MARC details
| 000 -LEADER |
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| fixed length control field |
14456namaa22004331i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
OSt |
| 005 - أخر تعامل مع التسجيلة |
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| control field |
20250223033434.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
250216s2024 |||a|||f m||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Original cataloguing agency |
EG-GICUC |
| Language of cataloging |
eng |
| Transcribing agency |
EG-GICUC |
| Modifying agency |
EG-GICUC |
| Description conventions |
rda |
| 041 0# - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
eng |
| Language code of summary or abstract |
eng |
| -- |
ara |
| 049 ## - Acquisition Source |
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| Acquisition Source |
Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER |
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| Classification number |
617.3 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) |
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| Classification number |
617.3 |
| Edition number |
21 |
| 097 ## - Degree |
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| Degree |
Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| Local Call Number |
Cai01.11.25.Ph.D.2024.Wa.A |
| 100 0# - MAIN ENTRY--PERSONAL NAME |
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| Authority record control number or standard number |
Waleed Ibrahim Ibrahim Mohammed, |
| Preparation |
preparation. |
| 245 10 - TITLE STATEMENT |
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| Title |
Arthroscopic Release of Resistant Adhesive Capsulitis of the Shoulder/ |
| Statement of responsibility, etc. |
Waleed Ibrahim Ibrahim Mohammed ; Supervisors : Prof. Dr. Mohammed Taha El Shewy, Dr. Ahmed Essam Kandeel, Dr. Ahmed Fouad Seif-Eldeen. |
| 246 15 - VARYING FORM OF TITLE |
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| Title proper/short title |
إزالة التصاقات غلاف مفصل الكتف المقاومة بواسطة المنظار الجراحى/ |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE |
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| Date of production, publication, distribution, manufacture, or copyright notice |
2024. |
| 300 ## - PHYSICAL DESCRIPTION |
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| Extent |
104 pages : |
| Other physical details |
illustrations ; |
| Dimensions |
25 cm. + |
| Accompanying material |
CD. |
| 336 ## - CONTENT TYPE |
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| Content type term |
text |
| Source |
rda content |
| 337 ## - MEDIA TYPE |
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| Media type term |
Unmediated |
| Source |
rdamedia |
| 338 ## - CARRIER TYPE |
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| Carrier type term |
volume |
| Source |
rdacarrier |
| 502 ## - DISSERTATION NOTE |
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| Dissertation note |
Thesis (Ph.D)-Cairo University, 2024. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliography: pages 90-104. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Arthroscopic capsular release has been favored over manipulation under anesthesia because it is believed to allow a more controlled and complete release of the contracted capsule, to reduce the chance of fracture and to provide more immediate improvement.<br/><br/>The purpose of this study is to evaluate the functional results of arthroscopic release in management of resistant adhesive capsulitis of the shoulder. This descriptive serial case study was carried on 30 patients with resistant adhesive capsulitis of the shoulder characterized by pain and limited active and passive Range Of Motion (ROM) of the shoulder and treated by arthroscopic release. All patients were followed up for 6 months.<br/>Every patient was assessed preoperatively and postoperatively by detailed history taking, careful clinical shoulder examination of active and passive range of motion, patient questionnaires including the American Shoulder and Elbow Society Shoulder Score (ASES) and the VAS pain score in which patients were completed for maximum follow up for 6 months.<br/>All of the 30 patients included in this study had a minimum follow up for 6 months. Both a subjective and objective assessment of the final postoperative result relative to the preoperative condition was done for all patients. We chose to do our scoring immediate postoperative then in first, second and fourth weeks postoperatively, then follow up of the patients was continued at monthly intervals for 6 months. Follow up at 3 months was taken as a point for comparison with the condition of the patient preoperatively.<br/>The patient’s ages in this study ranged between 30 and 65 years with a mean of 52 years. It was noticed that patients affected in the younger age group (30 - 45 years) had a higher percentage of associated diseases specially diabetes than patients in the older age groups. In the whole study, 23 patients were males (76.6%), while 7 were females (23.3%). <br/>In our study, 16 (53.3%) patients were right, and 14 (46.7%) patients were left. The right hand was the dominant hand in 23 (88.5%) of the patients, and the left hand was the dominant hand in only 3 (11.5%) of our cases. The dominant hand was affected in 17 (56.7%) of patients while the non-dominant hand was affected in 13 (43.3%) of patients. <br/>Also, 18 patients (60%) had diabetes mellitus; 10 patients had non-insulin dependant diabetes mellitus, and 8 patients had insulin dependant diabetes mellitus. 7 patients (23.3%) were hypertensive, whereas one patient (3.3%) had degenerative cervical spine disorders, 7 patients (23.3%) had cardiac diseases, one patient (3.3%) had hypothyrodism, one patient (3.3%) had paptic ulcer and one patient (3.3%) had chronic hepatitis C viral disease. <br/>In our study, the duration of symptoms before proceeding to the arthroscopic release ranged between 5 and 15 months with a mean of 7 months.All of our patients presented with a complaint of both shoulder pain and stiffness. But, the pain was the more annoying complaint in 21 patients (70%), whereas the limitation of motion was the more annoying complaint in 9 patients (30%). <br/>The preoperative Abbreviated Constant-Murely score ranged between 15 and 35 points with a mean of 24 points (SD ± 6.2). The postoperative Abbreviated Constant Murely score assessed 12 weeks postoperatively ranged between 40 and 75 points with a mean of 68.4 points (SD ± 9.2). The mean improvement in the Abbreviated Constant-Murely score was 44.4, which was statistically highly significant.<br/>In our study , 19 patients (63.3%) could not do their work or their regular daily activities, while 11 patients (36.7%) had difficulty to do their work or their regular daily activities. Postoperatively at 3 months, 24 patients (80%) could do their work and regular daily activities, 3 patients (10%) could not do his work nor his regular daily activities and 3 patients (10%) had some difficulty in his work or his regular daily activities. The improvement in function caused by the surgery is statistically significant (P value 0.0001).<br/>All patients could not sleep comfortably preoperatively due to the pain caused by their shoulders. Out of these, only two (6.7%) could not sleep well at 3 months postoperatively. The improvement in sleep postoperatively is statistically significant.<br/>Preoperative and postoperative ranges of motion were assessed for all patients and documented. The postoperative improvements in the range of movement for all shoulder movements were found to be statistically highly significant. The preoperative range of active forward flexion ranged between 70º and 145º degrees with a mean of 107º degrees. The postoperative range of active forward flexion at 3 months follow up ranged between 120º and 180º degrees with a mean of 173º degrees. The mean improvement in the range of active forward flexion was 67º degrees.<br/>The preoperative range of active abduction ranged between 60º and 130º (70º glenohumeral + 60º scapulothoracic) degrees with a mean of 82º degrees. Postoperatively at 3 months, active abduction ranged between 90º and 180º degrees with a mean of 165º degrees. The mean improvement in the range of active abduction postoperatively was 83º degrees. <br/>The preoperative range of passive external rotation ranged between 0º and 45º degrees with a mean of 19.5º degrees. The postoperative range at 3 months ranged between 20º and 75º degrees with a mean of 72.7º degrees. The mean improvement in the range of passive external rotation postoperatively was 53.5º degrees.<br/>The preoperative range of passive internal rotation ranged between 10º and 45º degrees with a mean of 27.1º degrees. The postoperative range at 3 months ranged between 30º and 75º degrees with a mean of 63.9º degrees. The mean improvement in the range of passive internal rotation postoperatively was 36.8º degrees.<br/>persistent postoperative pain at 3 months postoperativelyoccurred in 2 cases. Superficial stitch infectionoccurred only in one case of superfiical stitch infection affecting the anterior portal stitch. Extravasation of fluidwas a frequent complication seen in 19 shoulders especially the end of the procedure after releasing the anterior capsule up to the coracoid process. It is to be noted that there were no complications related to the procedure and we had no cases of postoperative nerve injuries, transient neuropraxias, DVT, vascular insufficiency or skin emphysema.<br/> |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
تعتبر الإزالة بواسطة المنظار الجراحى أفضل من الجراحة التقليدية تحت تأثير التخدير لأنها تسمح بإزالة كاملة لالتصاقات غلاف مفصل الكتف وتقلل من فرصة الكسر وتعطى تحسن أكثر.<br/>الغرض من هذه الدراسة هو تقدير النتائج الوظيفية لإزالة التصاقات غلاف مفصل الكتف المقاومة بواسطة المنظار الجراحى. هذه الدراسة الوصفية نفذت على 30 مريض مصاب بالتصاقات بغلاف مفصل الكتف المقاومة والتى تؤدى إلى ألم وحركة محدودة, وتمت متابعة المرضى لمدة 6 شهور.<br/>كل مريض تم تقييمه قبل وبعد العملية عن طريق أخذ تاريخ مرضى مفصل واختبار الكتف وتقييم الألم. تقييم المرضى تم فى الأسبوع الأول والثانى والرابع بعد العملية ثم متابعة المرضى شهرياً لمدة 6 شهور.<br/>النتائج:<br/>أعمار المرضى تراوحت بين 30 و65 سنة بمتوسط 52 سنة, ولوحظ أن المرضى فى الفئة العمرية 30-45 سنة يتعرضون أكثر لداء السكرى من المرضى الأكبر سناً, كما وجد أن 76.6% من المرضى كانوا ذكوراً (23 مريض) و23.3% كانوا إناثاً (7 مرضى).<br/>وجد فى هذه الدراسة أن 16 مريضاً (53.3%) مصابون بالكتف الأيمن و14 مريضاً (46.7%) مصابون بالكتف الأيسر. وأن اليد اليمنى هى المسيطرة فى 23 مريضاً (88.5%) وأن اليد اليسرى هى المسيطرة فى 3 مرضى (11.5%), فاليد المسيطرة كانت متأثرة فى 17 مريضاً (56.7%) بينما اليد غير المسيطرة كانت متأثرة فى 13 مريضاً (43.3%).<br/>وجد فى هذه الدراسة أن 18 مريضاً (60%) مصابون بداء السكرى (10 مرضى غير معتمدين على الأنسولين و8 مرضى معتمدون على الأنسولين) و7 مرضى (23.3%) مصابون بالضغط المرتفع ومريض واحد (3.3%) مصاب باضطرابات فى الشوكة العنقية و7 مرضى (23.3%) مصابون بأمراض فى القلب ومريض واحد (3.3%) مصاب بالقصور الدرقى ومريض واحد (3.3%) مصاب بقرحة معدية ومريض واحد (3.3%) مصاب بالتهاب الكبد بفيروس سى.<br/>تراوحت مدة الأعراض قبل بدء العملية بين 5 و15 شهراً بمتوسط 7 أشهر, وجميع المرضى عانوا من شكوى ألم وتصلب بالكتف, لكن الألم هو الشكوى الأكثر إزعاجاً فى 21 مريضاً (70%) بينما الحركة المحدودة كانت الشكوى الأكثر إزعاجاً فى 9 مرضى (30%).<br/>قبل العملية كان ناتج كونستانت – مورلى متراوحاً بين 15 و35 نقطة بمتوسط 24 نقطة وبعد العملية أصبح متراوحاً بين 40 و75 نقطة بمتوسط 68.4 نقطة, ومتوسط التحسن كان 44.4 مع وجود أهمية إحصائية عالية.<br/>فى دراستنا كان هناك 19 مريضاً (63.3%) لا يستطيعون العمل أو أداء الأنشطة اليومية المعتادة بينما 11 مريض (36.7%) كان لديهم صعوبة فى العمل أو أداء الأنشطة اليومية المعتادة. بعد 3 شهور من العملية, 24 مريضاً (80%) استطاعوا العمل وأداء الأنشطة اليومية المعتادة و3 مرضى (10%) لم يستطيعوا العمل أو أداء الأنشطة اليومية المعتادة و3 مرضى (10%) كان لديهم صعوبة فى العمل أو أداء الأنشطة اليومية المعتادة. كل المرضى لم يستطيعوا النوم بارتياحية قبل العملية بسبب الألم فى الكتف, منهم مريضان (6.7%) لم يستطيعوا النوم جيداً بعد 3 شهور من العملية.<br/>تم تقييم مدى الحركة قبل وبعد العملية, فكان التحسن فى مدى الحركة بعد العملية ذو أهمية إحصائية عالية.<br/>قبل العملية كان الدوران الخارجى غير الفعال متراوحاً بين صفر و45 درجة بمتوسط 19.5 درجة, وبعد العملية بثلاث شهور تراوح بين 20 و75 درجة بمتوسط 72.7 درجة, وكان متوسط التحسن فى مجال الدوران الخارجى غير الفعال بعد العملية بلغ 53.5 درجة.<br/>قبل العملية كان الدوران الداخلى غير الفعال متراوحاً بين 10 و45 درجة بمتوسط 27.1 درجة, وبعد العملية بثلاث شهور تراوح بين 30 و75 درجة بمتوسط 63.9 درجة, وكان متوسط التحسن فى مجال الدوران الداخلى غير الفعال بعد العملية بلغ 36.8 درجة.<br/>بعد العملية بثلاث شهور لوحظ وجود ألم ثابت فى حالتين وعدوى بسيطة سطحية فى حالة واحدة كما لوحظ عدم وجود مضاعفات مرتبطة بالعملية مثل إصابة الأعصاب والانسداد التاجى للأوردة العميقة وعدم الإمداد الدموى للأوعية وانتفاخ الجلد.<br/>الاستنتاج:<br/>إن إزالة التصاقات غلاف مفصل الكتف المقاومة بواسطة المنظار الجراحى لها تأثير سريع على الألم والحركة ولا توجد لها مضاعفات سوى عدوى بسيطة تعالج بالمضادات الحيوية ولا يلاحظ وجود أى عدم ثبات أو خلع أو إصابة بالأعصاب.<br/>التوصيات:<br/>نوصى بالمتابعة طويلة الأمد لأكثر من 3 سنوات للمرضى كما نوصى بوضع خطط لعلاج أمراض الكتف الأخرى.<br/> |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE |
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| Issues CD |
Issues also as CD. |
| 546 ## - LANGUAGE NOTE |
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| Text Language |
Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Orthopedic Surgery |
| Source of heading or term |
qrmak |
| 653 #0 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Arthroscopic Release of Resistant Adhesive Capsulitis of the Shoulder |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Mohammed Taha El Shewy |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Ahmed Essam Kandeel |
| Relator term |
thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Ahmed Fouad Seif-Eldeen |
| Relator term |
thesis advisor. |
| 900 ## - Thesis Information |
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| Grant date |
01-01-2024 |
| Supervisory body |
Mohammed Taha El Shewy |
| -- |
Ahmed Essam Kandeel |
| -- |
Ahmed Fouad Seif-Eldeen |
| Universities |
Cairo University |
| Faculties |
Faculty of Medicine |
| Department |
Department of Orthopedic Surgery |
| 905 ## - Cataloger and Reviser Names |
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| Cataloger Name |
Aya Mohamed |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Dewey Decimal Classification |
| Koha item type |
Thesis |
| Edition |
21 |
| Suppress in OPAC |
No |
