摘要
在人体的所有关节中,肩关节的运动范围最大,可以进行复杂工作和运动,对日常生活和工作活动具有重要意义,任何导致关节的疼痛或功能丢失会对病患的生活质量造成严重影响。冻结肩是临床上常见的一种肩部疾患,以肩部疼痛和运动范围丧失为主要表现,可独立发病或继发于其他疾病,如肩袖肌腱病、滑囊炎或糖尿病。针对其发病机制,已提出多种学说,但尚无定论。虽然冻结肩为自限性疾病,但由于其病程长及对患者生活影响大,对冻结肩的管理显得尤为重要。目前主张根据病情所处的阶段制定个体化方案,最终达到缩短自然病程、缓解患肢疼痛、改善肩关节功能,提高患者生活质量的目的。如何制定冻结肩治疗的个性化治疗方式来管理患者,目前尚未达成共识。本文总结冻结肩相关诊疗进展,以期为临床提供参考。
Of all the joints in the human body,the shoulder has the greatest range of motion,this allows complex movements and functions to be carried out,which is of vital importance to the activities of daily living and work.Any cause of joint pain or loss of function will have a serious impact on the patients quality of life.Frozen shoulder,a frequently encountered disorder of the shoulder,the shoulder pain and range of motion loss are the main manifestation,which is primary disease or secondary diseases such as rotator cuff tendon,bursitis,diabetes and so on.Although the frozen shoulder is self limiting disease,but because of its long course of disease and the impact on the quality of life of patients,the management of frozen shoulders is particularly important.At present,individualized scheme according to the condition of the stage,eventually to shorten the natural course,alleviate limb pain,improve shoulder joint function and the quality of life of patients are advocated.But how to develop personalized treatment for patient with frozen shoulder to,there is no consensus.The related diagnosis and treatment progress of frozen shoulder were summarized to provide reference for clinic.
作者
桑鹏
刘毅
SANG Peng;LIU Yi(Department of Orthopaedic,Affiliated Hospital of Zunyi Medical College,Zunyi Guizhou 563000,China)
出处
《局解手术学杂志》
2018年第9期683-688,共6页
Journal of Regional Anatomy and Operative Surgery
关键词
冻结肩
肩关节
手术
麻醉下肩部手法松解术
关节造影扩张术
frozen shoulder
shoulder joint
surgery
manipulation under anesthesia
shoulder distension arthrography
