Patients with frozen shoulder Perioperative Nursing Care.docVIP

 PAGE \* MERGEFORMAT 8 Patients with frozen shoulder Perioperative Nursing Care [Keywords:] shoulder coagulation disorders, perioperative care Our hospital in February 2008 were treated 1 case of calcific tendinitis and frozen shoulder in patients with microscopic lines in the shoulder joint capsule release + calcific tendinitis debridement, intensive care after surgery, the current activity in patients with normal shoulder, the effect good care described below. 1 Clinical data Female patient, 40 years old, 10 years ago, there was no obvious incentive to the right shoulder pain, limited mobility, often in the shoulder heat, rest after mitigation, the week before admission the right shoulder pain increased, with increasing degree of activity limitation, had Local Hospital of plaster, cupping, results are poor, come to our hospital, out-patient examination of “the right shoulder calcific tendinitis and frozen shoulder” income homes, physical examination: the right shoulder without a clearly swollen rotator cuff attachment (large nodules tenderness, shoulder flexion 30 , extension 0 , adduction 0 , abduction 45 , preoperative preparation, general anesthesia, “the shoulder joint capsule endoscopy calcific tendinitis release + clean surgery, “surgery patient was left supine, the upper arm limb suspension traction, regular disinfection of the surgical field drape, the soft spot below the right shoulder during peak into the way into a mirror, see the joint capsule synovial hyperemia, thickening to Smith amp; Nephew Vaporization scalpel front space and the rotator cuff, posterior joint capsule and the axillary pouch release [1], then remove the suspension traction, combined with release technique [2], to shoulder flexion 90 , external Show 120 45 extension adduction 30 , and then to subacromial approach, see the formation of subacromial bursa, local calcium accumulation in order to clear the electric planing device and the subacromial bursa after calcific