冷的肩膀:诊断和管理
Sean R Wise1, Paul Seales2, Alex P Houser3
1National Capital Consortium Military Sports Medicine Fellowship, Fort Belvoir Community Hospital, Fort Belvoir, VA.
Current sports medicine reports
|September 7, 2023
概括
结肩膀是一种导致肩膀疼痛和硬的疾病,通常在两年内消失. 目前的治疗方法,如物理治疗和注射,不会改变它的自然进展.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 运动医学 运动医学
背景情况:
- 冷的肩膀 (粘着性囊炎) 是一种普遍的肌肉骨疾病.
- 肩部疼痛的潜伏发作和积极和被动运动范围的逐渐限制的特征.
- 通常是自我限制的,在没有具体干预的情况下,在1-2年内消失.
研究的目的:
- 为了提供关于冷肩的全面概述.
- 讨论当前的诊断和治疗方式.
- 突出未来研究领域.
主要方法:
- 基于特征性症状和体检结果的临床诊断.
- 审查有关病理生理学,诊断和管理的当前文献.
- 影像在差异诊断中的辅助作用.
主要成果:
- 诊断主要是临床的,依赖于全球运动限制和疼痛.
- 标准治疗包括物理治疗,NSAIDs和皮质类固醇注射.
- 目前没有一种治疗方法能够改变这种疾病的长期自然过程.
结论:
- 结肩膀是一种具有可预测自然史的临床诊断.
- 虽然治疗提供了症状缓解,但它们不会改变整体预后.
- 未来的研究应该调查可以修改疾病轨迹并改善长期结果的干预措施.
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