不能解决结的肩膀:我们真的在治疗它吗?
Abrar Ahmed Wagan1, Paras Surahyo2
1Abrar Ahmed Wagan, MBBS, FCPS (Medicine), FCPS (Rheumatology), FACR. Associate Professor of Rheumatology, Indus Medical College, Tando Mohammad Khan, Pakistan.
Pakistan journal of medical sciences
|January 10, 2024
概括
在巴基斯坦患者的超声波成像中,持续结的肩膀显示出常见的旋转手套肌病 (61%) 和粘附性囊炎 (21%). 这种诊断工具有助于确定未解决的肩部疼痛的确切原因,以更好地管理.
科学领域:
- 肌肉骨放射学 肌肉骨放射学
- 类风湿病学 类风湿病学
背景情况:
- 冷的肩膀,或粘合性囊炎,是造成肩膀疼痛和残疾的常见原因.
- 无法解决的病例往往需要进一步的调查,超越初始的临床诊断.
研究的目的:
- 评估超声波检查在诊断巴基斯坦队列中未解决的冷肩部病例中的有用性.
- 确定导致持续的肩部疼痛和运动受限制的潜在病理.
主要方法:
- 一项涉及138名单边结肩膀患者的横截面研究,他们访问了一家风湿病诊所.
- 两个肩关节的超声波检查由肌肉骨放射科医生进行.
- 被纳入的患者尽管接受过先前的关节内注射并且没有事先详细的调查,但仍有持续的症状.
主要成果:
- 超声波检测发现61%的病例是旋转手套肌病变 (RCT),21%的病例是粘合性囊炎 (AC),14%的病例是混合性病变.
- 旋转手套肌病在50岁以下的患者中更为普遍,而50岁以上的患者中粘性囊炎占主导地位 (p=0.05).
- 旋转手套肌病症与上骨破裂有显著的关联 (p<0.5).
结论:
- 超声波检查对于确定未解决的冷肩部疼痛的确切原因至关重要,这可能与最初的临床诊断有所不同.
- 调查结果指导了持续性肩部疾病的适当管理策略.
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