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Journal of the Korean Shoulder and Elbow Society 1999;2(1):74-83.
Published online June 30, 1999.
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
한창환, 김진영, 김원유, 성진형, 류재덕, 노상현
가톨릭대학교 의과대학 대전성모병원 정형외과교실
Abstract
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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