occurrence of capsular tear was observed by passive ROM exercise after distension arthrography. Two patients were interrupted because of severe pain. Clinical outcomes of occurrence of capsular tear by conventional distension arthrography and by passive ROM exercise after distension arthrography were similar.Conclusion: Passive ROM exercise after distension arthrography could serve as an effective method of capsular tear in patients with frozen shoulder.
참고문헌 (9)
- Sheridan MA, "Upper extremity: emphasis on frozen shoulder", Orthop Clin North Am, 37, pp.531~539 (2006)
- Frederick MA, "Campbell's operative orthopaedics, 10th ed in : Shoulder and elbow injuries", pp.2350~ (2003), Mosby
- Kim JS, "The success rate of superior approach glenohumeral injection in patients with frozen shoulder", J Korean Acad Rehabil Med, 31, pp.37~40 (2007)
- Rizk TE, "Frozen shoulder", Semin Arthritis Rheum, 11, pp.440~452 (1982)
- Vad VB, "The role of capsular distention in adhesive capsulitis", Arch Phys Med Rehabil, 84, pp.1290~1292 (2003)
- Choi ES, "Arthrographic findings of frozen shoulder and therapeutic effect of distension arthrography", J Korean Acad Rehabil Med, 25, pp.278~283 (2001)
- Park GY, "Comparison of intraarticular steroid injection with and without capsular distension in adhesive capsulitis of the shoulder", J Korean Acad Rehabil Med, 24, pp.1174~1179 (2000)
- Rizk TE, "Treatment of adhesive capsulitis (Frozen shoulder) with arthrographic capsular distension and rupture", Arch Phys Med Rehabil, 75, pp.803~807 (1994)
- Andersen NH, "Frozen shoulder: arthroscopy and manipulation under general anesthesia and early passive motion", J Shoulder Elbow Surg, 7, pp.218~222 (1998)