冻结肩的手术治疗进展

Progress in Surgical Treatment of Frozen Shoulder

摘要: 冻结肩俗称肩周炎，是骨科临床实践中的常见疾病，主要表现为肩关节的疼痛及肩关节的主动被动活动受限，严重影响肩关节功能，严重影响患者的生活质量。冻结肩可以自发的形成，没有明显的诱因，或者与全身性疾病或是肩关节局部疾病相关。无菌性炎症及关节囊纤维化为其主要病理表现。冻结肩的主要治疗原则是缓解肩关节疼痛及恢复肩关节功能。治疗方式分为保守治疗及手术治疗。鉴于保守治疗恢复时间长，部分患者后期可能残留症状，以及部分患者存在保守治疗效果不佳等情况。而冻结肩的手术治疗展现出了术后即刻的肩关节活动度恢复以及较为理想的疼痛控制。为了更快摆脱冻结肩的症状，越来越多的患者愿意采用手术治疗。冻结肩的手术治疗是冻结肩治疗的一个热点话题，本文章就围绕冻结肩手术治疗的适应症、不同的手术治疗方式以及目前流行的关节镜下肩关节松解的相关技术等方面进行一详细综述。

Abstract: Frozen shoulder commonly known as adhesive capsulitis, is a common disease in orthopaedic clini-cal practice, is mainly manifested as shoulder joint pain and active and passive limited activities of shoulder joint, seriously affects the function of the shoulder joint, and seriously affects the quality of life of patients. Frozen shoulders can develop spontaneously, with no apparent cause, or be associ-ated with systemic or localized shoulder diseases. Aseptic inflammation and capsular fibrosis were the main pathological manifestations. The main therapeutic principle of shoulder freezing is to re-lieve shoulder pain and restore shoulder function. Treatment can be divided into conservative treatment and surgical treatment. In view of the long recovery time of conservative treatment, some patients may have residual symptoms in the later stage, and some patients have poor effect of conservative treatment. The surgical treatment of frozen shoulder showed immediate recovery of shoulder motion and better pain control. In order to get rid of frozen shoulder symptoms faster, more and more patients are willing to undergo surgery. The surgical treatment of frozen shoulder is a hot topic in the treatment of frozen shoulder. This article gives a detailed review on the indica-tions of frozen shoulder surgery, different surgical treatment methods and the relevant techniques of shoulder joint release under arthroscopy.