Effect of Arthroscopic Frozen Shoulder Release on the Expression of Serum BGP and IGF-1 in Elderly Patients

Abstract

Abstract: Objective To investigate and analysis the effect of arthroscopic frozen shoulder release on serum Bone-γ-Carboxyglutamic Acid-Containing protein (BGP) and insulin-like growth factor-1 (IGF-1) expression. Methods From June 2020 to April 2022, 76 cases of elderly patients with primary frozen shoulder who were diagnosed and treated in our hospital were selected as the study subjects. According to the random number table, the patients were divided into the arthroscopic group (38 cases) and the control group (38 cases). The control group were treated with conventional closed massage, and the arthroscopic group were treated with arthroscopic frozen shoulder release. The expression of serum osteocalcin and insulin-like growth factor-1 were detected. Results At one month after treatment, the excellent and good rate of the arthroscopic group were significantly higher than that of the control group (P<0.05). The degree of shoulder joint flexion and abduction in the arthroscopic group and the control group at one month after treatment were significantly higher than that before treatment (P<0.05), and the arthroscopic group were also significantly improved compared with the control group (P<0.05). The VAS score of shoulder joint pain in the arthroscopic group and the control group at one month after treatment were significantly lower than that before treatment (P<0.05), and the score of shoulder joint pain in the arthroscopic group were also significantly lower than that in the control group one month after treatment (P<0.05). The levels of serum Bone-γ-Carboxyglutamic Acid-Containing protein and insulin-like growth factor-1 in the arthroscopic group and the control group at one month after treatment were significantly higher than those before treatment (P<0.05), and the levels of serum Bone-γ-Carboxyglutamic Acid-Containing protein and insulin-like growth factor-1 in the arthroscopic group at one month after treatment were significantly higher than those in the control group (P<0.05). The incidence rates of joint swelling, joint infection, joint hematocele and other complications at 6 months after treatment in the arthroscopic group were significantly lower than the control group (P<0.05). Conclusion The application of arthroscopic frozen shoulder release in elderly patients can improve the degree of shoulder joint flexion and abduction, improve the overall treatment excellent rate of patients, promote pain relief, reduce the incidence of complications, and increase the expression level of serum Bone-γ-Carboxyglutamic Acid-Containing protein and insulin-like growth factor-1.

Key words: arthroscopy, frozen shoulder, aged, osteocalcin, insulin-like growth factor-1, pain

CLC Number:

R684

WANG Zi-zhou. Effect of Arthroscopic Frozen Shoulder Release on the Expression of Serum BGP and IGF-1 in Elderly Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(12): 15-19.

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