Hauzeur J Ph
Service de Rhumatologie, CHU Sart-Tilman, Liège.
Rev Med Brux. 2004 Sep;25(4):A411-5.
Painful shoulder is due to several diseases. The most frequent presentation is the so-called shoulder periarthritis. This entity includes lesions and functional disturbances of paraarticular tissues: tendons, ligaments, synovial bursae. The review of the studies concerning the treatment is disappointing because a too low quality in term of definition of the pathologies studied, heterogeneity of the populations and lack of long term evaluations. Anti-inflammatory drugs seem to have a poor efficacy. In contrast, the corticosteroids injections are useful, with an increase of efficacy when made under control of ultrasonography or fluoroscopy. Rehabilitation could be useful but data are too preliminary to permit conclusions. Finally, no study was found to help us to evaluate the interest of an association of different therapeutical methods.
肩部疼痛由多种疾病引起。最常见的表现是所谓的肩周炎。该病症包括关节周围组织（肌腱、韧带、滑膜囊）的病变和功能障碍。有关治疗的研究综述令人失望，因为所研究病理的定义质量过低、人群异质性以及缺乏长期评估。抗炎药物似乎疗效不佳。相比之下，皮质类固醇注射是有效的，在超声或荧光镜引导下进行时疗效会增加。康复治疗可能有用，但数据过于初步，无法得出结论。最后，未发现有研究能帮助我们评估不同治疗方法联合使用的益处。
