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題名 | Functional Assessment for Shoulder Impingement Syndrome after Anterior Acromioplasty=肩峰成形術治療肩關節撞擊症候群之術後功能評估 |
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作者 | 謝國顯; 李佩淵; 李土生; 楊大中; Hsieh, Kwo-hsean; Lee, Pei-yuan; Lee, Tu-sheng; Yang, Dah-jung; |
期刊 | 中華醫學雜誌 |
出版日期 | 19970600 |
卷期 | 59:6 1997.06[民86.06] |
頁次 | 頁354-358 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 肩峰成形術; 功能評估; 肩關節撞擊症候群; Acromioplasty; Functional assessment; Shoulder impingement syndrome; |
中文摘要 | 背景:肩關節撞擊症候群是造成肩痛的常見原因之一。保守治療通常是最先嘗試之治療方法,但是病患若經保守治療後仍持續疼痛或屬於末期病灶,肩峰成形手術對於解除疼痛及改善功能是一種有效的治療方式。 方法:自1989年5月至1994年9月,對三十四位病人施行三十六例肩峰成形術治療肩關節撞擊症候群。有二十五例合併旋轉袖肌破裂,除五例因裂隙過大及袖肌回縮,其餘皆同時接受袖肌修補術。術後同時使用Neer及Constant功能量表加以評估,包括病人滿意度、疼痛減輕程度、肩關節活動範圍及功能。 結果:經平均三十四個月的追蹤檢查,在Neer極滿意的病人中(55.5%),Constant平均分數為94.7分。在感覺良好的病人中(30.5%),平均分數為77.2分。術後效果不佳的病人中(13.9%),平均分數為58.6分。 結論:解除疼痛是治療肩關節撞擊症候群的主要目的。而肩峰成形術顯示能有效的達成目的。本系列有86%病人滿意手術結果。而Constant功能量表則能將肩關節功能加以量化,提供手術後改善的依據。 |
英文摘要 | Background: Impingement syndrome is a common cause of shoulder pain. Conservative treatment should always be initially considered. But for those patients with persistent symptoms, open acromio-plasty is a reliable method to relieve pain and improve function. Methods: From May 1989 to September 1994, a series of 36 anterior acromioplasties for impingement syndrome of the shoulder in 34 patients was retrospectively analyzed. Among them, rotator cuff tear was found in 25, and concomitant cuff repair was performed in 20. Five shoulders were not repaired because of a massive tear with marked cuff retraction. Neer's functional criteria and Constant's functional score were used to evaluate the results of anterior acromioplasty. The postoperative evaluation included patient satisfaction, relief of pain, range of motion and full use of the shoulder. Results: Thirty-four patients with an average follow-up of 34 months were available for assessment. The average Constant's functional score was 94.7 points in the excellent group (55.5%), 77.2 points in the good group (30.5%) and 58.6 points in the poor group (13.9%). Conclusions: Overall there was an 86% satisfactory rate by Neer's criteria. Anterior acromioplasty appears to be an effective procedure for shoulder impingement syndrome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。