摘要
肩周炎是一种常见的肩关节疾病,其特征是逐渐加重的自发性疼痛,肩关节活动范围受限。肩周炎的病理生理发生机制被认为是滑膜炎症后囊膜纤维化的病理过程,但其病因尚不清楚。肩周炎的治疗方法包括药物治疗、局部注射类固醇、理疗、麻醉下手法松解、关节镜下松解、神经阻滞等手段,在大多数情况下,保守治疗会有一定改善,但若保守治疗3~6个月后症状未能改善,而功能持续受限,则是外科治疗的一般适应证。目前对肩周炎最有效的治疗方法尚且未达成共识,并且多项研究表明神经阻滞能够有效治疗肩周炎,明显改善活动度,值得在临床进一步推广。
Frozen shoulder is a common shoulder disease,which is characterized by progressive spontaneous pain and limited range of motion of the shoulder.The pathophysiological mechanism of frozen shoulder is considered to be the pathological process of cystic fibrosis after synovitis,but its etiology is not clear.The treatment of frozen shoulder includes drug treatment,local injection of steroids,physiotherapy,manipulation under Anesthesia,arthroscopic capsular release,nerve block and so on.In most cases,conservative treatment will improve to a certain extent,but if the symptoms do not improve and the function continues to be limited after 3 to 6 months of conservative treatment,it is a general indication for surgical treatment.However,there is no consensus on the most effective treatment for this condition.A number of studies have shown that nerve block can effectively treat frozen shoulder and significantly improve the activity,which is worthy of further promotion in clinical practice.
作者
钟红霞
Zhong Hongxia(The Xinbei District Xuejia Hospital of Changzhou City,Changzhou,Jiangsu213000)
出处
《基层医学论坛》
2021年第14期2047-2049,共3页
The Medical Forum
关键词
肩周炎
冻结肩
治疗
肩关节
Scapulohumeral periarthritis
Frozen shoulder
Treatment
Shoulder joint
