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肩膀的粘合性囊炎在肩膀上

Joseph P Mullen¹, Tyler M Hauer¹, Emily N Lau¹

¹Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|June 22, 2025

概括

粘合性囊炎,或冷的肩膀,由于关节囊粘附,限制了运动. 治疗包括物理治疗,注射,有时甚至手术来恢复肩部功能.

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:

粘合性囊炎,通常被称为冷的肩膀,涉及渐进的腺关节囊硬和疼痛.
病理生理学包括炎症,纤维细胞增殖和原沉积导致收缩.
风险因素包括糖尿病,甲状腺疾病和之前的肩膀或脊椎手术.

研究的目的:

审查粘合性囊炎的病理生理学,临床表现和管理策略.
为了比较各种非手术和手术治疗方式的疗效.
突出影响治疗结果和患者选择的因素.

主要方法:

对粘附性囊炎病理生理学,诊断和治疗研究的文献综述.
对临床分类,诊断成像 (MRI) 发现和风险因素的分析.
评估非手术选择 (PT,注射,冲击波疗法,水) 和手术干预 (关节镜释放,MUA).

主要成果:

非手术治疗的目的是缓解疼痛并恢复运动范围 (ROM).
早期的皮质类固醇注射和超声波导向的用 hialuronic 酸的水分扩张显示出更好的结果.
手术选择,如关节镜囊释放和麻醉下的操纵 (MUA) 对于耐火病例是有效的.

结论:

粘性囊炎通常是自我限制的,但及时的管理可以改善结果.
非手术干预,特别是早期的皮质类固醇注射和PT,是主要的治疗方法.
手术干预可显著改善持续病例的疼痛和功能,关节镜可提供直接可视化.

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