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冰的肩膀:粘合性囊炎的诊断和治疗
Feyza Achilova1, Mohammad Daher2, Joseph E Nassar1
1Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, RI.
The American journal of medicine
|January 25, 2026
概括
粘合性囊炎,或冷的肩膀,导致显著的肩膀疼痛和硬. 虽然经常自我限制,但许多患者面临长期的症状,需要个性化,基于证据的管理策略.
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
- 物理医学和康复 康复
背景情况:
- 粘着性囊炎 (冷的肩膀) 是一种常见的疾病,在中年成人中引起肩膀疼痛和硬.
- 它导致显著的功能限制,与传统观点相反,症状可能会延长,恢复不完全.
研究的目的:
- 审查目前对粘合性囊炎流行病学,临床表现,诊断和管理的理解.
- 强调以患者为中心的护理在冷肩的管理中的实际考虑.
主要方法:
- 基于病史和检查结果的临床诊断,对受限的被动膜部运动进行诊断.
- 图像检查用于排除其他肩部病理.
- 对非手术和外科手术管理选择的现有证据的审查.
主要成果:
- 诊断主要是临床的,重点是消极肩部运动的全球限制.
- 非手术治疗,包括皮质类固醇注射和物理治疗,是治疗的主要支柱.
- 外科手术只适用于对保守治疗不耐药的病例.
结论:
- 粘性囊炎需要根据疾病阶段,症状严重程度和患者的并发症进行个性化管理.
- 基于证据的非手术治疗为适当选择的患者提供了有意义的好处.
- 一个全面的理解指导有效的,以患者为中心的冷肩的护理.
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