Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely un...Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment.展开更多
股骨头坏死(osteonecrosis of the femoral head,ONFH)是一种好发于30~50岁中青年人群的难治性、致残性骨科疾病。人工全髋关节置换术是目前世界公认的有效治疗方法,但人工髋关节假体寿命有限,远期将面临翻修的现实。因此,对于早期坏死...股骨头坏死(osteonecrosis of the femoral head,ONFH)是一种好发于30~50岁中青年人群的难治性、致残性骨科疾病。人工全髋关节置换术是目前世界公认的有效治疗方法,但人工髋关节假体寿命有限,远期将面临翻修的现实。因此,对于早期坏死及年轻患者,应尽可能保留其自身髋关节,物理治疗作为选择之一越发受到重视。目前常用于股骨头坏死的物理治疗方法包括非负重(non-weight-bearing,NWB)、高压氧(hyperbaric oxygen,HBO)、脉冲电磁场(pulsed electromagnetic fields,PEMFs)、体外冲击波(extracorporeal shock wave therapy,ESWT)。本文就股骨头坏死物理治疗的研究进展进行综述,旨在为临床应用提供参考。展开更多
文摘Frozen shoulder is a common disease which causes significant morbidity. Despite over a hundred years of treating this condition the definition, diagnosis, pathology and most efficacious treatments are still largely unclear. This systematic review of current treatments for frozen shoulder reviews the evidence base behind physiotherapy, both oral and intra articular steroid, hydrodilatation, manipulation under anaesthesia and arthroscopic capsular release. Key areas in which future research could be directed are identified, in particular with regard to the increasing role of arthroscopic capsular release as a treatment.
