[1].盂肱关节腔容量的测量对冻结肩临床分期及治疗影响的研究[J].中华老年骨科与康复电子杂志,2020,(06):346-350.[doi:10.3877/cma.j.issn.2096-0263.2020.06.006]
　Zhang Tao,Liang Ying,Gao Min,et al.Measurement of the volume of glenohumeral joint to assist in the stage and treatment of frozen shoulder[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(06):346-350.[doi:10.3877/cma.j.issn.2096-0263.2020.06.006]
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盂肱关节腔容量的测量对冻结肩临床分期及治疗影响的研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2020年06期
页码:
346-350
栏目:
康复医学
出版日期:
2020-12-05

文章信息/Info

Title:
Measurement of the volume of glenohumeral joint to assist in the stage and treatment of frozen shoulder
作者:
张涛1，梁英2，高敏2，杜一婷2，刘强3
Author(s):
Zhang Tao1;  Liang Ying2;  Gao Min2;  Du Yiting2;  Liu Qiang 3
1Shanxi Medical University, Taiyuan 030000, China; 2Department of Rehabilitation Medicine, Shanxi Bethune Hospital, Taiyuan 030000, China; 3Department of Orthopedics, Shanxi Bethune Hospital, Taiyuan 030000, China
关键词:
冻结肩;  超声检查;  关节囊;  器官容量
Keywords:
Frozen shoulder;  Ultrasonography;  Capsule;  Organ size
DOI:
10.3877/cma.j.issn.2096-0263.2020.06.006
文献标志码:
A
摘要:
目的 测量冻结肩（Frozen Shoulder 冻结肩）盂肱关节腔容量大小，协助临床分期及治疗。方法 前瞻性收集山西白求恩医院康复科31例冻结肩患者按照临床分期分成两组，一组为渐冻期（Ⅰ期）16例，另一组为冻结期（Ⅱ期）15例，然后在超声引导下进行盂肱关节腔穿刺及容量测量，观察监护仪上压力值间接评估盂肱关节容量。结果 冻结肩Ⅰ期的关节腔起始容量为（10.6±1.7）ml；冻结肩Ⅱ期关节腔起始容量为（6.7±1.5）ml；冻结肩Ⅱ期关节腔扩张时的安全容量为（25.8±1.3）ml。冻结肩Ⅰ期和Ⅱ期的关节腔起始容量差异具有统计学意义（P＜0.05）。结论 测量冻结肩盂肱关节腔起始容量可协助量化冻结肩的临床分期；安全容量可为临床行液压扩张治疗提供参考。
Abstract:
Objective Measure the volume of the Frozen Shoulder (FS) glenohumeral joint cavity to assist in clinical staging and treatment. Methods 31 patients with FS were divided into two groups according to the clinical stages. One group was 16 cases in the gradual freezing period (stage I), the other group was 15 cases in the frozen period (stage Ⅱ). Then under the guidance of ultrasound, puncture and volume measurement of the glenohumeral joint cavity were carried out, and the pressure value on the monitor was observed to indirectly evaluate the volume of the glenohumeral joint. Results the initial volume of joint cavity in FS Ⅰ was (10.6±1.7) ml, that in FS Ⅱ was (6.7±1.5) ml, and that in FS Ⅱ Safety capacity was (25.8±1.3) ml. There was significant difference in the initial volume of joint cavity between the stage I and stageⅡ of FS (P<0.05). Conclusions the measurement of the initial volume of FS glenohumeral joint can help to quantify the clinical stage of FS; The Safety capacity can provide safe expansion capacity for patients with FS undergoing hydraulic expansion treatment.

参考文献/References:

1 Chul-Hyun Cho, Yong-Ho Lee, Du-Hwan Kim, et al. Definition, diagnosis, treatment, and prognosis of frozen shoulder: A consensus survey of shoulder specialists [J]. Clin Orthop Surg, 2020, 12(1): 60-67.2 Neviaser AS, Hannafin JA. Ashesive capsulitis:a review of current treatment [J]. Am J Sports Med, 2010, 38: 2346-2356.3 王艳华, 陈建海. 凝肩: ISAKOS上肢委员会专家共识(下) [J/CD]. 中华肩肘外科电子杂志, 2017, 5(1): 61-65.4 Itoi E, Arce, Bain GI, et al. Shoulder stiffness: Current concepts and concerns [J]. Arthroscopy, 2016, 32(7): 1402-1414.5 成雪晴, 卢漫, 张振奇, 等. 超声引导下肩关节腔注射联合扩张治疗冻结肩 [J/CD]. 中华超声影像学杂志, 2017, 26(10): 895-898.6 Lee KJ, Lee HD, Chung SG. Real-time pressure monitoring of intraarticular hydraulic distension for painful stiff shoulders [J]. J Orthop Res, 2008, 26: 965-967.7 Shaffer B, Tibone JE, KerlanRK. Frozen shoulder:a long-term follow-up [J]. J Bone Joint Surg Am, 1992, 74(5): 738-746.8 Sang YL, MD, Kyu JL, et al. Relationships between capsular stiffness and clinical features in adhesive capsulitis of the shoulder [J]. PM&R, 2015, 7: 1226-1234.9 彭阿钦, 张英泽, 吴希瑞. 儿童股骨头无菌坏死病因学实验及临床研究 [J]. 中国矫形外科杂志, 1995, 2(3): 193-195.10 李富建. PFNA治疗股骨粗隆间骨折术后膝关节腔压力增高的发生率及相关因素 [D]. 衡阳: 南华大学, 2016: 29-34.11 李迎春, 梁英, 杜一婷. 超声扫描肩后方关节囊厚度及盂肱距离对分期诊断冻结肩的价值 [J]. 中国医学影像技术, 2019, 35(8): 1147-1150.12 李林, 汪方, 李立, 等. 原发性冻结肩病理机制及治疗方案的研究进展 [J/CD]. 中华肩肘外科电子杂志, 2019, 7(2): 178-181.13 汪秋柯, 张厉, 杨春喜. 冻结肩的炎症纤维化机制研究进展 [J/CD]. 中华关节外科杂志:电子版, 2017, 11(3): 289-292.14 Wu WT, Chang KV, Han DS, et al. Effectiveness of glenohumeral joint dilatation for treatment of frozen shoulder: A systematic review and meta-analysis of randomized controlled trials [J]. Sci Rep, 2017, 7(1): 10507. 15 Cheng X, Zhang Z, Xuanyan G, et al. Adhesive capsulitis of the shoulder: evaluation with US-arthrography using a sonographic contrast agent [J]. Sci Rep, 2017, 7(1): 5551.

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备注/Memo

备注/Memo:
基金项目：山西省重点研发计划项目（201803D31138）
更新日期/Last Update: 2020-12-31