| The Diabetic Frozen Shoulder: Arthroscopic Release |
| Chang Whan Han, Jin Young Kim, Weon Yoo Kim, Jin Hyung Sung, Jae Duk Ryu, Sang Hyun Rho |
| Department of Orthopaedic Surgery, Taejeon St. Mary's Hospital, Catholic University Medical College |
| 당뇨병성 동 견관절의 관절경 하 박리술
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| 한창환, 김진영, 김원유, 성진형, 류재덕, 노상현 |
| 가톨릭대학교 의과대학 대전성모병원 정형외과교실 |
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| Abstract |
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In diabetics, the frozen shoulder has been difficult to treat. They tend to respond
poorly to manipulation. In this report we present the rationale and results of arthroscopic
selective capsular release for those patients. Nine patients, who were diabetics, developed
frozen shoulders which foiled to respond to conservative management. They had
persistent pain, stiffness, and limited function. An arthroscopic release was performed by
progressively releasing the anterior structures from superior to inferior. Postoperatively
physiotherapy was carried out daily to maintain the range of movement. At a follow up
of 12 to 37 months the patients were assessed using the American Shoulder Society
scheme. In addition, the patients were assessed preoperatively and postoperatively on
four criteria: pain, external rotation, abduction and function. We found that the patients
were statistically significantly improved in all four cats gories. Three of the nine
patients had no pain, full range of motion compared with the opposite side and full
function. There was one poor result of no improvement. The remaining five patients had
improved but still had residual abnormalities. We consider arthroscopic release to be an
effective treatment for the resistant diabetic frozen shoulder. |
| Key Words:
Frozen shoulder, Diabetes, Arthroscopy,
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