Evidence map›Paper›PMID 36321605›Full record

ArticleOrthopaedic surgery2023

A Modified Arthroscopic Outside-in Shoulder Release Approach for Severe Shoulder Stiffness.

Xu-Chao Zhang, Kang Liu, Hua Ying, Gai Yao, Xia-Wei Fu, Bo-le Zhou, Zhi-You Zhou, Zi-Min Wang

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Xu-Chao ZhangDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.ORCID https://orcid.org/0000-0003-3078-8807
Kang LiuDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Hua YingDepartment of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Gai YaoDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Xia-Wei FuDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Bo-le ZhouDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Zhi-You ZhouDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Zi-Min WangDepartment of Joint and Orthopaedic Surgery, The First Affiliated Hospital of the Naval Medical University, Shanghai, China.
Shanghai First People's Hospital · CNShanghai Jiao Tong University · CN

Funding

National Natural Science Foundation of China 81572211National Natural Science Foundation of China 81972060
6 · The paper itself

Abstract

objectiveArthroscopic release is effective for patients with shoulder stiffness, but the traditional inside-out procedure cannot effectively alleviate the mobility of some severe stiff shoulder and even cause itrogenic injuries sometimes. The aim of this study is to evaluate the clinical efficacy and advantages of a modified outside-in shoulder release approach for severe shoulder stiffness.

methodsIncluded in this retrospective study were 15 patients (five male and 10 female) with severe shoulder stiffness who underwent modified outside-in shoulder release surgery at our hospital between June 2019 and March 2021. Of them, 10 patients had a primary frozen shoulder and five had secondary shoulder stiffness, involving the right shoulder in six cases and the left shoulder in nine cases. The mean age of the 15 patients was 56.7 (34-69) years. The patients were instructed to exercise passively from second-day post-operation and enhance the rehabilitation exercise gradually. All patients received a range of motion (ROM) examination before and after surgery. The American Shoulder and Elbow Surgeon's Score (ASES), Constant Score (CS), and Visual Analog Scale (VAS) score for pain were recorded. All data were tested by normal distribution first and then by paired T test, otherwise by Wilcoxon rank sum test.

resultsThe mean follow-up period was 18.2 (12-33) months. Compared with the preoperative value, the mean ASES score at the final follow-up improved from 38.4 ± 7.37 to 88.13 ± 6.33 points; the mean CS score from 43.27 ± 6.71 to 78.74 ± 6.93 points; the mean VAS score from 5.07 ± 1.03 to 0.81 ± 0.83 points; forward flexion from 81.93° ± 11.45° to 156.73° ± 9.12°; abduction from 65.93° ± 16.82° to 144.80° ± 8.83°; neutral external rotation from 13.53° ± 10.38° to 51.20° ± 4.77°; internal rotation from the buttock to waist (L3), all showing a significant difference (P < 0.0001). No serious complication was observed in any patient during the postoperative follow-up periods.

conclusionThe present study has demonstrated that the modified arthroscopic outside-in shoulder release approach can improve ROM of patients and alleviate pain effectively, proving it to be an appropriate surgical option for the treatment of severe shoulder stiffness.

Indexed as

Joint DiseasesShoulder JointAgedArthroscopyFemaleHumansJoint Capsule ReleaseMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesShoulderTreatment OutcomeOutside-inReleaseShoulder stiffness

Identifiers

PMID36321605
PMCPMC10432466
OpenAlexW4307967631

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.